This provider's $6.7M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 16.12x is significantly above the specialty median of 6.1x.
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 | $1.6K | $415.82 | 3.86x | $1.2K | $738.1K | 1.8K | 1.7K |
| 2015 | $8.2K | $455.66 | 17.99x | $7.7K | $721.9K | 1.8K | 1.7K |
| 2016 | $8.1K | $437.26 | 18.54x | $7.7K | $844.9K | 2.2K | 2.2K |
| 2017 | $7.8K | $429.64 | 18.08x | $7.3K | $784.7K | 2.0K | 2.0K |
| 2018 | $7.4K | $434.49 | 16.96x | $6.9K | $777.2K | 2.0K | 1.9K |
| 2019 | $7.9K | $483.48 | 16.38x | $7.4K | $641.3K | 1.6K | 1.6K |
| 2020 | $7.6K | $496.27 | 15.34x | $7.1K | $556.7K | 1.3K | 1.3K |
| 2021 | $6.5K | $496.95 | 13.17x | $6.1K | $566.5K | 1.3K | 1.2K |
| 2022 | $7.9K | $527.60 | 15.05x | $7.4K | $571.2K | 1.3K | 1.2K |
| 2023 | $5.7K | $502.46 | 11.28x | $5.2K | $543.3K | 1.2K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 67904 | Repair of tendon of upper eyelid | 2.5K | $961.9K | $383.85 | 7.54x |
| 67900 | Repair of brow paralysis | 1.7K | $731.1K | $440.69 | 23.71x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.6K | $639.6K | $404.30 | 17.67x |
| 67966 | Removal of over one-fourth of the eyelid involving lid margin | 1.2K | $537.9K | $434.52 | 16.23x |
| 31200 | Partial removal of nasal sinus | 326 | $509.2K | $1.6K | 11.72x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 874 | $432.2K | $494.48 | 13.41x |
| 68815 | Probing of nasal-tear duct with insertion of tube or stent | 964 | $365.0K | $378.59 | 20.75x |
| 67917 | Extensive repair of turning-outward eyelid defect | 892 | $363.7K | $407.69 | 17.82x |
| 67400 | Exploration of cavity behind eye, frontal or transconjunctival approach | 247 | $204.5K | $827.85 | 8.43x |
| 21235 | Obtaining ear cartilage for grafting | 139 | $182.3K | $1.3K | 4.50x |
| 68720 | Creation of drainage tract from tear sac to the nasal cavity | 354 | $180.6K | $510.12 | 20.57x |
| 30930 | Therapeutic fracture of nasal passages | 274 | $177.0K | $646.08 | 16.70x |
| 68320 | Repair of conjunctiva | 372 | $158.5K | $426.10 | 25.17x |
| 68700 | Plastic repair of tear ducts | 492 | $149.8K | $304.39 | 25.44x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 325 | $136.1K | $418.87 | 16.69x |
| 67875 | Temporary closure of eyelids by suture | 867 | $129.2K | $149.07 | 21.07x |
| 67921 | Suture repair of turning-inward eyelid defect | 357 | $117.5K | $329.00 | 23.79x |
| 14041 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 240 | $90.7K | $378.01 | 18.63x |
| 67950 | Enlargement of eyelid margin | 179 | $79.3K | $443.17 | 17.26x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 155 | $71.6K | $461.83 | 14.23x |
This provider submits charges 16.12 times higher than what Medicare actually pays.
A markup ratio of 16.12x means for every $100 Medicare pays, this provider initially charges $1612. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Ambulatory Surgical Center providers in TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Dallas, TX | $76.6M | ✓ Clear |
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | ✓ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | ✓ Clear |
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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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