This provider's $3.8M in total Medicare payments ranks in the 91th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 123% from 2020 to 2023.
73% 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.
Notable: Payments increased 78% in 2021
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $2.6K | $934.82 | 2.80x | $1.7K | $541.1K | 703 | 433 |
| 2021 | $3.4K | $1.6K | 2.13x | $1.8K | $963.2K | 1.2K | 724 |
| 2022 | $2.7K | $1.1K | 2.59x | $1.7K | $1.1M | 1.4K | 853 |
| 2023 | $2.8K | $1.2K | 2.45x | $1.7K | $1.2M | 1.5K | 991 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 3.5K | $2.8M | $785.93 | 3.62x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 148 | $354.2K | $2.4K | 1.53x |
| 0191T | Internal insertion of eye fluid drainage device | 126 | $269.5K | $2.1K | 2.08x |
| 66982 | Complex removal of cataract with insertion of lens | 153 | $120.3K | $786.22 | 3.59x |
| V2785 | Processing, preserving and transporting corneal tissue | 32 | $120.0K | $3.7K | 1.29x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 686 | $108.6K | $158.25 | 4.19x |
| 66174 | Dilation to improve eye fluid flow | 36 | $33.7K | $934.76 | 4.43x |
| 65756 | Transplant of outer layer of corneal tissue | 18 | $26.0K | $1.4K | 3.15x |
| 65855 | Laser repair to improve eye fluid flow | 21 | $1.7K | $81.59 | 7.39x |
This provider submits charges 3.26 times higher than what Medicare actually pays.
A markup ratio of 3.26x means for every $100 Medicare pays, this provider initially charges $326. 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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