This provider's $12.9M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 9.26x 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 | $951.44 | 3.04x | $1.9K | $1.5M | 2.0K | 1.5K |
| 2015 | $2.9K | $961.11 | 3.01x | $1.9K | $1.2M | 1.7K | 1.2K |
| 2016 | $6.3K | $990.32 | 6.38x | $5.3K | $1.1M | 1.5K | 1.1K |
| 2017 | $9.8K | $985.32 | 9.97x | $8.8K | $1.2M | 1.5K | 1.2K |
| 2018 | $9.7K | $1.1K | 9.03x | $8.6K | $1.4M | 1.7K | 1.3K |
| 2019 | $10.4K | $1.0K | 9.93x | $9.4K | $1.3M | 1.5K | 1.2K |
| 2020 | $13.4K | $1.5K | 8.72x | $11.9K | $1.2M | 1.1K | 805 |
| 2021 | $12.9K | $1.3K | 9.74x | $11.6K | $1.4M | 1.4K | 1.0K |
| 2022 | $13.3K | $1.3K | 10.40x | $12.0K | $1.4M | 1.4K | 1.0K |
| 2023 | $12.6K | $1.2K | 10.85x | $11.5K | $1.2M | 1.2K | 949 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 8.2K | $6.1M | $741.36 | 10.71x |
| 67042 | Removal of membrane from the retina, pars plana approach | 1.2K | $1.6M | $1.4K | 8.46x |
| V2785 | Processing, preserving and transporting corneal tissue | 271 | $829.6K | $3.1K | 1.51x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 536 | $725.4K | $1.4K | 6.75x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 471 | $653.8K | $1.4K | 7.93x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 404 | $549.5K | $1.4K | 9.03x |
| 66982 | Removal of cataract with insertion of lens | 601 | $456.5K | $759.50 | 11.55x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 297 | $403.0K | $1.4K | 7.28x |
| 0191T | Internal insertion of eye fluid drainage device | 202 | $367.0K | $1.8K | 6.92x |
| 65756 | Transplant of outer layer of corneal tissue | 201 | $278.4K | $1.4K | 18.69x |
| 67039 | Laser destruction of eye fluid (vitreous) between the lens and retina | 192 | $266.9K | $1.4K | 7.53x |
| 67041 | Removal of membrane from the retina | 170 | $218.9K | $1.3K | 9.44x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 662 | $118.6K | $179.09 | 6.27x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 121 | $55.5K | $458.56 | 13.25x |
| 67903 | Shortening or advancement of upper eyelid muscle to correct drooping or paralysis | 107 | $52.7K | $492.53 | 13.01x |
| 67917 | Extensive repair of turning-outward eyelid defect | 83 | $41.3K | $497.72 | 12.49x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 16 | $40.4K | $2.5K | 10.57x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 20 | $37.3K | $1.9K | 4.85x |
| 67924 | Repair of turning-inward eyelid defect | 64 | $35.2K | $549.60 | 8.57x |
| 67904 | Repair of tendon of upper eyelid | 60 | $30.5K | $508.01 | 11.19x |
This provider submits charges 9.26 times higher than what Medicare actually pays.
A markup ratio of 9.26x means for every $100 Medicare pays, this provider initially charges $926. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Dallas, TX | $76.6M | ✓ Clear |
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | ✓ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | ✓ 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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