This provider's $31.2M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.03x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 84% from 2014 to 2023.
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 | $3.1K | $598.70 | 5.21x | $2.5K | $1.9M | 3.2K | 23 |
| 2015 | $3.1K | $614.46 | 4.99x | $2.5K | $2.4M | 3.9K | 23 |
| 2016 | $3.0K | $595.09 | 4.98x | $2.4K | $3.0M | 5.1K | 27 |
| 2017 | $3.0K | $619.32 | 4.92x | $2.4K | $3.3M | 5.3K | 21 |
| 2018 | $3.4K | $680.81 | 5.05x | $2.8K | $3.3M | 4.9K | 25 |
| 2019 | $3.1K | $542.56 | 5.75x | $2.6K | $3.8M | 7.0K | 26 |
| 2020 | $2.3K | $434.40 | 5.37x | $1.9K | $2.7M | 6.2K | 17 |
| 2021 | $2.0K | $398.98 | 4.98x | $1.6K | $3.6M | 9.1K | 23 |
| 2022 | $1.8K | $393.33 | 4.53x | $1.4K | $3.6M | 9.1K | 20 |
| 2023 | $1.6K | $339.98 | 4.57x | $1.2K | $3.6M | 10.5K | 17 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 20.9K | $15.4M | $738.38 | 5.77x |
| 0191T | Internal insertion of eye fluid drainage device | 1.3K | $2.5M | $1.9K | 4.40x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 22.1K | $1.7M | $78.48 | 2.13x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 3.8K | $1.4M | $371.15 | 2.03x |
| V2785 | Processing, preserving and transporting corneal tissue | 385 | $1.3M | $3.3K | 1.28x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.6K | $1.2M | $714.39 | 5.88x |
| 67904 | Repair of tendon of upper eyelid | 2.3K | $1.0M | $463.05 | 7.82x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 401 | $1.0M | $2.5K | 2.17x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 489 | $668.2K | $1.4K | 4.33x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 2.9K | $541.0K | $187.77 | 6.87x |
| 65756 | Transplantation of outer layer of corneal tissue | 362 | $495.1K | $1.4K | 4.49x |
| 67900 | Repair of brow paralysis | 1.1K | $406.7K | $354.27 | 10.67x |
| 0449T | Insertion of initial aqueous fluid drainage device into eye | 184 | $385.3K | $2.1K | 4.25x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 979 | $363.4K | $371.20 | 9.33x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 214 | $323.9K | $1.5K | 3.10x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 176 | $238.2K | $1.4K | 3.99x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 160 | $210.4K | $1.3K | 4.04x |
| 65855 | Laser repair to improve eye fluid flow | 1.8K | $199.4K | $110.35 | 14.46x |
| 67924 | Extensive repair of turning-inward eyelid defect | 282 | $153.1K | $542.96 | 4.06x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 111 | $148.2K | $1.3K | 4.27x |
This provider submits charges 5.03 times higher than what Medicare actually pays.
A markup ratio of 5.03x means for every $100 Medicare pays, this provider initially charges $503. 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 PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Main Line Surgery Center, Llc | Bala Cynwyd, PA | $38.7M | ✓ 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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