This provider's $23.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.03x is significantly above the specialty median of 6.1x.
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 | $2.5K | $708.80 | 3.59x | $1.8K | $2.2M | 3.8K | 2.8K |
| 2015 | $2.9K | $742.18 | 3.84x | $2.1K | $2.3M | 3.8K | 2.7K |
| 2016 | $2.8K | $704.33 | 3.94x | $2.1K | $2.4M | 4.0K | 2.8K |
| 2017 | $2.8K | $819.24 | 3.42x | $2.0K | $2.7M | 4.0K | 2.8K |
| 2018 | $2.9K | $804.44 | 3.55x | $2.0K | $2.8M | 4.2K | 3.0K |
| 2019 | $3.0K | $847.38 | 3.50x | $2.1K | $2.5M | 3.7K | 2.6K |
| 2020 | $3.2K | $865.95 | 3.69x | $2.3K | $1.9M | 2.9K | 2.0K |
| 2021 | $3.1K | $900.02 | 3.39x | $2.2K | $2.2M | 3.2K | 2.2K |
| 2022 | $3.4K | $990.93 | 3.40x | $2.4K | $2.1M | 2.8K | 2.0K |
| 2023 | $3.9K | $928.18 | 4.24x | $3.0K | $2.1M | 2.8K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 18.8K | $13.2M | $699.45 | 5.72x |
| V2785 | Processing, preserving and transporting corneal tissue | 676 | $2.0M | $2.9K | 1.30x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 6.9K | $1.2M | $171.55 | 10.21x |
| 0191T | Internal insertion of eye fluid drainage device | 616 | $1.1M | $1.9K | 2.04x |
| 65756 | Transplant of outer layer of corneal tissue | 535 | $699.7K | $1.3K | 5.05x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.4K | $599.9K | $419.83 | 6.56x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 215 | $499.6K | $2.3K | 2.60x |
| 66982 | Removal of cataract with insertion of lens | 536 | $386.0K | $720.17 | 5.55x |
| 67042 | Removal of membrane from the retina, pars plana approach | 262 | $338.7K | $1.3K | 3.35x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 225 | $328.4K | $1.5K | 2.97x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 221 | $284.8K | $1.3K | 3.14x |
| 67041 | Removal of membrane from the retina | 206 | $252.3K | $1.2K | 3.49x |
| 67904 | Repair of tendon of upper eyelid | 540 | $237.2K | $439.19 | 4.66x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 175 | $221.9K | $1.3K | 2.89x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 101 | $184.5K | $1.8K | 2.17x |
| 66170 | Creation of eye fluid drainage tract | 367 | $178.6K | $486.58 | 4.43x |
| 68720 | Creation of drainage tract from tear sac to the nasal cavity | 155 | $147.7K | $953.09 | 3.52x |
| 67917 | Extensive repair of turning-outward eyelid defect | 303 | $136.2K | $449.62 | 4.68x |
| 67900 | Repair of brow paralysis | 321 | $134.9K | $420.26 | 4.89x |
| 67924 | Repair of turning-inward eyelid defect | 292 | $125.1K | $428.43 | 4.69x |
This provider submits charges 5.03 times higher than what Medicare actually pays.
A markup ratio of 5.03x means for every $100 Medicare pays, this provider initially charges $503. 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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