This provider's $18.5M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.65x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 119% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 77% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $5.3K | $1.1K | 4.72x | $4.2K | $1.7M | 1.5K | 11 |
| 2019 | $6.2K | $1.1K | 5.72x | $5.1K | $2.9M | 2.7K | 16 |
| 2020 | $3.4K | $592.53 | 5.78x | $2.8K | $2.7M | 4.5K | 16 |
| 2021 | $2.3K | $402.01 | 5.66x | $1.9K | $4.0M | 9.9K | 18 |
| 2022 | $2.4K | $416.52 | 5.69x | $2.0K | $3.7M | 8.9K | 15 |
| 2023 | $2.3K | $389.11 | 5.89x | $1.9K | $3.6M | 9.3K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 9.9K | $7.4M | $743.51 | 7.93x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 172 | $3.0M | $17.5K | 2.42x |
| V2785 | Processing, preserving and transporting corneal tissue | 559 | $1.9M | $3.5K | 1.29x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 19.7K | $1.6M | $78.90 | 6.53x |
| 65756 | Transplantation of outer layer of corneal tissue | 550 | $768.9K | $1.4K | 6.26x |
| 65820 | Incision to improve eye fluid flow | 500 | $698.7K | $1.4K | 5.87x |
| 63655 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | 50 | $621.5K | $12.4K | 2.56x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 2.1K | $403.6K | $188.88 | 10.81x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 114 | $388.8K | $3.4K | 3.68x |
| 0191T | Internal insertion of eye fluid drainage device | 129 | $255.0K | $2.0K | 5.30x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 259 | $192.1K | $741.51 | 7.98x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 129 | $182.6K | $1.4K | 5.64x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 1.7K | $182.3K | $109.01 | 1.28x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 66 | $162.0K | $2.5K | 4.27x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 115 | $155.6K | $1.4K | 5.82x |
| 67040 | Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser | 99 | $131.9K | $1.3K | 5.99x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 64 | $85.0K | $1.3K | 6.01x |
| 66020 | Injection of air or liquid into eye | 96 | $75.5K | $786.83 | 6.27x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 29 | $60.0K | $2.1K | 7.30x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 34 | $49.4K | $1.5K | 5.49x |
This provider submits charges 5.65 times higher than what Medicare actually pays.
A markup ratio of 5.65x means for every $100 Medicare pays, this provider initially charges $565. 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 SC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Physicians Eye Surgery Center Llc | Charleston, SC | $45.3M | ✓ Clear |
| The Southeastern Spine Institute Ambulatory Surgery Center, Llc | Mt. Pleasant, SC | $33.4M | ✓ 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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