This provider's $22.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.73x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 151% from 2014 to 2023.
71% 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 | $7.2K | $753.29 | 9.55x | $6.4K | $1.3M | 1.7K | 3 |
| 2015 | $7.4K | $725.77 | 10.24x | $6.7K | $1.4M | 1.9K | 2 |
| 2016 | $7.7K | $736.06 | 10.41x | $6.9K | $1.3M | 1.8K | 2 |
| 2017 | $7.8K | $776.34 | 10.02x | $7.0K | $1.6M | 2.0K | 2 |
| 2018 | $7.9K | $792.18 | 10.01x | $7.1K | $1.9M | 2.4K | 5 |
| 2019 | $6.2K | $605.57 | 10.23x | $5.6K | $2.3M | 3.7K | 10 |
| 2020 | $2.5K | $302.67 | 8.37x | $2.2K | $2.4M | 7.9K | 10 |
| 2021 | $1.8K | $244.07 | 7.28x | $1.5K | $3.5M | 14.4K | 9 |
| 2022 | $1.4K | $241.17 | 5.63x | $1.1K | $3.3M | 13.8K | 8 |
| 2023 | $701.27 | $242.90 | 2.89x | $458.37 | $3.3M | 13.5K | 10 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 21.5K | $15.8M | $732.47 | 9.17x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 24.7K | $2.0M | $79.16 | 1.64x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 14.7K | $1.5M | $104.84 | 1.32x |
| 0191T | Internal insertion of eye fluid drainage device | 514 | $913.3K | $1.8K | 7.56x |
| 66174 | Dilation of fluid outflow drainage within eye | 362 | $502.7K | $1.4K | 9.84x |
| V2785 | Processing, preserving and transporting corneal tissue | 134 | $468.3K | $3.5K | 1.31x |
| 65820 | Incision to improve eye fluid flow | 339 | $412.4K | $1.2K | 8.25x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 428 | $200.4K | $468.22 | 11.93x |
| 65756 | Transplantation of outer layer of corneal tissue | 125 | $172.8K | $1.4K | 9.00x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 31 | $74.5K | $2.4K | 8.82x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 37 | $67.9K | $1.8K | 5.30x |
| 66183 | Insertion of eye fluid drainage device | 26 | $55.3K | $2.1K | 3.28x |
| 67904 | Repair of tendon of upper eyelid | 83 | $38.8K | $467.45 | 15.50x |
| 22523 | Injection of bone cement into body of middle spine bone, accessed through the skin | 13 | $34.5K | $2.7K | 9.76x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 94 | $34.3K | $364.56 | 1.28x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 15 | $11.5K | $768.14 | 3.46x |
| 67880 | Creation of permanent eyelid margin scarring | 30 | $10.2K | $338.59 | 17.92x |
| 64721 | Release and/or relocation of median nerve of hand | 13 | $7.0K | $539.58 | 10.26x |
| J1095 | Injection, dexamethasone 9 percent, intraocular, 1 microgram | 72 | $67.14 | $0.93 | 436.33x |
This provider submits charges 7.73 times higher than what Medicare actually pays.
A markup ratio of 7.73x means for every $100 Medicare pays, this provider initially charges $773. 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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