This provider's $19.3M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
74% 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 | $4.4K | $1.1K | 4.20x | $3.4K | $1.8M | 2.4K | 1.5K |
| 2015 | $4.3K | $1.1K | 4.10x | $3.3K | $2.1M | 2.7K | 1.7K |
| 2016 | $4.4K | $1.0K | 4.27x | $3.4K | $2.1M | 2.7K | 1.7K |
| 2017 | $3.9K | $1.1K | 3.64x | $2.8K | $2.1M | 2.6K | 1.6K |
| 2018 | $4.7K | $1.3K | 3.46x | $3.3K | $2.2M | 2.7K | 1.6K |
| 2019 | $4.3K | $1.2K | 3.55x | $3.1K | $2.2M | 2.6K | 1.6K |
| 2020 | $4.4K | $1.3K | 3.34x | $3.1K | $1.7M | 1.9K | 1.2K |
| 2021 | $4.6K | $1.3K | 3.57x | $3.3K | $1.9M | 2.2K | 1.3K |
| 2022 | $3.1K | $1.1K | 2.85x | $2.0K | $1.5M | 1.9K | 1.1K |
| 2023 | $3.7K | $1.2K | 2.95x | $2.4K | $1.7M | 2.0K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 19.9K | $14.3M | $717.61 | 3.56x |
| 0191T | Internal insertion of eye fluid drainage device | 746 | $1.3M | $1.7K | 1.90x |
| V2785 | Processing, preserving and transporting corneal tissue | 211 | $693.1K | $3.3K | 1.34x |
| 67042 | Removal of membrane from the retina, pars plana approach | 515 | $681.8K | $1.3K | 5.17x |
| 66982 | Removal of cataract with insertion of lens | 945 | $674.0K | $713.19 | 3.87x |
| 65756 | Transplant of outer layer of corneal tissue | 220 | $289.8K | $1.3K | 4.74x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 126 | $286.7K | $2.3K | 2.35x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 207 | $264.8K | $1.3K | 5.00x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 75 | $148.6K | $2.0K | 1.97x |
| 29880 | Removal of both knee cartilages using an endoscope | 109 | $102.0K | $936.18 | 3.16x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 47 | $83.6K | $1.8K | 1.72x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 186 | $82.9K | $445.81 | 9.02x |
| 65820 | Incision to improve eye fluid flow | 55 | $74.9K | $1.4K | 1.88x |
| 66174 | Dilation to improve eye fluid flow | 96 | $69.2K | $721.19 | 4.16x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 47 | $58.8K | $1.3K | 5.39x |
| 67924 | Repair of turning-inward eyelid defect | 114 | $56.9K | $499.14 | 7.51x |
| 67904 | Repair of tendon of upper eyelid | 109 | $50.7K | $465.41 | 4.86x |
| 67917 | Extensive repair of turning-outward eyelid defect | 93 | $44.7K | $480.42 | 7.81x |
| 29881 | Removal of one knee cartilage using an endoscope | 41 | $36.2K | $883.48 | 3.34x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 17 | $22.3K | $1.3K | 5.72x |
This provider submits charges 3.49 times higher than what Medicare actually pays.
A markup ratio of 3.49x means for every $100 Medicare pays, this provider initially charges $349. This is higher than the national average.
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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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