This provider's $21.3M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
81% 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 | $1.6K | $852.22 | 1.88x | $752.12 | $1.8M | 2.5K | 1.9K |
| 2015 | $1.6K | $850.32 | 1.84x | $711.99 | $2.0M | 2.8K | 2.0K |
| 2016 | $1.7K | $1.0K | 1.67x | $691.88 | $2.1M | 2.9K | 2.1K |
| 2017 | $1.5K | $1.1K | 1.32x | $360.88 | $2.3M | 3.2K | 2.3K |
| 2018 | $1.4K | $1.0K | 1.36x | $365.04 | $2.4M | 3.3K | 2.3K |
| 2019 | $1.5K | $1.2K | 1.30x | $353.72 | $2.3M | 3.1K | 2.2K |
| 2020 | $1.8K | $1.4K | 1.27x | $388.55 | $1.7M | 2.3K | 1.6K |
| 2021 | $1.3K | $1.0K | 1.29x | $287.67 | $2.1M | 2.8K | 1.8K |
| 2022 | $2.5K | $1.5K | 1.67x | $986.46 | $2.2M | 2.7K | 1.8K |
| 2023 | $2.9K | $1.1K | 2.67x | $1.8K | $2.4M | 2.8K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 22.4K | $17.4M | $774.63 | 1.73x |
| 66982 | Removal of cataract with insertion of lens | 1.5K | $1.1M | $753.93 | 1.75x |
| V2785 | Processing, preserving and transporting corneal tissue | 262 | $687.4K | $2.6K | 1.27x |
| 65820 | Incision to improve eye fluid flow | 450 | $653.9K | $1.5K | 1.74x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.9K | $535.0K | $184.62 | 2.21x |
| 65756 | Transplant of outer layer of corneal tissue | 246 | $340.4K | $1.4K | 1.35x |
| 66180 | Creation of shunt to improve eye fluid flow | 142 | $215.8K | $1.5K | 1.70x |
| 0191T | Internal insertion of eye fluid drainage device | 68 | $135.4K | $2.0K | 1.28x |
| 66174 | Dilation to improve eye fluid flow | 61 | $91.2K | $1.5K | 2.27x |
| 66183 | Insertion of eye fluid drainage device | 49 | $67.3K | $1.4K | 1.77x |
| 66170 | Creation of eye fluid drainage tract | 73 | $40.9K | $559.78 | 1.90x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 12 | $25.3K | $2.1K | 1.26x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 58 | $24.0K | $413.65 | 2.60x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 179 | $23.4K | $130.47 | 2.98x |
| 66710 | Destruction of lens tissue using laser | 17 | $11.0K | $648.37 | 2.84x |
| 66250 | Revision or repair of operative wound of eye | 14 | $8.1K | $575.96 | 1.37x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 12 | $5.6K | $463.89 | 2.59x |
| 67255 | Repair of defect of sclera with graft | 12 | $4.6K | $381.26 | 3.93x |
This provider submits charges 1.72 times higher than what Medicare actually pays.
A markup ratio of 1.72x means for every $100 Medicare pays, this provider initially charges $172. This is lower 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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