This provider's $19.5M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.26x is significantly above the specialty median of 6.1x.
68% 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 549% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $2.9K | $424.36 | 6.74x | $2.4K | $2.2M | 4.3K | 3.2K |
| 2015 | $2.8K | $477.94 | 5.96x | $2.4K | $2.4M | 4.4K | 3.3K |
| 2016 | $3.2K | $491.45 | 6.47x | $2.7K | $2.6M | 4.8K | 3.6K |
| 2017 | $3.8K | $673.94 | 5.67x | $3.1K | $2.6M | 4.1K | 2.8K |
| 2018 | $3.9K | $726.26 | 5.44x | $3.2K | $2.5M | 3.4K | 2.3K |
| 2019 | $4.0K | $769.35 | 5.18x | $3.2K | $2.5M | 3.3K | 2.2K |
| 2020 | $3.7K | $847.24 | 4.40x | $2.9K | $2.3M | 2.9K | 1.9K |
| 2021 | $3.9K | $841.55 | 4.63x | $3.1K | $315.5K | 411 | 308 |
| 2023 | $4.5K | $1.2K | 3.63x | $3.2K | $2.0M | 2.2K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 17.6K | $12.4M | $706.50 | 5.52x |
| 0191T | Internal insertion of eye fluid drainage device | 513 | $889.1K | $1.7K | 3.46x |
| V2785 | Processing, preserving and transporting corneal tissue | 279 | $678.1K | $2.4K | 1.94x |
| 66174 | Dilation to improve eye fluid flow | 429 | $576.8K | $1.3K | 2.34x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 1.3K | $508.6K | $378.99 | 2.48x |
| 66180 | Creation of shunt to improve eye fluid flow | 306 | $425.6K | $1.4K | 2.08x |
| 66982 | Removal of cataract with insertion of lens | 459 | $320.6K | $698.52 | 8.52x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 155 | $278.6K | $1.8K | 3.34x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 642 | $267.3K | $416.36 | 6.12x |
| 65756 | Transplant of outer layer of corneal tissue | 180 | $240.5K | $1.3K | 6.48x |
| 45380 | Biopsy of large bowel using an endoscope | 834 | $212.5K | $254.76 | 6.69x |
| 66183 | Insertion of eye fluid drainage device | 100 | $206.2K | $2.1K | 2.68x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.1K | $193.9K | $175.16 | 10.28x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 700 | $155.9K | $222.70 | 7.62x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 436 | $135.1K | $309.93 | 5.50x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 68 | $132.7K | $2.0K | 3.07x |
| 67900 | Repair of brow paralysis | 280 | $127.4K | $455.06 | 7.05x |
| 67904 | Repair of tendon of upper eyelid | 286 | $124.5K | $435.32 | 4.61x |
| 68815 | Probing of nasal-tear duct with insertion of tube or stent | 309 | $123.5K | $399.74 | 5.00x |
| 67917 | Extensive repair of turning-outward eyelid defect | 285 | $122.2K | $428.67 | 6.07x |
This provider submits charges 5.26 times higher than what Medicare actually pays.
A markup ratio of 5.26x means for every $100 Medicare pays, this provider initially charges $526. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laser & Surgical Services At Center For Sight Llc | Sarasota, FL | $47.1M | ✓ Clear |
| St Lukes Surgical Center Inc | Tarpon Springs, FL | $39.9M | ✓ Clear |
| West Florida Medical Center Clinic Pa | Pensacola, FL | $36.5M | ✓ Clear |
| Murdock Ambulatory Surgery Center Llc | Port Charlotte, FL | $36.2M | ✓ 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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