This provider's $29.7M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 74% from 2014 to 2023.
69% 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 | $3.9K | $741.50 | 5.31x | $3.2K | $2.2M | 3.0K | 20 |
| 2015 | $3.9K | $743.96 | 5.29x | $3.2K | $2.3M | 3.1K | 19 |
| 2016 | $4.0K | $758.94 | 5.23x | $3.2K | $2.6M | 3.5K | 18 |
| 2017 | $3.9K | $786.22 | 5.01x | $3.2K | $3.0M | 3.8K | 17 |
| 2018 | $4.0K | $830.00 | 4.86x | $3.2K | $3.1M | 3.7K | 13 |
| 2019 | $4.1K | $838.24 | 4.86x | $3.2K | $2.7M | 3.2K | 14 |
| 2020 | $3.2K | $710.70 | 4.47x | $2.5K | $2.7M | 3.9K | 14 |
| 2021 | $4.1K | $909.69 | 4.54x | $3.2K | $3.4M | 3.7K | 21 |
| 2022 | $4.2K | $994.09 | 4.25x | $3.2K | $3.7M | 3.7K | 18 |
| 2023 | $4.3K | $1.0K | 4.14x | $3.2K | $3.9M | 3.8K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 22.4K | $19.6M | $872.74 | 5.20x |
| 0191T | Internal insertion of eye fluid drainage device | 1.1K | $2.4M | $2.2K | 2.08x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.3K | $1.1M | $868.22 | 5.22x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 325 | $962.1K | $3.0K | 1.53x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.2K | $637.2K | $524.48 | 7.82x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 2.7K | $576.9K | $217.20 | 5.30x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 226 | $422.3K | $1.9K | 2.36x |
| 65820 | Incision to improve eye fluid flow | 270 | $421.0K | $1.6K | 2.81x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 194 | $317.9K | $1.6K | 2.77x |
| 67904 | Repair of tendon of upper eyelid | 421 | $226.1K | $536.95 | 7.02x |
| 66174 | Dilation of fluid outflow drainage within eye | 218 | $215.9K | $990.25 | 4.30x |
| 67041 | Removal of membrane of retina | 136 | $206.9K | $1.5K | 2.84x |
| 66986 | Exchange of prosthetic lens | 264 | $195.0K | $738.63 | 5.56x |
| 67917 | Extensive repair of turning-outward eyelid defect | 303 | $154.3K | $509.20 | 7.10x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 92 | $151.6K | $1.6K | 2.60x |
| 67903 | Shortening or advancement of upper eyelid muscle to correct drooping or paralysis | 265 | $149.6K | $564.57 | 7.25x |
| 68326 | Reconstruction of conjunctiva with graft from outer eye or rearrangement | 142 | $144.7K | $1.0K | 3.80x |
| 66989 | Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 42 | $124.3K | $3.0K | 1.53x |
| 68720 | Creation of drainage tract from tear sac to nasal cavity | 118 | $116.1K | $983.79 | 3.78x |
| 68815 | Probing of nasal tear duct with insertion of tube or stent | 262 | $110.6K | $422.17 | 5.33x |
This provider submits charges 4.73 times higher than what Medicare actually pays.
A markup ratio of 4.73x means for every $100 Medicare pays, this provider initially charges $473. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Specialty Surgical Center, Llc | Beverly Hills, CA | $49.2M | ✓ Clear |
| Santa Rosa Surgery Center L P | Santa Rosa, CA | $41.3M | ✓ Clear |
| Peninsula Eye Surgery Center Llc | Mountain View, CA | $37.0M | ✓ Clear |
| Fort Sutter Surgery Center A California Limited Partnership | Sacramento, CA | $33.6M | ✓ 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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