This provider's $22.9M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 66% from 2014 to 2023.
67% 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 | $1.4K | $649.66 | 2.17x | $760.80 | $1.8M | 2.8K | 14 |
| 2015 | $1.5K | $691.00 | 2.17x | $810.29 | $1.8M | 2.7K | 11 |
| 2016 | $1.5K | $670.72 | 2.18x | $792.11 | $1.7M | 2.5K | 8 |
| 2017 | $1.5K | $718.00 | 2.07x | $770.86 | $1.9M | 2.7K | 11 |
| 2018 | $1.5K | $726.14 | 2.09x | $788.75 | $2.2M | 3.0K | 10 |
| 2019 | $945.78 | $442.56 | 2.14x | $503.22 | $2.6M | 5.9K | 12 |
| 2020 | $681.09 | $336.15 | 2.03x | $344.94 | $2.2M | 6.6K | 13 |
| 2021 | $648.98 | $331.03 | 1.96x | $317.95 | $2.8M | 8.3K | 11 |
| 2022 | $609.40 | $308.66 | 1.97x | $300.74 | $2.8M | 9.1K | 12 |
| 2023 | $589.00 | $304.52 | 1.93x | $284.48 | $3.0M | 10.0K | 10 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 15.9K | $15.2M | $957.74 | 1.98x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 25.6K | $2.0M | $79.68 | 2.52x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.4K | $1.3M | $960.06 | 1.98x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 5.5K | $1.3M | $234.98 | 2.34x |
| 66988 | Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye | 362 | $761.1K | $2.1K | 1.66x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 944 | $514.1K | $544.58 | 2.30x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 964 | $338.1K | $350.76 | 2.28x |
| 0191T | Internal insertion of eye fluid drainage device | 103 | $259.4K | $2.5K | 1.34x |
| 67900 | Repair of brow paralysis | 391 | $223.7K | $572.05 | 2.80x |
| 67908 | Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis | 342 | $217.2K | $635.12 | 2.09x |
| 66710 | Destruction of lens tissue using laser | 208 | $176.5K | $848.48 | 1.41x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 598 | $106.4K | $177.88 | 2.72x |
| 65820 | Incision to improve eye fluid flow | 57 | $74.8K | $1.3K | 2.06x |
| 65780 | Transplantation of fetal sac tissue to cornea | 44 | $64.8K | $1.5K | 1.56x |
| 67904 | Repair of tendon of upper eyelid | 81 | $47.4K | $585.14 | 2.27x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 290 | $46.7K | $161.09 | 2.53x |
| 65855 | Laser repair to improve eye fluid flow | 298 | $38.6K | $129.65 | 2.26x |
| 67210 | Destruction of growth of retina using a laser | 133 | $31.9K | $239.56 | 2.22x |
| 66986 | Exchange of lens prosthesis | 37 | $29.3K | $791.83 | 2.15x |
| 67903 | Shortening or advancement of upper eyelid muscle to correct drooping or paralysis | 45 | $29.3K | $650.23 | 2.05x |
This provider submits charges 2.06 times higher than what Medicare actually pays.
A markup ratio of 2.06x means for every $100 Medicare pays, this provider initially charges $206. 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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