This provider's $9.5M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 79% from 2014 to 2023.
63% 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 | $858.36 | $366.43 | 2.34x | $491.93 | $642.4K | 1.5K | 853 |
| 2015 | $775.73 | $372.80 | 2.08x | $402.93 | $743.9K | 1.8K | 989 |
| 2016 | $855.10 | $446.19 | 1.92x | $408.91 | $825.6K | 1.8K | 1.0K |
| 2017 | $938.61 | $538.68 | 1.74x | $399.93 | $950.9K | 1.8K | 1.1K |
| 2018 | $933.08 | $590.88 | 1.58x | $342.20 | $859.6K | 1.6K | 916 |
| 2019 | $933.46 | $600.98 | 1.55x | $332.48 | $827.8K | 1.7K | 919 |
| 2020 | $854.46 | $533.67 | 1.60x | $320.79 | $948.9K | 2.0K | 1.1K |
| 2021 | $1.1K | $537.40 | 2.00x | $537.94 | $1.2M | 3.1K | 1.8K |
| 2022 | $1.1K | $527.96 | 2.13x | $595.20 | $1.4M | 3.9K | 2.2K |
| 2023 | $937.93 | $427.25 | 2.20x | $510.68 | $1.1M | 3.8K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 8.2K | $6.0M | $727.26 | 2.06x |
| J0178 | Injection, aflibercept, 1 mg | 1.5K | $1.1M | $725.60 | 1.65x |
| 66982 | Removal of cataract with insertion of lens | 1.1K | $806.9K | $719.80 | 2.15x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 3.4K | $354.0K | $104.55 | 1.44x |
| 0191T | Internal insertion of eye fluid drainage device | 186 | $344.7K | $1.9K | 1.35x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.6K | $266.3K | $169.27 | 3.23x |
| 67028 | Injection of drug into eye | 3.6K | $139.0K | $38.57 | 3.78x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 271 | $121.4K | $447.87 | 2.46x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 45 | $107.1K | $2.4K | 1.51x |
| J0179 | Injection, brolucizumab-dbll, 1 mg | 405 | $100.5K | $248.25 | 2.05x |
| J2778 | Injection, ranibizumab, 0.1 mg | 242 | $74.0K | $305.94 | 1.32x |
| J9035 | Injection, bevacizumab, 10 mg | 958 | $54.6K | $56.96 | 1.75x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 102 | $43.1K | $422.83 | 3.52x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 505 | $38.8K | $76.83 | 1.95x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 338 | $9.8K | $28.91 | 3.34x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 51 | $6.7K | $130.45 | 4.19x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 47 | $5.4K | $115.09 | 3.91x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 32 | $3.9K | $120.36 | 3.19x |
| J2403 | Chloroprocaine hcl ophthalmic, 3% gel, 1 mg | 342 | $190.87 | $0.56 | 2.69x |
This provider submits charges 2.03 times higher than what Medicare actually pays.
A markup ratio of 2.03x means for every $100 Medicare pays, this provider initially charges $203. 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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