This provider's $29.7M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.29x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 73% from 2014 to 2023.
77% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of prosthetic 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 | $2.8K | $728.70 | 3.91x | $2.1K | $2.2M | 3.0K | 9 |
| 2015 | $2.9K | $711.78 | 4.06x | $2.2K | $2.4M | 3.3K | 8 |
| 2016 | $2.8K | $728.97 | 3.90x | $2.1K | $2.9M | 4.0K | 9 |
| 2017 | $2.8K | $719.07 | 3.83x | $2.0K | $3.3M | 4.6K | 12 |
| 2018 | $2.9K | $745.86 | 3.94x | $2.2K | $3.1M | 4.1K | 10 |
| 2019 | $5.4K | $783.49 | 6.92x | $4.6K | $2.9M | 3.7K | 9 |
| 2020 | $10.9K | $856.17 | 12.77x | $10.1K | $2.5M | 2.9K | 9 |
| 2021 | $9.4K | $774.33 | 12.19x | $8.7K | $3.4M | 4.4K | 12 |
| 2022 | $6.0K | $698.10 | 8.62x | $5.3K | $3.4M | 4.9K | 9 |
| 2023 | $7.7K | $717.46 | 10.66x | $6.9K | $3.7M | 5.2K | 8 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 26.0K | $22.9M | $881.00 | 7.15x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 2.6K | $2.2M | $865.12 | 7.17x |
| 0191T | Internal insertion of eye fluid drainage device | 820 | $1.7M | $2.1K | 4.87x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 3.7K | $810.6K | $216.27 | 11.20x |
| 65820 | Incision to improve eye fluid flow | 358 | $510.1K | $1.4K | 10.04x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 131 | $384.8K | $2.9K | 9.32x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 567 | $215.1K | $379.33 | 1.34x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2.7K | $208.9K | $76.89 | 6.73x |
| 65855 | Laser repair to improve eye fluid flow | 1.5K | $199.6K | $129.67 | 22.29x |
| 65850 | Insertion of eye fluid drainage tube | 283 | $150.8K | $532.72 | 11.12x |
| 66174 | Dilation to improve eye fluid flow | 79 | $126.2K | $1.6K | 8.27x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 820 | $88.2K | $107.53 | 5.54x |
| 67010 | Partial removal of eye fluid between the lens and retina, subtotal removal with mechanical vitrectomy | 81 | $64.9K | $801.11 | 6.14x |
| 66170 | Creation of eye fluid drainage tract | 56 | $37.3K | $665.83 | 6.01x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 226 | $35.4K | $156.60 | 13.59x |
| 66710 | Destruction of lens tissue using laser | 24 | $18.5K | $771.88 | 11.93x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 11 | $16.5K | $1.5K | 2.67x |
| 66986 | Exchange of lens prosthesis | 11 | $7.0K | $632.89 | 3.16x |
This provider submits charges 7.29 times higher than what Medicare actually pays.
A markup ratio of 7.29x means for every $100 Medicare pays, this provider initially charges $729. 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 |
|---|---|---|---|
| Island Eye Surgicenter Llc | Westbury, NY | $69.9M | ✓ Clear |
| 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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