This provider's $14.1M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 73% from 2014 to 2023.
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 | $1.0K | $464.72 | 2.19x | $552.25 | $928.3K | 1.5K | 1.1K |
| 2015 | $1.0K | $454.46 | 2.29x | $587.04 | $1.0M | 1.7K | 1.2K |
| 2016 | $1.1K | $487.86 | 2.29x | $630.64 | $1.1M | 1.8K | 1.3K |
| 2017 | $1.2K | $567.65 | 2.12x | $637.15 | $1.2M | 1.8K | 1.3K |
| 2018 | $1.3K | $532.02 | 2.45x | $769.06 | $1.4M | 2.2K | 1.6K |
| 2019 | $1.6K | $576.98 | 2.79x | $1.0K | $1.6M | 2.5K | 1.7K |
| 2020 | $1.5K | $571.81 | 2.66x | $951.86 | $1.7M | 2.4K | 1.6K |
| 2021 | $1.7K | $629.78 | 2.62x | $1.0K | $1.8M | 2.6K | 1.7K |
| 2022 | $1.8K | $611.79 | 2.98x | $1.2K | $1.7M | 2.3K | 1.5K |
| 2023 | $2.0K | $687.94 | 2.84x | $1.3K | $1.6M | 2.2K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 14.7K | $10.9M | $739.95 | 2.64x |
| 0191T | Internal insertion of eye fluid drainage device | 632 | $1.1M | $1.8K | 1.49x |
| 66982 | Removal of cataract with insertion of lens | 1.3K | $908.2K | $714.53 | 2.40x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 3.0K | $502.3K | $165.12 | 4.93x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 150 | $368.9K | $2.5K | 2.28x |
| 67904 | Repair of tendon of upper eyelid | 260 | $120.9K | $465.00 | 3.04x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 241 | $111.0K | $460.76 | 2.90x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 478 | $48.4K | $101.25 | 5.68x |
| 67145 | Preventive retinal detachment treatment by heat or laser, 1 or more sessions | 135 | $22.1K | $163.51 | 4.81x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 54 | $7.2K | $132.56 | 4.89x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 29 | $4.9K | $168.12 | 2.53x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 13 | $1.8K | $135.92 | 3.60x |
This provider submits charges 2.62 times higher than what Medicare actually pays.
A markup ratio of 2.62x means for every $100 Medicare pays, this provider initially charges $262. 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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