This provider's $14.2M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
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.
Notable: Payments increased 68% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $2.8K | $755.72 | 3.77x | $2.1K | $1.7M | 2.2K | 1.5K |
| 2019 | $3.8K | $1.0K | 3.66x | $2.8K | $2.8M | 3.6K | 2.4K |
| 2020 | $3.7K | $991.63 | 3.72x | $2.7K | $2.5M | 3.1K | 2.1K |
| 2021 | $3.7K | $946.87 | 3.95x | $2.8K | $2.7M | 3.4K | 2.3K |
| 2022 | $3.5K | $839.67 | 4.13x | $2.6K | $2.4M | 3.1K | 2.1K |
| 2023 | $3.8K | $975.70 | 3.85x | $2.8K | $2.1M | 2.7K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 11.8K | $10.1M | $858.23 | 3.90x |
| 66982 | Removal of cataract with insertion of lens | 775 | $662.0K | $854.24 | 3.94x |
| V2785 | Processing, preserving and transporting corneal tissue | 171 | $593.4K | $3.5K | 2.05x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.4K | $529.2K | $219.02 | 3.80x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 946 | $509.0K | $538.05 | 5.19x |
| 66174 | Dilation to improve eye fluid flow | 262 | $380.4K | $1.5K | 4.06x |
| 67904 | Repair of tendon of upper eyelid | 426 | $243.6K | $571.93 | 4.85x |
| 0191T | Internal insertion of eye fluid drainage device | 90 | $216.5K | $2.4K | 3.75x |
| 65756 | Transplant of outer layer of corneal tissue | 135 | $210.8K | $1.6K | 3.88x |
| 67917 | Extensive repair of turning-outward eyelid defect | 223 | $132.0K | $592.05 | 4.70x |
| 67900 | Repair of brow paralysis | 223 | $101.0K | $452.93 | 6.28x |
| 68720 | Creation of drainage tract from tear sac to the nasal cavity | 81 | $89.2K | $1.1K | 4.04x |
| 67924 | Repair of turning-inward eyelid defect | 103 | $71.7K | $695.86 | 4.03x |
| 65820 | Incision to improve eye fluid flow | 44 | $60.4K | $1.4K | 4.52x |
| 65426 | Removal or relocation of corneal conjunctiva | 81 | $56.2K | $693.82 | 3.92x |
| 67966 | Removal of over one-fourth of the eyelid involving lid margin | 69 | $46.1K | $667.86 | 4.11x |
| 68815 | Probing of nasal-tear duct with insertion of tube or stent | 91 | $38.1K | $419.20 | 6.81x |
| 66986 | Exchange of lens prosthesis | 47 | $35.5K | $756.11 | 4.46x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 60 | $33.7K | $562.25 | 4.86x |
| 65400 | Removal of growth of cornea | 88 | $30.6K | $347.35 | 3.96x |
This provider submits charges 3.93 times higher than what Medicare actually pays.
A markup ratio of 3.93x means for every $100 Medicare pays, this provider initially charges $393. 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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