This provider's $41.6M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 139% from 2014 to 2023.
64% 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 | $2.2K | $637.41 | 3.44x | $1.6K | $2.6M | 4.0K | 21 |
| 2015 | $2.2K | $628.79 | 3.48x | $1.6K | $2.9M | 4.6K | 23 |
| 2016 | $1.7K | $633.04 | 2.76x | $1.1K | $3.9M | 6.2K | 22 |
| 2017 | $1.4K | $593.76 | 2.28x | $762.81 | $4.5M | 7.6K | 27 |
| 2018 | $1.5K | $660.50 | 2.27x | $835.68 | $3.9M | 5.9K | 25 |
| 2019 | $1.4K | $598.85 | 2.27x | $758.14 | $4.3M | 7.2K | 23 |
| 2020 | $1.1K | $492.05 | 2.17x | $574.04 | $3.4M | 7.0K | 21 |
| 2021 | $857.41 | $403.21 | 2.13x | $454.20 | $4.8M | 11.9K | 22 |
| 2022 | $763.34 | $344.47 | 2.22x | $418.87 | $5.1M | 14.7K | 24 |
| 2023 | $714.30 | $323.25 | 2.21x | $391.05 | $6.2M | 19.0K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 29.1K | $25.6M | $881.15 | 2.18x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 18.7K | $1.9M | $103.52 | 2.42x |
| 0191T | Internal insertion of eye fluid drainage device | 831 | $1.9M | $2.3K | 1.31x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 2.1K | $1.8M | $879.08 | 1.88x |
| 67210 | Destruction of growth of retina using a laser | 6.8K | $1.5M | $221.05 | 4.52x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 14.6K | $1.2M | $78.79 | 3.46x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 288 | $838.0K | $2.9K | 1.37x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 3.5K | $795.4K | $227.51 | 7.25x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 1.9K | $717.9K | $374.10 | 1.87x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.2K | $599.6K | $506.40 | 3.14x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 373 | $583.5K | $1.6K | 1.38x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 271 | $448.5K | $1.7K | 1.40x |
| 67904 | Repair of tendon of upper eyelid | 787 | $406.8K | $516.89 | 3.29x |
| 67900 | Repair of brow paralysis | 894 | $405.5K | $453.54 | 3.62x |
| 65820 | Incision to improve eye fluid flow | 261 | $336.5K | $1.3K | 2.02x |
| 67917 | Extensive repair of turning-outward eyelid defect | 546 | $291.9K | $534.57 | 3.08x |
| 67041 | Removal of membrane of retina | 113 | $188.8K | $1.7K | 1.43x |
| 66761 | Creation of eye fluid drainage tracts in iris using a laser, per session | 1.1K | $187.3K | $165.62 | 10.87x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 85 | $181.8K | $2.1K | 1.41x |
| 68815 | Probing of nasal tear duct with insertion of tube or stent | 319 | $154.0K | $482.81 | 2.14x |
This provider submits charges 2.43 times higher than what Medicare actually pays.
A markup ratio of 2.43x means for every $100 Medicare pays, this provider initially charges $243. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Island Eye Surgicenter Llc | Westbury, NY | $69.9M | ✓ Clear |
| Syracuse Asc, Llc | Liverpool, NY | $38.3M | ✓ 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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