This provider's $10.5M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.13x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 77% 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 | $2.6K | $738.75 | 3.52x | $1.9K | $665.9K | 1.2K | 751 |
| 2015 | $2.2K | $564.78 | 3.94x | $1.7K | $745.7K | 1.3K | 826 |
| 2016 | $3.6K | $950.97 | 3.74x | $2.6K | $1.1M | 1.6K | 1.0K |
| 2017 | $3.5K | $918.57 | 3.81x | $2.6K | $1.1M | 1.7K | 1.0K |
| 2018 | $4.2K | $977.01 | 4.31x | $3.2K | $1.2M | 1.7K | 1.0K |
| 2019 | $3.9K | $756.47 | 5.14x | $3.1K | $1.0M | 1.5K | 926 |
| 2020 | $4.1K | $950.72 | 4.34x | $3.2K | $992.6K | 1.4K | 866 |
| 2021 | $4.5K | $1.0K | 4.39x | $3.5K | $1.2M | 1.6K | 998 |
| 2022 | $5.9K | $1.3K | 4.61x | $4.6K | $1.3M | 1.4K | 900 |
| 2023 | $5.9K | $1.3K | 4.65x | $4.6K | $1.2M | 1.3K | 807 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 8.2K | $5.9M | $720.91 | 6.98x |
| 0191T | Internal insertion of eye fluid drainage device | 868 | $1.7M | $1.9K | 3.59x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 311 | $770.3K | $2.5K | 4.59x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.9K | $530.4K | $182.95 | 10.22x |
| V2785 | Processing, preserving and transporting corneal tissue | 156 | $420.3K | $2.7K | 1.29x |
| 66183 | Insertion of eye fluid drainage device | 164 | $311.9K | $1.9K | 4.00x |
| 66180 | Creation of shunt to improve eye fluid flow | 130 | $193.2K | $1.5K | 4.90x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 80 | $167.7K | $2.1K | 3.12x |
| 66982 | Removal of cataract with insertion of lens | 204 | $149.4K | $732.22 | 6.34x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 894 | $97.9K | $109.54 | 24.41x |
| 65756 | Transplant of outer layer of corneal tissue | 63 | $85.2K | $1.4K | 4.96x |
| 67031 | Laser release of scar tissue between the lens and retina | 245 | $47.1K | $192.40 | 5.30x |
| 66170 | Creation of eye fluid drainage tract | 40 | $29.4K | $735.26 | 5.08x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 217 | $28.1K | $129.38 | 10.46x |
| 66250 | Revision or repair of operative wound of eye | 32 | $20.5K | $639.90 | 3.98x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 32 | $16.2K | $506.53 | 8.87x |
| J7315 | Mitomycin, ophthalmic, 0.2 mg | 52 | $15.3K | $293.84 | 1.30x |
| 67255 | Repair of defect of sclera with graft | 17 | $6.5K | $385.08 | 8.49x |
| 65400 | Removal of growth of cornea | 15 | $4.6K | $304.39 | 10.63x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 19 | $2.1K | $111.70 | 1.30x |
This provider submits charges 6.13 times higher than what Medicare actually pays.
A markup ratio of 6.13x means for every $100 Medicare pays, this provider initially charges $613. 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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