This provider's $11.7M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 85% from 2014 to 2023.
80% 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 | $2.8K | $501.95 | 5.65x | $2.3K | $943.3K | 1.3K | 885 |
| 2015 | $2.9K | $502.70 | 5.68x | $2.4K | $944.8K | 1.3K | 898 |
| 2016 | $3.2K | $621.77 | 5.14x | $2.6K | $861.3K | 1.1K | 760 |
| 2017 | $2.7K | $594.25 | 4.57x | $2.1K | $1.0M | 1.4K | 892 |
| 2018 | $2.9K | $592.60 | 4.85x | $2.3K | $1.1M | 1.4K | 865 |
| 2019 | $3.0K | $771.46 | 3.89x | $2.2K | $1.2M | 1.7K | 1.1K |
| 2020 | $2.7K | $754.90 | 3.58x | $1.9K | $1.0M | 1.3K | 837 |
| 2021 | $2.9K | $776.96 | 3.72x | $2.1K | $1.4M | 2.1K | 1.3K |
| 2022 | $3.3K | $886.91 | 3.68x | $2.4K | $1.5M | 2.5K | 1.5K |
| 2023 | $3.5K | $983.01 | 3.54x | $2.5K | $1.7M | 2.9K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 10.9K | $9.3M | $856.36 | 4.00x |
| 0191T | Internal insertion of eye fluid drainage device | 196 | $483.1K | $2.5K | 1.53x |
| 66174 | Dilation to improve eye fluid flow | 329 | $406.3K | $1.2K | 3.71x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 130 | $362.2K | $2.8K | 2.58x |
| 66982 | Removal of cataract with insertion of lens | 390 | $324.8K | $832.73 | 4.75x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 3.5K | $275.6K | $78.48 | 6.08x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 587 | $215.8K | $367.57 | 3.99x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 732 | $154.7K | $211.28 | 10.33x |
| 66710 | Destruction of lens tissue using laser | 112 | $82.8K | $739.00 | 4.53x |
| 65426 | Removal or relocation of corneal conjunctiva | 53 | $39.8K | $750.58 | 3.37x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 146 | $18.1K | $124.22 | 14.81x |
| 65820 | Incision to improve eye fluid flow | 11 | $8.6K | $779.95 | 5.67x |
This provider submits charges 4.02 times higher than what Medicare actually pays.
A markup ratio of 4.02x means for every $100 Medicare pays, this provider initially charges $402. 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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