This provider's $10.8M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 397% from 2019 to 2023.
78% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of lens).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 327% in 2020
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $1.6K | $570.70 | 2.72x | $980.13 | $528.3K | 910 | 566 |
| 2020 | $1.8K | $835.70 | 2.09x | $914.81 | $2.3M | 3.7K | 2.2K |
| 2021 | $1.7K | $749.05 | 2.28x | $961.35 | $2.8M | 4.6K | 2.7K |
| 2022 | $2.3K | $1.1K | 2.05x | $1.2K | $2.6M | 4.1K | 2.5K |
| 2023 | $2.4K | $1.1K | 2.20x | $1.3K | $2.6M | 4.1K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 10.4K | $8.4M | $805.82 | 2.48x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 5.6K | $1.1M | $191.08 | 3.40x |
| 66982 | Removal of cataract with insertion of lens | 1.1K | $918.8K | $810.90 | 2.48x |
| 0191T | Internal insertion of eye fluid drainage device | 103 | $224.6K | $2.2K | 1.58x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 60 | $142.4K | $2.4K | 1.98x |
| 66989 | Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 17 | $40.6K | $2.4K | 1.65x |
| 65400 | Removal of growth of cornea | 79 | $24.4K | $309.27 | 2.24x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 22 | $3.3K | $147.81 | 10.15x |
This provider submits charges 2.55 times higher than what Medicare actually pays.
A markup ratio of 2.55x means for every $100 Medicare pays, this provider initially charges $255. 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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