This provider's $16.4M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
77% 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 | $829.24 | $565.24 | 1.47x | $264.00 | $1.4M | 2.5K | 1.6K |
| 2015 | $693.38 | $528.82 | 1.31x | $164.56 | $1.5M | 2.6K | 1.7K |
| 2016 | $724.21 | $531.34 | 1.36x | $192.87 | $1.7M | 3.3K | 2.1K |
| 2017 | $987.31 | $739.87 | 1.33x | $247.44 | $1.9M | 3.6K | 2.3K |
| 2018 | $853.37 | $629.17 | 1.36x | $224.20 | $1.5M | 2.8K | 1.8K |
| 2019 | $960.95 | $639.57 | 1.50x | $321.38 | $1.9M | 4.1K | 2.4K |
| 2020 | $827.20 | $560.88 | 1.47x | $266.32 | $1.3M | 2.7K | 1.7K |
| 2021 | $831.92 | $651.06 | 1.28x | $180.86 | $1.7M | 4.1K | 2.3K |
| 2022 | $1.0K | $738.70 | 1.41x | $299.93 | $1.6M | 3.7K | 2.1K |
| 2023 | $999.16 | $645.67 | 1.55x | $353.49 | $1.8M | 5.0K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 18.2K | $12.7M | $696.94 | 1.37x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 6.2K | $1.1M | $175.40 | 1.37x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 2.7K | $984.5K | $369.00 | 1.37x |
| 0191T | Internal insertion of eye fluid drainage device | 352 | $545.8K | $1.6K | 1.35x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 5.0K | $399.9K | $79.58 | 1.57x |
| 66982 | Removal of cataract with insertion of lens | 338 | $235.3K | $696.14 | 1.32x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 96 | $223.4K | $2.3K | 1.31x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 1.1K | $109.0K | $98.72 | 1.29x |
| 65820 | Incision to improve eye fluid flow | 118 | $106.2K | $899.59 | 2.02x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 253 | $25.3K | $100.03 | 1.50x |
| 66174 | Dilation to improve eye fluid flow | 20 | $23.1K | $1.2K | 1.44x |
This provider submits charges 1.38 times higher than what Medicare actually pays.
A markup ratio of 1.38x means for every $100 Medicare pays, this provider initially charges $138. This is lower 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Dallas, TX | $76.6M | ✓ Clear |
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | ✓ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | ✓ 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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