This provider's $12.2M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $2.2K | $931.92 | 2.37x | $1.3K | $1.2M | 1.9K | 1.4K |
| 2015 | $2.2K | $897.34 | 2.42x | $1.3K | $1.1M | 1.9K | 1.4K |
| 2016 | $2.1K | $799.40 | 2.57x | $1.3K | $1.2M | 1.7K | 1.3K |
| 2017 | $2.5K | $933.43 | 2.63x | $1.5K | $1.1M | 1.7K | 1.2K |
| 2018 | $2.6K | $902.75 | 2.89x | $1.7K | $1.4M | 2.0K | 1.5K |
| 2019 | $2.7K | $929.32 | 2.90x | $1.8K | $1.3M | 1.9K | 1.5K |
| 2020 | $2.6K | $874.33 | 2.94x | $1.7K | $1.2M | 1.6K | 1.2K |
| 2021 | $2.7K | $961.27 | 2.76x | $1.7K | $1.3M | 1.6K | 1.3K |
| 2022 | $2.8K | $963.41 | 2.91x | $1.8K | $1.1M | 1.3K | 1.0K |
| 2023 | $4.4K | $829.08 | 5.32x | $3.6K | $1.2M | 1.5K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 9.0K | $6.8M | $754.43 | 3.44x |
| 0191T | Internal insertion of eye fluid drainage device | 501 | $908.3K | $1.8K | 2.02x |
| V2785 | Processing, preserving and transporting corneal tissue | 240 | $779.4K | $3.2K | 1.63x |
| 66982 | Removal of cataract with insertion of lens | 725 | $540.4K | $745.38 | 3.38x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.9K | $471.7K | $163.38 | 7.69x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 833 | $371.5K | $446.00 | 4.18x |
| 67042 | Removal of membrane from the retina, pars plana approach | 231 | $338.6K | $1.5K | 2.44x |
| 65756 | Transplant of outer layer of corneal tissue | 195 | $271.7K | $1.4K | 2.22x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 180 | $264.6K | $1.5K | 2.54x |
| 65820 | Incision to improve eye fluid flow | 148 | $208.6K | $1.4K | 2.80x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 124 | $181.4K | $1.5K | 2.50x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 107 | $155.1K | $1.4K | 2.62x |
| 67917 | Extensive repair of turning-outward eyelid defect | 292 | $148.2K | $507.63 | 4.07x |
| 67041 | Removal of membrane from the retina | 91 | $133.7K | $1.5K | 2.56x |
| 67904 | Repair of tendon of upper eyelid | 279 | $129.6K | $464.66 | 4.05x |
| 67900 | Repair of brow paralysis | 223 | $90.7K | $406.84 | 5.82x |
| 66183 | Insertion of eye fluid drainage device | 50 | $65.6K | $1.3K | 2.29x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 21 | $52.9K | $2.5K | 2.82x |
| 66820 | Removal of recurring cataract in lens capsule | 128 | $52.1K | $407.14 | 5.14x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 105 | $40.4K | $384.84 | 2.34x |
This provider submits charges 3.36 times higher than what Medicare actually pays.
A markup ratio of 3.36x means for every $100 Medicare pays, this provider initially charges $336. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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