This provider's $16.0M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
63% 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 | $3.2K | $856.36 | 3.75x | $2.4K | $1.5M | 2.4K | 1.5K |
| 2015 | $3.7K | $1.0K | 3.65x | $2.7K | $1.4M | 2.1K | 1.4K |
| 2016 | $3.8K | $931.94 | 4.06x | $2.9K | $1.2M | 1.9K | 1.2K |
| 2017 | $3.4K | $940.56 | 3.60x | $2.4K | $1.5M | 2.3K | 1.4K |
| 2018 | $3.5K | $982.66 | 3.52x | $2.5K | $1.5M | 2.2K | 1.4K |
| 2019 | $3.6K | $956.67 | 3.75x | $2.6K | $2.0M | 3.6K | 2.2K |
| 2020 | $4.0K | $1.1K | 3.77x | $3.0K | $1.4M | 2.5K | 1.5K |
| 2021 | $4.1K | $1.1K | 3.90x | $3.1K | $1.9M | 3.7K | 2.2K |
| 2022 | $4.7K | $1.1K | 4.12x | $3.6K | $1.8M | 3.5K | 2.0K |
| 2023 | $4.6K | $885.11 | 5.21x | $3.7K | $1.8M | 3.7K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 13.5K | $10.0M | $742.17 | 5.75x |
| 0191T | Internal insertion of eye fluid drainage device | 618 | $1.1M | $1.8K | 2.60x |
| V2785 | Processing, preserving and transporting corneal tissue | 219 | $651.5K | $3.0K | 1.29x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 3.1K | $570.1K | $183.83 | 6.74x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 5.6K | $445.0K | $79.52 | 1.41x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 1.2K | $433.3K | $358.41 | 1.34x |
| 66982 | Removal of cataract with insertion of lens | 562 | $425.7K | $757.51 | 5.83x |
| 67042 | Removal of membrane from the retina, pars plana approach | 258 | $347.8K | $1.3K | 4.94x |
| 66988 | Removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 243 | $343.1K | $1.4K | 5.03x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 131 | $319.2K | $2.4K | 4.31x |
| 65756 | Transplant of outer layer of corneal tissue | 178 | $238.4K | $1.3K | 4.97x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 581 | $221.1K | $380.51 | 5.28x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 169 | $201.8K | $1.2K | 3.01x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 138 | $187.4K | $1.4K | 3.64x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 257 | $116.4K | $453.09 | 5.59x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 784 | $88.1K | $112.35 | 5.67x |
| 67041 | Removal of membrane from the retina | 56 | $63.7K | $1.1K | 5.25x |
| 66986 | Exchange of lens prosthesis | 99 | $61.8K | $624.12 | 6.03x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 34 | $43.9K | $1.3K | 4.87x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 30 | $38.5K | $1.3K | 3.35x |
This provider submits charges 4.99 times higher than what Medicare actually pays.
A markup ratio of 4.99x means for every $100 Medicare pays, this provider initially charges $499. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Dupage Eye Surgery Center, Llc | Wheaton, IL | $37.8M | ✓ 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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