This provider's $16.5M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 105% from 2014 to 2023.
62% 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 | $2.4K | $922.57 | 2.65x | $1.5K | $1.2M | 1.7K | 1.3K |
| 2015 | $2.5K | $933.39 | 2.63x | $1.5K | $1.0M | 1.5K | 1.1K |
| 2016 | $2.8K | $934.00 | 2.97x | $1.8K | $1.2M | 1.8K | 1.3K |
| 2017 | $3.1K | $1.1K | 2.81x | $2.0K | $1.4M | 1.9K | 1.4K |
| 2018 | $2.9K | $985.04 | 2.98x | $2.0K | $1.6M | 2.2K | 1.6K |
| 2019 | $2.6K | $847.85 | 3.01x | $1.7K | $1.8M | 2.8K | 2.0K |
| 2020 | $2.5K | $844.72 | 3.01x | $1.7K | $1.5M | 2.7K | 1.8K |
| 2021 | $2.4K | $923.02 | 2.56x | $1.4K | $2.1M | 4.1K | 2.6K |
| 2022 | $2.6K | $953.94 | 2.78x | $1.7K | $2.4M | 4.6K | 3.0K |
| 2023 | $2.6K | $882.27 | 2.99x | $1.8K | $2.4M | 4.6K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 13.6K | $9.8M | $718.34 | 4.64x |
| 0191T | Internal insertion of eye fluid drainage device | 507 | $975.5K | $1.9K | 2.87x |
| 66982 | Removal of cataract with insertion of lens | 862 | $611.7K | $709.61 | 4.70x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 352 | $454.0K | $1.3K | 1.68x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 5.7K | $448.8K | $78.33 | 1.83x |
| 67042 | Removal of membrane from the retina, pars plana approach | 330 | $445.9K | $1.4K | 1.82x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 172 | $412.9K | $2.4K | 2.76x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 761 | $336.4K | $442.11 | 5.56x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 256 | $335.0K | $1.3K | 2.61x |
| 66183 | Insertion of eye fluid drainage device | 211 | $316.3K | $1.5K | 2.07x |
| V2785 | Processing, preserving and transporting corneal tissue | 136 | $312.1K | $2.3K | 1.50x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.9K | $303.1K | $161.84 | 9.45x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 121 | $230.8K | $1.9K | 3.34x |
| 67041 | Removal of membrane from the retina | 180 | $218.2K | $1.2K | 2.13x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 115 | $159.3K | $1.4K | 2.46x |
| 67917 | Extensive repair of turning-outward eyelid defect | 338 | $144.5K | $427.50 | 5.06x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 99 | $128.3K | $1.3K | 2.63x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 313 | $110.5K | $352.99 | 1.62x |
| 67904 | Repair of tendon of upper eyelid | 194 | $89.0K | $458.67 | 4.71x |
| 66250 | Revision or repair of operative wound of eye | 142 | $83.1K | $585.06 | 2.61x |
This provider submits charges 4.06 times higher than what Medicare actually pays.
A markup ratio of 4.06x means for every $100 Medicare pays, this provider initially charges $406. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data