This provider's $28.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 132% from 2014 to 2023.
68% 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.
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 | $1.3K | $591.33 | 2.15x | $679.58 | $2.1M | 3.5K | 16 |
| 2015 | $1.3K | $606.30 | 2.10x | $668.32 | $2.3M | 3.8K | 20 |
| 2016 | $1.5K | $708.91 | 2.07x | $760.34 | $2.1M | 3.0K | 16 |
| 2017 | $1.5K | $711.79 | 2.10x | $786.26 | $2.2M | 3.1K | 14 |
| 2018 | $1.5K | $760.46 | 2.03x | $782.93 | $2.4M | 3.2K | 18 |
| 2019 | $1.5K | $760.46 | 2.03x | $781.89 | $2.5M | 3.3K | 15 |
| 2020 | $1.6K | $749.70 | 2.13x | $847.30 | $2.3M | 3.1K | 16 |
| 2021 | $3.5K | $741.84 | 4.78x | $2.8K | $3.0M | 4.1K | 23 |
| 2022 | $3.3K | $682.15 | 4.79x | $2.6K | $4.5M | 6.6K | 22 |
| 2023 | $3.2K | $703.16 | 4.58x | $2.5K | $4.8M | 6.8K | 25 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 25.6K | $18.5M | $723.70 | 3.25x |
| V2785 | Processing, preserving and transporting corneal tissue | 509 | $1.5M | $3.0K | 1.29x |
| 65820 | Incision to improve eye fluid flow | 826 | $1.1M | $1.4K | 3.28x |
| 0191T | Internal insertion of eye fluid drainage device | 648 | $1.1M | $1.7K | 2.31x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.2K | $857.3K | $719.80 | 3.16x |
| 67904 | Repair of tendon of upper eyelid | 1.3K | $616.9K | $472.39 | 3.61x |
| 65756 | Transplantation of outer layer of corneal tissue | 333 | $445.8K | $1.3K | 2.87x |
| 66174 | Dilation of fluid outflow drainage within eye | 370 | $439.0K | $1.2K | 3.16x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 172 | $412.3K | $2.4K | 5.42x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 2.2K | $394.3K | $177.94 | 4.02x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 800 | $362.4K | $452.98 | 4.71x |
| 65850 | Insertion of eye fluid drainage tube | 589 | $246.2K | $417.96 | 3.42x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 133 | $221.3K | $1.7K | 3.84x |
| 67917 | Extensive repair of turning-outward eyelid defect | 337 | $173.0K | $513.38 | 3.75x |
| 65855 | Laser repair to improve eye fluid flow | 1.4K | $151.5K | $109.26 | 7.01x |
| 65755 | Penetrating transplantation of tissue from 1 cornea to other cornea (in pseudophakia) | 112 | $149.7K | $1.3K | 2.52x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 386 | $145.9K | $378.06 | 2.34x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 95 | $121.1K | $1.3K | 3.26x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1.5K | $115.0K | $78.04 | 5.54x |
| 65870 | Removal of scar tissue in eye (anterior synechiae) | 288 | $112.3K | $389.83 | 5.07x |
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 VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Roanoke Valley Center For Sight Llc | Salem, VA | $57.7M | ✓ Clear |
| Stony Point Surgery Center, L.L.C | Richmond, VA | $45.5M | ✓ Clear |
| Virginia Eye Institute Inc | Richmond, VA | $40.0M | ✓ 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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