This provider's $9.2M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 977% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 252% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $2.1K | $804.65 | 2.66x | $1.3K | $235.3K | 334 | 277 |
| 2019 | $2.5K | $947.61 | 2.64x | $1.6K | $828.8K | 1.1K | 800 |
| 2020 | $2.7K | $1.0K | 2.64x | $1.7K | $1.2M | 1.6K | 1.1K |
| 2021 | $2.7K | $1.0K | 2.67x | $1.7K | $2.0M | 2.4K | 1.6K |
| 2022 | $3.0K | $1.3K | 2.35x | $1.7K | $2.4M | 2.7K | 1.9K |
| 2023 | $3.0K | $1.3K | 2.40x | $1.8K | $2.5M | 2.7K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 6.0K | $4.6M | $761.39 | 2.49x |
| 65820 | Incision to improve eye fluid flow | 886 | $1.2M | $1.4K | 2.72x |
| 66179 | Creation of shunt to improve eye fluid flow | 303 | $502.9K | $1.7K | 2.12x |
| 66982 | Removal of cataract with insertion of lens | 642 | $502.2K | $782.27 | 2.42x |
| 0191T | Internal insertion of eye fluid drainage device | 155 | $346.0K | $2.2K | 1.79x |
| 66170 | Creation of eye fluid drainage tract | 588 | $342.9K | $583.12 | 3.45x |
| 67041 | Removal of membrane from the retina | 146 | $221.5K | $1.5K | 2.64x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 85 | $219.5K | $2.6K | 2.46x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 111 | $210.2K | $1.9K | 2.04x |
| V2785 | Processing, preserving and transporting corneal tissue | 51 | $179.7K | $3.5K | 1.33x |
| 66174 | Dilation to improve eye fluid flow | 136 | $163.9K | $1.2K | 3.29x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 106 | $159.0K | $1.5K | 2.67x |
| 67042 | Removal of membrane from the retina, pars plana approach | 95 | $144.5K | $1.5K | 2.63x |
| 65756 | Transplantation of outer layer of corneal tissue | 49 | $74.6K | $1.5K | 2.63x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 695 | $71.9K | $103.44 | 6.60x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 45 | $69.9K | $1.6K | 2.58x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 320 | $62.4K | $195.09 | 3.62x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 206 | $20.9K | $101.32 | 4.50x |
| 67040 | Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser | 13 | $19.1K | $1.5K | 2.73x |
| 66710 | Destruction of lens tissue using laser | 29 | $19.0K | $655.89 | 3.08x |
This provider submits charges 2.55 times higher than what Medicare actually pays.
A markup ratio of 2.55x means for every $100 Medicare pays, this provider initially charges $255. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data