This provider's $4.4M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.19x is significantly above the specialty median of 6.1x.
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 | $2.9K | $469.55 | 6.22x | $2.5K | $522.2K | 1.1K | 1.0K |
| 2015 | $2.9K | $507.03 | 5.69x | $2.4K | $528.3K | 1.1K | 974 |
| 2016 | $2.9K | $510.78 | 5.63x | $2.4K | $564.8K | 1.2K | 1.0K |
| 2017 | $2.9K | $419.30 | 6.83x | $2.4K | $478.6K | 1.1K | 963 |
| 2018 | $2.4K | $464.43 | 5.15x | $1.9K | $401.6K | 829 | 763 |
| 2019 | $2.1K | $420.06 | 5.07x | $1.7K | $416.3K | 935 | 878 |
| 2020 | $2.1K | $459.01 | 4.65x | $1.7K | $305.9K | 639 | 613 |
| 2021 | $2.1K | $525.88 | 4.08x | $1.6K | $422.8K | 830 | 784 |
| 2022 | $2.0K | $413.24 | 4.85x | $1.6K | $338.0K | 720 | 695 |
| 2023 | $2.0K | $496.53 | 4.02x | $1.5K | $394.4K | 795 | 765 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 67904 | Repair of tendon of upper eyelid | 2.6K | $1.3M | $493.31 | 5.03x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.2K | $564.8K | $468.29 | 5.01x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 718 | $389.2K | $542.12 | 4.60x |
| 67917 | Extensive repair of turning-outward eyelid defect | 759 | $342.6K | $451.32 | 5.39x |
| 66250 | Revision or repair of operative wound of eye | 523 | $324.1K | $619.73 | 4.17x |
| 67966 | Removal of over one-fourth of the eyelid involving lid margin | 520 | $289.3K | $556.37 | 4.91x |
| 67924 | Repair of turning-inward eyelid defect | 452 | $251.9K | $557.23 | 4.17x |
| 68700 | Plastic repair of tear ducts | 343 | $177.2K | $516.74 | 4.52x |
| 67911 | Correction of widely-opened upper eyelid | 328 | $149.4K | $455.61 | 6.58x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 247 | $108.7K | $440.04 | 6.82x |
| 67961 | Removal of up to one-fourth of the eyelid involving lid margin | 178 | $96.8K | $543.66 | 5.02x |
| 31200 | Partial removal of nasal sinus | 48 | $73.2K | $1.5K | 1.97x |
| 67900 | Repair of brow paralysis | 93 | $46.5K | $500.07 | 5.08x |
| 67400 | Exploration of cavity behind eye, frontal or transconjunctival approach | 55 | $45.0K | $818.80 | 3.57x |
| 67840 | Removal of eyelid growth | 449 | $44.5K | $99.07 | 18.41x |
| 67908 | Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis | 50 | $26.8K | $536.30 | 5.59x |
| 68815 | Probing of nasal-tear duct with insertion of tube or stent | 67 | $26.7K | $398.04 | 7.57x |
| 67875 | Temporary closure of eyelids by suture | 158 | $24.3K | $153.90 | 16.39x |
| 66020 | Injection of air or liquid into eye | 41 | $24.1K | $586.68 | 5.11x |
| 67808 | Removal of eyelid growth under general anesthesia and/or requiring hospitalization | 34 | $20.0K | $588.05 | 2.93x |
This provider submits charges 5.19 times higher than what Medicare actually pays.
A markup ratio of 5.19x means for every $100 Medicare pays, this provider initially charges $519. 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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