This provider's $16.4M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.62x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 131% from 2014 to 2023.
60% 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.
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 | $5.3K | $559.44 | 9.41x | $4.7K | $942.6K | 1.9K | 1.6K |
| 2015 | $6.1K | $614.31 | 9.94x | $5.5K | $951.6K | 1.9K | 1.6K |
| 2016 | $5.6K | $581.96 | 9.62x | $5.0K | $1.4M | 2.6K | 2.2K |
| 2017 | $6.3K | $695.61 | 9.01x | $5.6K | $1.7M | 2.9K | 2.4K |
| 2018 | $6.4K | $603.50 | 10.64x | $5.8K | $1.8M | 3.2K | 2.6K |
| 2019 | $6.6K | $639.62 | 10.36x | $6.0K | $1.8M | 3.1K | 2.5K |
| 2020 | $7.0K | $573.57 | 12.20x | $6.4K | $1.6M | 2.5K | 2.0K |
| 2021 | $8.0K | $630.34 | 12.65x | $7.3K | $1.9M | 2.9K | 2.3K |
| 2022 | $8.6K | $761.89 | 11.25x | $7.8K | $2.2M | 3.3K | 2.5K |
| 2023 | $8.6K | $680.39 | 12.65x | $7.9K | $2.2M | 3.1K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 11.4K | $8.9M | $776.21 | 10.65x |
| 45380 | Biopsy of large bowel using an endoscope | 2.5K | $782.1K | $314.99 | 16.15x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 1.5K | $571.6K | $379.57 | 14.15x |
| 66982 | Removal of cataract with insertion of lens | 710 | $545.3K | $767.98 | 10.61x |
| 67042 | Removal of membrane from the retina, pars plana approach | 342 | $484.2K | $1.4K | 7.84x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 2.0K | $445.5K | $218.49 | 23.08x |
| 67904 | Repair of tendon of upper eyelid | 984 | $438.2K | $445.30 | 11.99x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.2K | $299.7K | $241.69 | 19.09x |
| 29880 | Removal of both knee cartilages using an endoscope | 314 | $286.9K | $913.80 | 14.63x |
| 29881 | Removal of one knee cartilage using an endoscope | 303 | $282.4K | $932.17 | 14.34x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 175 | $252.2K | $1.4K | 8.62x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 128 | $225.7K | $1.8K | 6.61x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 524 | $179.3K | $342.23 | 14.84x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 280 | $168.4K | $601.38 | 9.47x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 100 | $156.9K | $1.6K | 6.57x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 110 | $149.0K | $1.4K | 5.57x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 99 | $142.0K | $1.4K | 9.55x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 97 | $140.0K | $1.4K | 15.59x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 424 | $139.5K | $329.11 | 14.57x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 24 | $118.9K | $5.0K | 3.92x |
This provider submits charges 11.62 times higher than what Medicare actually pays.
A markup ratio of 11.62x means for every $100 Medicare pays, this provider initially charges $1162. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Dallas, TX | $76.6M | ✓ Clear |
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | ✓ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | ✓ 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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