This provider's $8.6M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 79% 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 | $5.1K | $1.3K | 3.92x | $3.8K | $599.6K | 496 | 452 |
| 2015 | $5.3K | $1.3K | 3.99x | $4.0K | $734.2K | 581 | 537 |
| 2016 | $4.8K | $1.0K | 4.63x | $3.8K | $762.8K | 653 | 600 |
| 2017 | $4.7K | $1.1K | 4.35x | $3.7K | $769.2K | 661 | 594 |
| 2018 | $4.7K | $997.94 | 4.68x | $3.7K | $838.3K | 755 | 697 |
| 2019 | $4.5K | $952.52 | 4.76x | $3.6K | $883.6K | 818 | 746 |
| 2020 | $4.7K | $1.1K | 4.39x | $3.6K | $858.1K | 742 | 669 |
| 2021 | $4.7K | $1.0K | 4.53x | $3.7K | $922.9K | 807 | 734 |
| 2022 | $5.1K | $1.3K | 4.05x | $3.9K | $1.2M | 1.0K | 847 |
| 2023 | $5.1K | $1.3K | 4.01x | $3.9K | $1.1M | 850 | 720 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 67042 | Removal of membrane from the retina, pars plana approach | 2.2K | $3.3M | $1.5K | 3.64x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 877 | $1.3M | $1.5K | 3.76x |
| 66984 | Removal of cataract with insertion of lens | 1.8K | $1.2M | $693.00 | 5.12x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 700 | $1.1M | $1.5K | 4.04x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 358 | $553.4K | $1.5K | 4.32x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 218 | $328.0K | $1.5K | 3.68x |
| 66820 | Removal of recurring cataract in lens capsule | 528 | $228.6K | $432.93 | 5.77x |
| 67039 | Laser destruction of eye fluid (vitreous) between the lens and retina | 124 | $190.6K | $1.5K | 3.60x |
| 66170 | Creation of eye fluid drainage tract | 168 | $123.9K | $737.55 | 6.38x |
| 66982 | Removal of cataract with insertion of lens | 150 | $110.0K | $733.04 | 4.86x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 30 | $83.8K | $2.8K | 2.54x |
| 67041 | Removal of membrane from the retina | 45 | $64.3K | $1.4K | 3.77x |
| 67121 | Removal of implant material from inside of eye | 34 | $30.4K | $894.21 | 5.83x |
| 66174 | Dilation to improve eye fluid flow | 31 | $29.9K | $964.08 | 6.57x |
| 66986 | Exchange of prosthetic lens | 38 | $19.5K | $512.38 | 6.96x |
| 66985 | Insertion of lens prosthesis | 28 | $12.1K | $433.28 | 8.23x |
| 66850 | Fragmenting, aspiration, and removal of lens material | 24 | $10.1K | $420.59 | 10.15x |
| 67145 | Preventive retinal detachment treatment by heat or laser, 1 or more sessions | 89 | $9.7K | $109.14 | 18.98x |
| 66172 | Treatment for glaucoma with creation of eye fluid drainage, secondary | 12 | $8.6K | $716.38 | 8.29x |
This provider submits charges 4.12 times higher than what Medicare actually pays.
A markup ratio of 4.12x means for every $100 Medicare pays, this provider initially charges $412. 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 WA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Olympia Orthopaedic Associates Pllc | Olympia, WA | $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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