This provider's $8.0M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 57% from 2014 to 2023.
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 | $1.7K | $459.48 | 3.77x | $1.3K | $541.5K | 1.3K | 1.2K |
| 2015 | $1.7K | $447.54 | 3.88x | $1.3K | $661.9K | 1.7K | 1.5K |
| 2016 | $1.8K | $429.66 | 4.09x | $1.3K | $753.6K | 1.8K | 1.6K |
| 2017 | $1.9K | $582.11 | 3.20x | $1.3K | $890.1K | 2.1K | 1.9K |
| 2018 | $1.8K | $493.22 | 3.64x | $1.3K | $1.0M | 2.8K | 2.6K |
| 2019 | $1.7K | $531.54 | 3.26x | $1.2K | $990.2K | 2.6K | 2.4K |
| 2020 | $1.8K | $536.21 | 3.41x | $1.3K | $749.1K | 1.9K | 1.7K |
| 2021 | $1.8K | $560.25 | 3.16x | $1.2K | $841.8K | 2.0K | 1.8K |
| 2022 | $2.6K | $466.17 | 5.50x | $2.1K | $705.6K | 1.8K | 1.6K |
| 2023 | $3.4K | $661.13 | 5.09x | $2.7K | $850.3K | 1.5K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 3.9K | $2.7M | $700.47 | 4.33x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 4.6K | $1.0M | $217.96 | 6.82x |
| 45380 | Biopsy of large bowel using an endoscope | 3.8K | $990.9K | $258.85 | 6.29x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 2.7K | $921.8K | $347.73 | 4.81x |
| 66982 | Removal of cataract with insertion of lens | 856 | $595.4K | $695.60 | 5.20x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 82 | $281.1K | $3.4K | 1.75x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 803 | $204.4K | $254.59 | 5.77x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope | 415 | $194.6K | $469.00 | 3.47x |
| 67904 | Repair of tendon of upper eyelid | 274 | $132.0K | $481.83 | 3.56x |
| 0191T | Internal insertion of eye fluid drainage device | 76 | $125.3K | $1.6K | 1.38x |
| 66180 | Creation of shunt to improve eye fluid flow | 88 | $108.1K | $1.2K | 2.20x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 337 | $103.0K | $305.76 | 4.02x |
| 65820 | Incision to improve eye fluid flow | 77 | $103.0K | $1.3K | 1.80x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 206 | $90.2K | $437.73 | 4.86x |
| 65426 | Removal or relocation of corneal conjunctiva | 132 | $79.4K | $601.57 | 3.18x |
| 43249 | Balloon dilation of esophagus using an endoscope | 153 | $71.4K | $466.52 | 3.37x |
| 45381 | Injections of large bowel using an endoscope | 249 | $50.8K | $204.06 | 8.05x |
| 66183 | Insertion of eye fluid drainage device | 46 | $49.7K | $1.1K | 1.85x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 112 | $28.8K | $257.54 | 6.94x |
| 67255 | Repair of defect of sclera with graft | 73 | $27.1K | $371.81 | 3.66x |
This provider submits charges 4.8 times higher than what Medicare actually pays.
A markup ratio of 4.8x means for every $100 Medicare pays, this provider initially charges $480. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Dallas, TX | $76.6M | ✓ Clear |
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | ✓ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | ✓ 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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