This provider's $33.5M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $2.2K | $615.42 | 3.62x | $1.6K | $3.0M | 4.9K | 26 |
| 2015 | $2.1K | $582.48 | 3.69x | $1.6K | $3.0M | 5.2K | 27 |
| 2016 | $2.1K | $617.13 | 3.45x | $1.5K | $3.3M | 5.4K | 24 |
| 2017 | $2.0K | $615.58 | 3.28x | $1.4K | $3.4M | 5.5K | 28 |
| 2018 | $2.5K | $715.94 | 3.43x | $1.7K | $3.4M | 4.7K | 25 |
| 2019 | $2.5K | $715.68 | 3.50x | $1.8K | $3.4M | 4.7K | 29 |
| 2020 | $2.7K | $785.85 | 3.40x | $1.9K | $2.9M | 3.7K | 26 |
| 2021 | $2.6K | $786.70 | 3.36x | $1.9K | $3.5M | 4.4K | 28 |
| 2022 | $1.3K | $391.15 | 3.24x | $876.01 | $3.5M | 9.0K | 27 |
| 2023 | $927.65 | $308.85 | 3.00x | $618.80 | $4.1M | 13.3K | 32 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 24.0K | $15.6M | $652.77 | 3.97x |
| V2785 | Processing, preserving and transporting corneal tissue | 1.1K | $3.3M | $2.9K | 1.30x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 1.5K | $1.8M | $1.2K | 3.46x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 933 | $1.1M | $1.2K | 2.96x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 13.7K | $1.0M | $76.23 | 1.30x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.5K | $1.0M | $652.35 | 3.97x |
| 65756 | Transplantation of outer layer of corneal tissue | 822 | $989.8K | $1.2K | 3.60x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 2.2K | $829.8K | $376.51 | 1.31x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 654 | $765.8K | $1.2K | 2.47x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 3.5K | $574.8K | $162.18 | 4.77x |
| 66174 | Dilation of fluid outflow drainage within eye | 400 | $502.0K | $1.3K | 3.57x |
| 67040 | Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser | 407 | $475.8K | $1.2K | 3.00x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.1K | $464.6K | $410.10 | 5.07x |
| 66183 | Insertion of eye fluid drainage device | 322 | $463.0K | $1.4K | 3.13x |
| 67904 | Repair of tendon of upper eyelid | 1.0K | $448.7K | $443.83 | 4.21x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 338 | $397.6K | $1.2K | 3.51x |
| 67041 | Removal of membrane of retina | 312 | $361.4K | $1.2K | 3.57x |
| 0449T | Insertion of initial aqueous fluid drainage device into eye | 189 | $353.0K | $1.9K | 2.41x |
| 65820 | Incision to improve eye fluid flow | 266 | $288.1K | $1.1K | 1.84x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 173 | $239.0K | $1.4K | 2.90x |
This provider submits charges 3.38 times higher than what Medicare actually pays.
A markup ratio of 3.38x means for every $100 Medicare pays, this provider initially charges $338. 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 TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Digestivecare, Llc | Germantown, TN | $36.0M | ✓ 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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