This provider's $21.2M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
78% 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 | $1.9K | $564.89 | 3.31x | $1.3K | $2.4M | 3.5K | 2.6K |
| 2015 | $1.7K | $529.05 | 3.26x | $1.2K | $2.2M | 3.2K | 2.4K |
| 2016 | $2.0K | $609.38 | 3.29x | $1.4K | $2.5M | 3.4K | 2.5K |
| 2017 | $1.9K | $704.21 | 2.74x | $1.2K | $2.6M | 3.5K | 2.5K |
| 2018 | $2.3K | $794.10 | 2.86x | $1.5K | $2.5M | 3.3K | 2.3K |
| 2019 | $2.3K | $842.08 | 2.73x | $1.5K | $2.2M | 3.0K | 2.1K |
| 2020 | $2.5K | $898.56 | 2.77x | $1.6K | $1.4M | 1.7K | 1.2K |
| 2021 | $2.6K | $1.1K | 2.41x | $1.5K | $1.7M | 2.0K | 1.4K |
| 2022 | $2.9K | $1.1K | 2.75x | $1.9K | $1.8M | 2.1K | 1.4K |
| 2023 | $2.9K | $936.65 | 3.11x | $2.0K | $1.8M | 2.0K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 19.4K | $16.4M | $842.68 | 3.13x |
| 66982 | Removal of cataract with insertion of lens | 2.7K | $2.3M | $835.90 | 3.78x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.6K | $552.2K | $211.74 | 4.71x |
| 66174 | Dilation to improve eye fluid flow | 216 | $320.9K | $1.5K | 3.17x |
| 65820 | Incision to improve eye fluid flow | 172 | $247.0K | $1.4K | 2.40x |
| 0191T | Internal insertion of eye fluid drainage device | 101 | $218.0K | $2.2K | 1.47x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 46 | $125.4K | $2.7K | 2.55x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 240 | $124.6K | $519.21 | 3.82x |
| 66183 | Insertion of eye fluid drainage device | 51 | $115.1K | $2.3K | 1.43x |
| 66710 | Destruction of lens tissue using laser | 195 | $106.3K | $545.01 | 2.94x |
| 66170 | Creation of eye fluid drainage tract | 143 | $94.4K | $660.19 | 3.26x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 687 | $93.1K | $135.45 | 7.34x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 30 | $62.6K | $2.1K | 2.59x |
| 67904 | Repair of tendon of upper eyelid | 113 | $61.6K | $545.29 | 3.21x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 398 | $57.9K | $145.55 | 6.83x |
| 66172 | Creation of eye fluid drainage tract | 69 | $55.6K | $805.32 | 2.66x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 127 | $54.1K | $426.00 | 4.84x |
| 67917 | Extensive repair of turning-outward eyelid defect | 90 | $54.1K | $600.99 | 2.93x |
| 67924 | Repair of turning-inward eyelid defect | 83 | $54.0K | $651.03 | 2.67x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 23 | $51.7K | $2.2K | 2.00x |
This provider submits charges 3.23 times higher than what Medicare actually pays.
A markup ratio of 3.23x means for every $100 Medicare pays, this provider initially charges $323. 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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