This provider's $19.7M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
73% 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.
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 | $1.1K | $375.52 | 2.94x | $728.39 | $2.0M | 4.1K | 2.8K |
| 2015 | $1.3K | $570.10 | 2.35x | $772.23 | $1.8M | 3.7K | 2.6K |
| 2016 | $1.3K | $548.99 | 2.31x | $717.07 | $2.1M | 4.0K | 2.7K |
| 2017 | $1.4K | $589.74 | 2.35x | $798.40 | $1.9M | 3.6K | 2.4K |
| 2018 | $1.4K | $622.94 | 2.25x | $779.27 | $1.8M | 3.3K | 2.2K |
| 2019 | $1.4K | $635.14 | 2.22x | $776.11 | $2.1M | 3.8K | 2.6K |
| 2020 | $1.2K | $398.29 | 2.94x | $770.79 | $1.7M | 3.2K | 2.3K |
| 2021 | $1.5K | $605.86 | 2.55x | $938.85 | $2.0M | 4.9K | 3.3K |
| 2022 | $1.4K | $421.39 | 3.38x | $1.0K | $2.1M | 5.1K | 3.4K |
| 2023 | $1.5K | $449.25 | 3.30x | $1.0K | $2.2M | 5.4K | 3.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 19.8K | $14.2M | $715.68 | 2.81x |
| 66982 | Removal of cataract with insertion of lens | 2.1K | $1.5M | $715.08 | 2.81x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 7.8K | $1.4M | $174.74 | 5.64x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 5.8K | $453.3K | $78.24 | 3.06x |
| V2785 | Processing, preserving and transporting corneal tissue | 89 | $281.0K | $3.2K | 1.29x |
| 0191T | Internal insertion of eye fluid drainage device | 149 | $222.2K | $1.5K | 1.47x |
| 65820 | Incision to improve eye fluid flow | 158 | $205.8K | $1.3K | 2.52x |
| 66988 | Removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 115 | $189.5K | $1.6K | 2.46x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 312 | $139.9K | $448.48 | 2.79x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 221 | $126.6K | $572.86 | 2.43x |
| 65756 | Transplant of outer layer of corneal tissue | 100 | $126.2K | $1.3K | 1.35x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 326 | $104.4K | $320.11 | 2.61x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 677 | $93.7K | $138.40 | 6.96x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 836 | $89.4K | $106.90 | 7.33x |
| 67840 | Removal of eyelid growth | 603 | $71.4K | $118.45 | 6.06x |
| 67908 | Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis | 131 | $71.4K | $545.06 | 2.75x |
| 67904 | Repair of tendon of upper eyelid | 122 | $66.9K | $548.21 | 2.53x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 179 | $65.3K | $364.70 | 2.47x |
| 67924 | Repair of turning-inward eyelid defect | 110 | $63.8K | $579.84 | 2.06x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 367 | $63.6K | $173.33 | 5.77x |
This provider submits charges 3.03 times higher than what Medicare actually pays.
A markup ratio of 3.03x means for every $100 Medicare pays, this provider initially charges $303. 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 PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Main Line Surgery Center, Llc | Bala Cynwyd, PA | $38.7M | ✓ 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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