This provider's $20.0M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.01x is significantly above the specialty median of 6.1x.
71% 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.
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 | $7.6K | $772.78 | 9.87x | $6.9K | $1.9M | 2.5K | 1.9K |
| 2015 | $7.9K | $827.09 | 9.53x | $7.1K | $2.0M | 2.6K | 1.9K |
| 2016 | $8.5K | $723.28 | 11.72x | $7.8K | $1.9M | 2.5K | 1.8K |
| 2017 | $7.5K | $695.53 | 10.77x | $6.8K | $2.0M | 2.6K | 1.9K |
| 2018 | $7.9K | $777.46 | 10.17x | $7.1K | $2.0M | 2.5K | 1.8K |
| 2019 | $8.0K | $936.99 | 8.55x | $7.1K | $2.0M | 2.5K | 1.8K |
| 2020 | $7.9K | $938.49 | 8.43x | $7.0K | $1.4M | 1.7K | 1.2K |
| 2021 | $8.2K | $1.2K | 6.93x | $7.0K | $2.0M | 2.5K | 1.7K |
| 2022 | $14.7K | $1.5K | 9.67x | $13.2K | $2.2M | 2.2K | 1.6K |
| 2023 | $16.1K | $1.7K | 9.30x | $14.4K | $2.6M | 2.3K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 17.7K | $13.7M | $774.36 | 7.80x |
| 66982 | Removal of cataract with insertion of lens | 1.6K | $1.3M | $760.16 | 7.74x |
| 0191T | Internal insertion of eye fluid drainage device | 544 | $1.0M | $1.8K | 3.38x |
| 27447 | Replacement of knee joint, both sides of knee | 73 | $510.5K | $7.0K | 9.90x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 55 | $408.3K | $7.4K | 9.66x |
| 65820 | Incision to improve eye fluid flow | 233 | $341.3K | $1.5K | 3.81x |
| 64721 | Release and/or relocation of median nerve of hand | 440 | $251.5K | $571.51 | 14.84x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 129 | $241.3K | $1.9K | 7.93x |
| 66174 | Dilation to improve eye fluid flow | 120 | $184.9K | $1.5K | 4.89x |
| 28285 | Correction of toe joint deformity | 289 | $165.1K | $571.29 | 13.88x |
| 26055 | Incision of tendon covering | 316 | $154.3K | $488.42 | 17.25x |
| 66180 | Creation of shunt to improve eye fluid flow | 83 | $148.9K | $1.8K | 3.34x |
| 29848 | Release of wrist ligament using an endoscope | 214 | $135.8K | $634.64 | 16.87x |
| 25447 | Removal of bone joints between wrist and fingers | 123 | $130.3K | $1.1K | 6.86x |
| V2785 | Processing, preserving and transporting corneal tissue | 39 | $128.7K | $3.3K | 1.28x |
| 65426 | Removal or relocation of corneal conjunctiva | 154 | $101.0K | $655.63 | 8.20x |
| 26123 | Removal of tissue of palm | 91 | $91.0K | $1.0K | 6.73x |
| 31267 | Removal of nasal sinus tissue using an endoscope | 101 | $88.8K | $879.30 | 14.88x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 184 | $84.1K | $457.04 | 20.71x |
| 30520 | Reshaping of nasal cartilage | 139 | $78.0K | $560.89 | 12.78x |
This provider submits charges 8.01 times higher than what Medicare actually pays.
A markup ratio of 8.01x means for every $100 Medicare pays, this provider initially charges $801. 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 VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Roanoke Valley Center For Sight Llc | Salem, VA | $57.7M | ✓ Clear |
| Stony Point Surgery Center, L.L.C | Richmond, VA | $45.5M | ✓ Clear |
| Virginia Eye Institute Inc | Richmond, VA | $40.0M | ✓ 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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