This provider's $22.6M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 16.11x is significantly above the specialty median of 6.1x.
73% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of 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 | $7.8K | $713.07 | 10.98x | $7.1K | $2.0M | 2.9K | 1.9K |
| 2015 | $7.8K | $599.36 | 13.06x | $7.2K | $2.0M | 3.0K | 2.0K |
| 2016 | $8.1K | $662.43 | 12.21x | $7.4K | $2.2M | 3.3K | 2.2K |
| 2017 | $8.9K | $666.25 | 13.30x | $8.2K | $2.3M | 3.3K | 2.2K |
| 2018 | $9.2K | $719.10 | 12.77x | $8.5K | $2.4M | 3.4K | 2.4K |
| 2019 | $9.8K | $759.93 | 12.85x | $9.0K | $2.7M | 3.8K | 2.7K |
| 2020 | $10.8K | $812.99 | 13.29x | $10.0K | $2.1M | 2.9K | 2.0K |
| 2021 | $12.7K | $931.48 | 13.64x | $11.8K | $2.4M | 3.0K | 2.1K |
| 2022 | $13.7K | $883.36 | 15.53x | $12.8K | $2.5M | 3.2K | 2.2K |
| 2023 | $14.8K | $1.0K | 14.38x | $13.8K | $2.0M | 2.4K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 22.2K | $16.0M | $724.21 | 17.31x |
| 0191T | Internal insertion of eye fluid drainage device | 476 | $851.9K | $1.8K | 6.14x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.9K | $820.9K | $433.87 | 12.76x |
| 67042 | Removal of membrane from the retina, pars plana approach | 612 | $807.6K | $1.3K | 11.50x |
| 66982 | Removal of cataract with insertion of lens | 656 | $472.3K | $720.02 | 21.99x |
| V2785 | Processing, preserving and transporting corneal tissue | 122 | $407.3K | $3.3K | 2.94x |
| 67917 | Extensive repair of turning-outward eyelid defect | 814 | $334.5K | $410.95 | 20.19x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 129 | $308.1K | $2.4K | 6.52x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 225 | $296.1K | $1.3K | 11.40x |
| 67904 | Repair of tendon of upper eyelid | 612 | $264.6K | $432.29 | 21.58x |
| 67041 | Removal of membrane from the retina | 212 | $264.1K | $1.2K | 12.39x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 191 | $253.8K | $1.3K | 11.96x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 137 | $182.6K | $1.3K | 12.23x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 108 | $144.4K | $1.3K | 11.37x |
| 66174 | Dilation to improve eye fluid flow | 125 | $138.9K | $1.1K | 18.97x |
| 65756 | Transplant of outer layer of corneal tissue | 85 | $117.9K | $1.4K | 13.10x |
| 67900 | Repair of brow paralysis | 252 | $108.6K | $430.91 | 20.14x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 406 | $100.1K | $246.65 | 26.89x |
| 65820 | Incision to improve eye fluid flow | 56 | $74.9K | $1.3K | 11.08x |
| 15733 | Creation of flap graft to head and/or neck | 74 | $73.7K | $995.83 | 7.58x |
This provider submits charges 16.11 times higher than what Medicare actually pays.
A markup ratio of 16.11x means for every $100 Medicare pays, this provider initially charges $1611. 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 OK for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Mcgee Eye Surgery Center Llc | Oklahoma City, OK | $36.4M | ✓ 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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