This provider's $10.1M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
72% 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.
Notable: Payments increased 76% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $1.5K | $413.33 | 3.52x | $1.0K | $855.3K | 1.4K | 979 |
| 2015 | $1.5K | $407.56 | 3.72x | $1.1K | $759.2K | 1.3K | 918 |
| 2016 | $1.8K | $523.84 | 3.43x | $1.3K | $762.6K | 1.2K | 847 |
| 2017 | $1.5K | $419.80 | 3.60x | $1.1K | $670.6K | 1.1K | 796 |
| 2018 | $1.8K | $574.86 | 3.16x | $1.2K | $745.9K | 1.2K | 824 |
| 2019 | $2.1K | $926.64 | 2.25x | $1.2K | $1.3M | 2.4K | 1.6K |
| 2020 | $2.6K | $1.0K | 2.54x | $1.6K | $1.0M | 2.1K | 1.4K |
| 2021 | $2.8K | $1.0K | 2.75x | $1.8K | $1.4M | 2.8K | 1.7K |
| 2022 | $3.0K | $963.56 | 3.09x | $2.0K | $1.3M | 2.7K | 1.7K |
| 2023 | $3.0K | $1.0K | 2.87x | $2.0K | $1.3M | 2.6K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 10.4K | $7.3M | $697.82 | 3.20x |
| 66982 | Removal of cataract with insertion of lens | 710 | $494.2K | $696.02 | 3.19x |
| V2785 | Processing, preserving and transporting corneal tissue | 132 | $473.1K | $3.6K | 2.15x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4.8K | $379.9K | $79.69 | 2.44x |
| 0191T | Internal insertion of eye fluid drainage device | 163 | $306.6K | $1.9K | 2.13x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 547 | $234.4K | $428.43 | 3.99x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 457 | $162.3K | $355.15 | 1.37x |
| 65756 | Transplant of outer layer of corneal tissue | 116 | $154.0K | $1.3K | 2.87x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 56 | $127.3K | $2.3K | 2.86x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 811 | $117.5K | $144.84 | 4.52x |
| 67904 | Repair of tendon of upper eyelid | 256 | $115.7K | $451.79 | 4.08x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 35 | $66.8K | $1.9K | 2.09x |
| 66710 | Destruction of lens tissue using laser | 98 | $50.5K | $515.78 | 3.52x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 370 | $35.9K | $97.08 | 5.09x |
| 66183 | Insertion of eye fluid drainage device | 15 | $30.5K | $2.0K | 1.97x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 66 | $23.5K | $356.46 | 5.51x |
| 67917 | Extensive repair of turning-outward eyelid defect | 40 | $19.6K | $490.47 | 3.25x |
| 67900 | Repair of brow paralysis | 23 | $9.0K | $392.75 | 5.41x |
This provider submits charges 3.1 times higher than what Medicare actually pays.
A markup ratio of 3.1x means for every $100 Medicare pays, this provider initially charges $310. This is higher than the national average.
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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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