This provider's $26.4M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
73% 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 | $1.9K | $1.0K | 1.85x | $876.54 | $2.8M | 3.6K | 2.4K |
| 2015 | $2.0K | $1.0K | 1.91x | $951.12 | $2.8M | 3.9K | 2.6K |
| 2016 | $1.8K | $1.1K | 1.60x | $670.49 | $2.6M | 3.5K | 2.4K |
| 2017 | $1.8K | $1.2K | 1.55x | $642.63 | $2.9M | 3.9K | 2.6K |
| 2018 | $1.8K | $1.1K | 1.56x | $638.37 | $3.0M | 4.0K | 2.7K |
| 2019 | $1.7K | $1.1K | 1.55x | $583.11 | $3.0M | 4.6K | 3.0K |
| 2020 | $1.5K | $929.91 | 1.66x | $611.47 | $2.0M | 3.4K | 2.2K |
| 2021 | $1.3K | $829.44 | 1.63x | $518.52 | $2.6M | 4.8K | 3.0K |
| 2022 | $1.7K | $1.0K | 1.71x | $709.27 | $2.3M | 4.7K | 3.0K |
| 2023 | $1.6K | $868.47 | 1.79x | $687.85 | $2.2M | 4.0K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 20.4K | $19.3M | $944.48 | 2.18x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 9.0K | $2.1M | $232.79 | 2.78x |
| 0191T | Internal insertion of eye fluid drainage device | 509 | $1.2M | $2.3K | 1.44x |
| 66982 | Removal of cataract with insertion of lens | 960 | $916.1K | $954.32 | 2.15x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 909 | $527.4K | $580.21 | 2.01x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 6.1K | $490.8K | $80.01 | 1.60x |
| V2785 | Processing, preserving and transporting corneal tissue | 135 | $455.5K | $3.4K | 1.33x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 129 | $394.0K | $3.1K | 1.66x |
| 66183 | Insertion of eye fluid drainage device | 191 | $325.3K | $1.7K | 1.62x |
| 65756 | Transplant of outer layer of corneal tissue | 122 | $209.5K | $1.7K | 1.44x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 451 | $161.8K | $358.69 | 1.43x |
| 65426 | Removal or relocation of corneal conjunctiva | 69 | $56.3K | $816.20 | 1.39x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 297 | $40.4K | $136.12 | 3.44x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 76 | $38.6K | $508.15 | 2.72x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 214 | $37.8K | $176.73 | 3.44x |
| J7315 | Mitomycin, ophthalmic, 0.2 mg | 116 | $34.1K | $294.33 | 1.36x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 17 | $32.7K | $1.9K | 1.30x |
| 66174 | Dilation to improve eye fluid flow | 17 | $30.4K | $1.8K | 1.29x |
| 66825 | Repositioning of lens prosthesis | 26 | $23.4K | $899.80 | 1.52x |
| 66986 | Exchange of lens prosthesis | 17 | $16.2K | $952.35 | 1.79x |
This provider submits charges 2.14 times higher than what Medicare actually pays.
A markup ratio of 2.14x means for every $100 Medicare pays, this provider initially charges $214. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Specialty Surgical Center, Llc | Beverly Hills, CA | $49.2M | ✓ Clear |
| Santa Rosa Surgery Center L P | Santa Rosa, CA | $41.3M | ✓ Clear |
| Peninsula Eye Surgery Center Llc | Mountain View, CA | $37.0M | ✓ Clear |
| Fort Sutter Surgery Center A California Limited Partnership | Sacramento, CA | $33.6M | ✓ 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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