This provider's $42.8M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $1.8K | $491.08 | 3.74x | $1.3K | $3.9M | 7.9K | 28 |
| 2015 | $1.8K | $473.24 | 3.76x | $1.3K | $4.0M | 8.4K | 36 |
| 2016 | $1.5K | $426.53 | 3.48x | $1.1K | $5.2M | 12.2K | 40 |
| 2017 | $1.1K | $357.82 | 3.18x | $778.46 | $5.4M | 15.0K | 43 |
| 2018 | $1.2K | $337.30 | 3.52x | $849.38 | $4.1M | 12.1K | 47 |
| 2019 | $108.35 | $33.98 | 3.19x | $74.37 | $4.8M | 141.8K | 45 |
| 2020 | $51.62 | $17.07 | 3.02x | $34.55 | $3.7M | 215.5K | 34 |
| 2021 | $79.58 | $26.80 | 2.97x | $52.78 | $3.9M | 146.8K | 37 |
| 2022 | $102.14 | $37.60 | 2.72x | $64.54 | $4.1M | 108.7K | 35 |
| 2023 | $45.04 | $17.17 | 2.62x | $27.87 | $3.8M | 220.3K | 33 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 25.9K | $16.5M | $636.19 | 3.77x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 8.2K | $3.0M | $373.13 | 1.32x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 34.0K | $2.7M | $80.33 | 1.53x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 3.4K | $2.2M | $632.56 | 3.79x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 10.8K | $1.7M | $155.09 | 5.80x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 3.8K | $1.4M | $378.61 | 3.70x |
| V2785 | Processing, preserving and transporting corneal tissue | 367 | $1.2M | $3.3K | 1.28x |
| 0191T | Internal insertion of eye fluid drainage device | 571 | $913.9K | $1.6K | 1.75x |
| 66174 | Dilation of fluid outflow drainage within eye | 698 | $619.7K | $887.89 | 2.26x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 2.0K | $613.6K | $301.35 | 4.32x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 519 | $600.0K | $1.2K | 2.08x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 515 | $560.5K | $1.1K | 2.20x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 2.8K | $539.8K | $193.32 | 6.70x |
| J1095 | Injection, dexamethasone 9 percent, intraocular, 1 microgram | 555.8K | $482.0K | $0.87 | 1.41x |
| 65756 | Transplantation of outer layer of corneal tissue | 355 | $425.8K | $1.2K | 2.58x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 191 | $393.1K | $2.1K | 2.04x |
| 66170 | Treatment for glaucoma with creation of eye fluid drainage, primary | 598 | $359.8K | $601.59 | 2.89x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 30 | $355.0K | $11.8K | 1.77x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 1.4K | $341.6K | $244.90 | 5.29x |
| 67904 | Repair of tendon of upper eyelid | 822 | $337.5K | $410.61 | 3.19x |
This provider submits charges 3.23 times higher than what Medicare actually pays.
A markup ratio of 3.23x means for every $100 Medicare pays, this provider initially charges $323. 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 AL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Surgery Center Jv | Huntsville, AL | $42.9M | ✓ 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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