This provider's $22.4M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
84% 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 | $1.6K | $631.29 | 2.59x | $1.0K | $1.8M | 2.9K | 1.9K |
| 2015 | $1.5K | $595.72 | 2.51x | $900.51 | $1.8M | 3.0K | 2.1K |
| 2016 | $1.6K | $715.64 | 2.27x | $911.81 | $2.3M | 3.6K | 2.4K |
| 2017 | $1.5K | $622.67 | 2.41x | $878.05 | $2.5M | 4.0K | 2.6K |
| 2018 | $2.0K | $830.11 | 2.44x | $1.2K | $2.6M | 3.9K | 2.6K |
| 2019 | $2.1K | $882.46 | 2.33x | $1.2K | $2.5M | 3.7K | 2.4K |
| 2020 | $2.1K | $754.65 | 2.80x | $1.4K | $1.8M | 2.7K | 1.8K |
| 2021 | $2.4K | $772.14 | 3.11x | $1.6K | $2.3M | 3.3K | 2.2K |
| 2022 | $2.9K | $925.99 | 3.15x | $2.0K | $2.4M | 3.2K | 2.1K |
| 2023 | $2.8K | $838.47 | 3.38x | $2.0K | $2.4M | 3.1K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 24.6K | $18.7M | $760.90 | 2.75x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 6.3K | $1.0M | $164.65 | 4.50x |
| 0191T | Internal insertion of eye fluid drainage device | 498 | $964.7K | $1.9K | 1.75x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 233 | $585.1K | $2.5K | 3.12x |
| 66982 | Removal of cataract with insertion of lens | 632 | $477.7K | $755.80 | 2.74x |
| 65756 | Transplant of outer layer of corneal tissue | 93 | $124.8K | $1.3K | 2.33x |
| 65426 | Removal or relocation of corneal conjunctiva | 171 | $107.3K | $627.46 | 2.96x |
| 66986 | Exchange of lens prosthesis | 105 | $75.7K | $720.57 | 2.90x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 150 | $56.6K | $377.23 | 3.77x |
| 67904 | Repair of tendon of upper eyelid | 115 | $52.4K | $455.95 | 2.89x |
| 66174 | Dilation to improve eye fluid flow | 33 | $49.8K | $1.5K | 2.78x |
| 66825 | Repositioning of lens prosthesis | 74 | $46.6K | $629.78 | 2.80x |
| 66840 | Aspiration removal of lens material | 71 | $45.8K | $645.43 | 1.92x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 189 | $18.2K | $96.04 | 10.26x |
| 67917 | Extensive repair of turning-outward eyelid defect | 17 | $8.4K | $491.50 | 2.67x |
| 65400 | Removal of growth of cornea | 13 | $3.4K | $261.54 | 4.15x |
| 66761 | Creation of eye fluid drainage tracts in iris using a laser, per session | 11 | $1.6K | $141.31 | 6.50x |
| 67840 | Removal of eyelid growth | 12 | $905.40 | $75.45 | 4.23x |
This provider submits charges 2.8 times higher than what Medicare actually pays.
A markup ratio of 2.8x means for every $100 Medicare pays, this provider initially charges $280. 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 WA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Olympia Orthopaedic Associates Pllc | Olympia, WA | $38.7M | ✓ 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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