This provider's $6.9M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 2705% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1931% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $2.6K | $600.15 | 4.41x | $2.0K | $139.8K | 233 | 3 |
| 2022 | $2.1K | $526.41 | 4.02x | $1.6K | $2.8M | 5.4K | 18 |
| 2023 | $1.9K | $473.89 | 4.06x | $1.5K | $3.9M | 8.3K | 22 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 4.5K | $3.5M | $790.46 | 4.26x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.6K | $780.6K | $473.69 | 5.10x |
| 67904 | Repair of tendon of upper eyelid | 964 | $453.7K | $470.69 | 5.06x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 170 | $411.2K | $2.4K | 1.65x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 3.5K | $264.0K | $76.51 | 1.96x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 993 | $197.7K | $199.09 | 3.57x |
| V2785 | Processing, preserving and transporting corneal tissue | 43 | $163.5K | $3.8K | 1.32x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 207 | $159.0K | $768.27 | 4.80x |
| 66183 | Insertion of eye fluid drainage device | 71 | $150.0K | $2.1K | 3.60x |
| 67917 | Extensive repair of turning-outward eyelid defect | 203 | $99.4K | $489.84 | 4.86x |
| C9250 | Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml | 659 | $94.5K | $143.39 | 1.39x |
| 65820 | Incision to improve eye fluid flow | 57 | $77.5K | $1.4K | 3.84x |
| 66174 | Dilation of fluid outflow drainage within eye | 53 | $75.8K | $1.4K | 3.65x |
| 67900 | Repair of brow paralysis | 177 | $75.6K | $426.84 | 5.58x |
| 65756 | Transplantation of outer layer of corneal tissue | 44 | $63.7K | $1.4K | 3.61x |
| 67966 | Removal of over 1/4 of eyelid margin and repair of eyelid | 90 | $49.4K | $549.05 | 4.33x |
| 68720 | Creation of drainage tract from tear sac to nasal cavity | 47 | $48.4K | $1.0K | 3.65x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 22 | $42.5K | $1.9K | 3.64x |
| 67924 | Extensive repair of turning-inward eyelid defect | 77 | $41.7K | $541.89 | 4.39x |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 74 | $39.5K | $533.65 | 4.53x |
This provider submits charges 4.05 times higher than what Medicare actually pays.
A markup ratio of 4.05x means for every $100 Medicare pays, this provider initially charges $405. 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 NC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| The Eye Surgery Center Of The Carolinas Lp | Southern Pines, NC | $33.8M | ✓ 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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