This provider's $4.9M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 1156% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 621% 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 | $6.6K | $866.66 | 7.57x | $5.7K | $97.9K | 113 | 93 |
| 2019 | $6.6K | $1.1K | 5.80x | $5.4K | $706.3K | 753 | 595 |
| 2020 | $3.7K | $1.4K | 2.56x | $2.2K | $736.3K | 697 | 568 |
| 2021 | $3.1K | $1.4K | 2.26x | $1.7K | $1.1M | 1.0K | 841 |
| 2022 | $2.8K | $1.0K | 2.79x | $1.8K | $1.1M | 1.1K | 952 |
| 2023 | $2.9K | $1.1K | 2.71x | $1.9K | $1.2M | 1.3K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 2.9K | $2.6M | $899.54 | 4.04x |
| 67042 | Removal of membrane from the retina, pars plana approach | 283 | $474.9K | $1.7K | 2.50x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 526 | $309.4K | $588.28 | 3.50x |
| 66982 | Removal of cataract with insertion of lens | 316 | $285.9K | $904.67 | 3.63x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 157 | $263.3K | $1.7K | 2.67x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 84 | $131.0K | $1.6K | 2.80x |
| V2785 | Processing, preserving and transporting corneal tissue | 34 | $108.0K | $3.2K | 1.26x |
| 0191T | Internal insertion of eye fluid drainage device | 40 | $100.6K | $2.5K | 3.48x |
| 66174 | Dilation to improve eye fluid flow | 67 | $89.1K | $1.3K | 3.61x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 42 | $69.3K | $1.7K | 2.75x |
| 67904 | Repair of tendon of upper eyelid | 99 | $59.5K | $600.57 | 5.86x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina, with removal of vitreous fluid | 33 | $57.3K | $1.7K | 2.05x |
| 67903 | Shortening or advancement of upper eyelid muscle to correct drooping or paralysis | 85 | $51.5K | $605.47 | 5.78x |
| 65820 | Incision to improve eye fluid flow | 39 | $51.3K | $1.3K | 3.13x |
| 65426 | Removal or relocation of corneal conjunctiva | 67 | $51.3K | $765.47 | 2.61x |
| 65755 | Transplantation of tissue from one cornea to other cornea | 25 | $41.9K | $1.7K | 2.09x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 15 | $34.9K | $2.3K | 1.43x |
| 67917 | Extensive repair of turning-outward eyelid defect | 51 | $30.8K | $603.35 | 3.36x |
| 66710 | Destruction of lens tissue using laser | 40 | $29.1K | $728.54 | 2.06x |
| 67924 | Extensive repair of turning-inward eyelid defect | 31 | $22.2K | $717.48 | 2.79x |
This provider submits charges 3.57 times higher than what Medicare actually pays.
A markup ratio of 3.57x means for every $100 Medicare pays, this provider initially charges $357. 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 |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data