This provider's $69.9M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 118% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 64% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $3.6K | $711.75 | 5.04x | $2.9K | $4.4M | 6.1K | 30 |
| 2015 | $2.7K | $589.04 | 4.64x | $2.1K | $5.1M | 8.6K | 32 |
| 2016 | $2.8K | $638.57 | 4.36x | $2.1K | $5.7M | 9.0K | 34 |
| 2017 | $2.7K | $635.86 | 4.25x | $2.1K | $6.5M | 10.2K | 33 |
| 2018 | $3.3K | $720.07 | 4.54x | $2.6K | $6.4M | 8.9K | 34 |
| 2019 | $600.34 | $144.64 | 4.15x | $455.70 | $8.2M | 56.8K | 38 |
| 2020 | $96.70 | $24.53 | 3.94x | $72.17 | $5.7M | 230.4K | 32 |
| 2021 | $162.48 | $43.17 | 3.76x | $119.31 | $9.3M | 215.0K | 41 |
| 2022 | $297.69 | $79.67 | 3.74x | $218.02 | $9.1M | 114.6K | 41 |
| 2023 | $1.2K | $325.00 | 3.74x | $891.02 | $9.5M | 29.2K | 42 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 38.6K | $33.9M | $878.41 | 4.87x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 56.5K | $4.5M | $79.73 | 1.88x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 11.1K | $4.2M | $374.10 | 1.60x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 4.6K | $3.9M | $856.75 | 5.02x |
| 0191T | Internal insertion of eye fluid drainage device | 1.3K | $2.9M | $2.2K | 2.25x |
| V2785 | Processing, preserving and transporting corneal tissue | 612 | $1.9M | $3.1K | 1.28x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 7.7K | $1.7M | $222.48 | 5.84x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 16.0K | $1.7M | $103.95 | 1.69x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 442 | $1.3M | $2.9K | 1.84x |
| 67904 | Repair of tendon of upper eyelid | 2.0K | $983.8K | $503.74 | 6.15x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 550 | $888.0K | $1.6K | 2.66x |
| 65820 | Incision to improve eye fluid flow | 614 | $862.1K | $1.4K | 1.72x |
| 67900 | Repair of brow paralysis | 1.8K | $810.6K | $458.76 | 8.07x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 390 | $779.6K | $2.0K | 2.60x |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 1.7K | $772.5K | $442.96 | 5.65x |
| 65756 | Transplantation of outer layer of corneal tissue | 444 | $723.1K | $1.6K | 4.18x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 441 | $680.4K | $1.5K | 2.79x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.4K | $660.5K | $472.49 | 7.20x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 1.2K | $541.8K | $436.90 | 5.72x |
| J1095 | Injection, dexamethasone 9 percent, intraocular, 1 microgram | 528.9K | $456.0K | $0.86 | 1.57x |
This provider submits charges 4.13 times higher than what Medicare actually pays.
A markup ratio of 4.13x means for every $100 Medicare pays, this provider initially charges $413. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Long Island Ambulatory Surgery Center, Llc | Brentwood, NY | $41.6M | ✓ Clear |
| Syracuse Asc, Llc | Liverpool, NY | $38.3M | ✓ 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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