This provider's $31.5M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 124% from 2014 to 2023.
70% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of prosthetic lens).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 51% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $1.6K | $679.75 | 2.36x | $924.00 | $1.8M | 2.6K | 14 |
| 2015 | $1.6K | $660.95 | 2.37x | $902.40 | $1.9M | 2.9K | 14 |
| 2016 | $1.7K | $701.31 | 2.39x | $974.18 | $2.7M | 3.9K | 17 |
| 2017 | $1.7K | $723.56 | 2.30x | $937.14 | $3.2M | 4.4K | 18 |
| 2018 | $1.7K | $717.82 | 2.32x | $949.48 | $3.3M | 4.5K | 15 |
| 2019 | $1.5K | $644.26 | 2.28x | $827.70 | $3.8M | 5.9K | 15 |
| 2020 | $1.6K | $692.32 | 2.26x | $874.76 | $2.7M | 3.9K | 12 |
| 2021 | $1.8K | $820.89 | 2.21x | $991.62 | $4.1M | 5.0K | 13 |
| 2022 | $1.9K | $825.29 | 2.29x | $1.1K | $4.1M | 5.0K | 10 |
| 2023 | $2.1K | $888.79 | 2.41x | $1.3K | $4.0M | 4.5K | 14 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 28.6K | $21.8M | $764.94 | 2.28x |
| 65820 | Incision to improve eye fluid flow | 1.6K | $2.4M | $1.5K | 2.15x |
| 0191T | Internal insertion of eye fluid drainage device | 717 | $1.3M | $1.8K | 2.17x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.7K | $1.3M | $750.48 | 2.35x |
| V2785 | Processing, preserving and transporting corneal tissue | 286 | $884.2K | $3.1K | 1.29x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 4.1K | $787.8K | $194.15 | 2.94x |
| 0449T | Insertion of initial aqueous fluid drainage device into eye | 166 | $370.4K | $2.2K | 1.92x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 145 | $366.0K | $2.5K | 5.32x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 205 | $352.1K | $1.7K | 1.85x |
| 65756 | Transplantation of outer layer of corneal tissue | 238 | $334.1K | $1.4K | 3.25x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 745 | $267.1K | $358.50 | 1.39x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 101 | $194.3K | $1.9K | 1.56x |
| 65855 | Laser repair to improve eye fluid flow | 1.5K | $174.1K | $119.09 | 4.84x |
| 66170 | Creation of eye fluid drainage tract for treatment of glaucoma | 248 | $166.9K | $672.93 | 2.58x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 278 | $129.2K | $464.61 | 3.13x |
| 66174 | Dilation of fluid outflow drainage within eye | 107 | $128.4K | $1.2K | 2.44x |
| 66183 | Insertion of eye fluid drainage device | 42 | $89.3K | $2.1K | 2.65x |
| 67904 | Repair of tendon of upper eyelid | 182 | $86.9K | $477.22 | 3.14x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 917 | $79.6K | $86.77 | 1.45x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 144 | $60.5K | $420.28 | 3.43x |
This provider submits charges 2.31 times higher than what Medicare actually pays.
A markup ratio of 2.31x means for every $100 Medicare pays, this provider initially charges $231. 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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