This provider's $9.9M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 9550% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 660% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $3.0K | $664.08 | 4.47x | $2.3K | $23.2K | 35 | 22 |
| 2016 | $3.2K | $725.62 | 4.45x | $2.5K | $176.7K | 268 | 172 |
| 2017 | $4.0K | $1.2K | 3.40x | $2.8K | $716.5K | 972 | 572 |
| 2018 | $4.7K | $1.2K | 3.87x | $3.5K | $888.1K | 1.1K | 651 |
| 2019 | $4.5K | $1.2K | 3.88x | $3.4K | $1.3M | 1.8K | 1.1K |
| 2020 | $6.4K | $1.5K | 4.26x | $4.9K | $1.3M | 1.8K | 1.1K |
| 2021 | $7.8K | $1.8K | 4.32x | $6.0K | $1.6M | 2.3K | 1.4K |
| 2022 | $7.6K | $1.7K | 4.51x | $5.9K | $1.6M | 2.4K | 1.4K |
| 2023 | $8.2K | $1.8K | 4.68x | $6.5K | $2.2M | 2.4K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 5.9K | $4.0M | $684.02 | 5.12x |
| 27447 | Repair of knee joint | 178 | $1.1M | $6.3K | 5.00x |
| V2785 | Processing, preserving and transporting corneal tissue | 232 | $899.1K | $3.9K | 1.80x |
| 0191T | Internal insertion of eye fluid drainage device | 453 | $859.0K | $1.9K | 3.52x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 90 | $581.9K | $6.5K | 4.90x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 888 | $324.5K | $365.40 | 2.59x |
| 65756 | Transplant of outer layer of corneal tissue | 241 | $303.3K | $1.3K | 5.35x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 3.7K | $283.5K | $77.52 | 3.08x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 113 | $255.7K | $2.3K | 4.25x |
| 67042 | Removal of membrane from the retina, pars plana approach | 172 | $220.1K | $1.3K | 4.72x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 108 | $218.7K | $2.0K | 3.85x |
| 66982 | Removal of cataract with insertion of lens | 265 | $186.4K | $703.21 | 5.52x |
| 66174 | Dilation to improve eye fluid flow | 111 | $131.2K | $1.2K | 5.11x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 87 | $111.6K | $1.3K | 4.71x |
| 65820 | Incision to improve eye fluid flow | 67 | $87.1K | $1.3K | 3.57x |
| 29881 | Removal of one knee cartilage using an endoscope | 84 | $75.9K | $904.13 | 4.64x |
| 29880 | Removal of both knee cartilages using an endoscope | 65 | $61.8K | $950.19 | 4.59x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 34 | $45.2K | $1.3K | 4.66x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 40 | $18.2K | $454.99 | 8.92x |
| 66711 | Destruction of tissue encircling lens using endoscope | 36 | $14.7K | $409.50 | 8.19x |
This provider submits charges 4.46 times higher than what Medicare actually pays.
A markup ratio of 4.46x means for every $100 Medicare pays, this provider initially charges $446. 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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