This provider's $4.8M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 472% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 187% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $2.5K | $1.1K | 2.21x | $1.3K | $228.5K | 305 | 222 |
| 2019 | $2.1K | $728.11 | 2.87x | $1.4K | $655.1K | 827 | 650 |
| 2020 | $2.3K | $745.11 | 3.09x | $1.6K | $675.7K | 909 | 705 |
| 2021 | $2.4K | $710.60 | 3.38x | $1.7K | $918.5K | 1.4K | 1.1K |
| 2022 | $2.4K | $722.13 | 3.38x | $1.7K | $990.7K | 1.5K | 1.1K |
| 2023 | $2.7K | $725.52 | 3.73x | $2.0K | $1.3M | 1.8K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 3.3K | $2.4M | $736.34 | 3.70x |
| V2785 | Processing, preserving and transporting corneal tissue | 265 | $1.0M | $3.8K | 1.27x |
| 65756 | Transplant of outer layer of corneal tissue | 235 | $314.6K | $1.3K | 3.52x |
| 66982 | Removal of cataract with insertion of lens | 290 | $215.7K | $743.95 | 3.80x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 300 | $128.4K | $428.13 | 5.16x |
| 67904 | Repair of tendon of upper eyelid | 289 | $122.7K | $424.60 | 5.14x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 493 | $89.2K | $180.90 | 3.83x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 181 | $87.3K | $482.21 | 4.61x |
| 67917 | Extensive repair of turning-outward eyelid defect | 196 | $77.5K | $395.51 | 5.83x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 513 | $53.0K | $103.40 | 3.86x |
| 67924 | Repair of turning-inward eyelid defect | 89 | $46.0K | $516.49 | 4.35x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 19 | $43.7K | $2.3K | 3.85x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 336 | $26.4K | $78.68 | 4.07x |
| 68700 | Plastic repair of tear ducts | 54 | $25.6K | $474.03 | 4.67x |
| 67400 | Exploration of cavity behind eye, frontal or transconjunctival approach | 25 | $21.0K | $840.03 | 4.43x |
| 67903 | Shortening or advancement of upper eyelid muscle to correct drooping or paralysis | 31 | $15.9K | $513.31 | 4.76x |
| 68320 | Repair of conjunctiva | 38 | $15.7K | $414.15 | 4.17x |
| 15260 | Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less | 30 | $13.9K | $462.96 | 5.25x |
| 67900 | Repair of brow paralysis | 35 | $13.9K | $396.38 | 5.99x |
| 66825 | Repositioning of lens prosthesis | 24 | $13.0K | $543.74 | 5.29x |
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.
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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Island Eye Surgicenter Llc | Westbury, NY | $69.9M | ✓ Clear |
| Long Island Ambulatory Surgery Center, Llc | Brentwood, NY | $41.6M | ✓ Clear |
| Syracuse Asc, Llc | Liverpool, NY | $38.3M | ✓ 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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