This provider's $35.8M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 65% from 2014 to 2023.
63% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of prosthetic 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 | $1.8K | $652.87 | 2.75x | $1.1K | $2.6M | 4.0K | 19 |
| 2015 | $1.8K | $629.90 | 2.83x | $1.2K | $2.5M | 4.0K | 18 |
| 2016 | $1.8K | $644.98 | 2.72x | $1.1K | $3.0M | 4.6K | 22 |
| 2017 | $1.7K | $655.78 | 2.64x | $1.1K | $3.3M | 5.0K | 25 |
| 2018 | $1.8K | $659.94 | 2.69x | $1.1K | $3.6M | 5.5K | 24 |
| 2019 | $1.6K | $599.08 | 2.72x | $1.0K | $3.8M | 6.3K | 25 |
| 2020 | $1.1K | $419.74 | 2.63x | $684.60 | $3.8M | 9.2K | 24 |
| 2021 | $1.1K | $420.27 | 2.59x | $667.71 | $4.5M | 10.6K | 27 |
| 2022 | $973.05 | $382.66 | 2.54x | $590.39 | $4.4M | 11.5K | 23 |
| 2023 | $996.91 | $399.31 | 2.50x | $597.60 | $4.3M | 10.7K | 23 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 28.4K | $21.6M | $760.59 | 2.63x |
| 0191T | Internal insertion of eye fluid drainage device | 1.2K | $2.1M | $1.8K | 2.10x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 21.5K | $1.7M | $79.31 | 3.15x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 8.3K | $1.6M | $197.73 | 3.86x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.2K | $910.1K | $756.55 | 2.64x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 507 | $705.6K | $1.4K | 2.21x |
| V2785 | Processing, preserving and transporting corneal tissue | 232 | $700.1K | $3.0K | 1.29x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.3K | $643.5K | $477.72 | 3.52x |
| 65820 | Incision to improve eye fluid flow | 444 | $639.7K | $1.4K | 1.65x |
| 67904 | Repair of tendon of upper eyelid | 1.2K | $621.3K | $511.38 | 2.98x |
| 67041 | Removal of membrane of retina | 429 | $584.7K | $1.4K | 1.90x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 399 | $562.9K | $1.4K | 2.11x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 349 | $489.8K | $1.4K | 2.10x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 151 | $384.0K | $2.5K | 1.69x |
| 65756 | Transplantation of outer layer of corneal tissue | 180 | $254.9K | $1.4K | 2.47x |
| 67917 | Extensive repair of turning-outward eyelid defect | 353 | $189.7K | $537.33 | 2.84x |
| 65855 | Laser repair to improve eye fluid flow | 1.5K | $172.6K | $112.35 | 6.86x |
| 66986 | Exchange of prosthetic lens | 238 | $160.3K | $673.59 | 2.97x |
| 66183 | Insertion of eye fluid drainage device | 75 | $157.3K | $2.1K | 1.57x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 423 | $150.9K | $356.84 | 2.80x |
This provider submits charges 2.65 times higher than what Medicare actually pays.
A markup ratio of 2.65x means for every $100 Medicare pays, this provider initially charges $265. 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 CO for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Harmony Surgery Center, Llc | Fort Collins, CO | $37.3M | ✓ 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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