This provider's $33.8M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $3.5K | $652.70 | 5.42x | $2.9K | $3.5M | 5.4K | 24 |
| 2015 | $3.6K | $670.18 | 5.42x | $3.0K | $3.5M | 5.2K | 26 |
| 2016 | $3.5K | $641.73 | 5.46x | $2.9K | $3.3M | 5.2K | 26 |
| 2017 | $2.7K | $602.27 | 4.55x | $2.1K | $3.8M | 6.2K | 21 |
| 2018 | $3.4K | $656.21 | 5.11x | $2.7K | $3.6M | 5.5K | 24 |
| 2019 | $2.5K | $546.28 | 4.64x | $2.0K | $4.2M | 7.6K | 23 |
| 2020 | $4.0K | $766.28 | 5.19x | $3.2K | $2.7M | 3.5K | 22 |
| 2021 | $3.5K | $698.93 | 5.06x | $2.8K | $2.9M | 4.2K | 22 |
| 2022 | $1.6K | $363.84 | 4.38x | $1.2K | $3.2M | 8.9K | 21 |
| 2023 | $2.1K | $450.31 | 4.64x | $1.6K | $3.1M | 7.0K | 20 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 26.1K | $17.7M | $676.68 | 6.43x |
| 0191T | Internal insertion of eye fluid drainage device | 1.0K | $1.7M | $1.7K | 2.80x |
| V2785 | Processing, preserving and transporting corneal tissue | 525 | $1.7M | $3.2K | 1.30x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 3.8K | $1.6M | $413.66 | 5.65x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 4.0K | $1.5M | $365.80 | 1.37x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 10.7K | $836.5K | $78.05 | 1.92x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.2K | $792.0K | $680.42 | 6.45x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 343 | $784.9K | $2.3K | 2.65x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 623 | $777.4K | $1.2K | 3.15x |
| 67904 | Repair of tendon of upper eyelid | 1.5K | $666.5K | $434.20 | 4.22x |
| 65756 | Transplantation of outer layer of corneal tissue | 473 | $600.5K | $1.3K | 5.25x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 378 | $475.0K | $1.3K | 3.31x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 304 | $452.0K | $1.5K | 2.75x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 2.6K | $444.0K | $172.77 | 7.32x |
| 66183 | Insertion of eye fluid drainage device | 216 | $387.5K | $1.8K | 2.43x |
| 67040 | Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser | 281 | $352.2K | $1.3K | 3.04x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 284 | $342.5K | $1.2K | 3.19x |
| 67917 | Extensive repair of turning-outward eyelid defect | 670 | $312.3K | $466.08 | 3.67x |
| 65820 | Incision to improve eye fluid flow | 310 | $271.8K | $876.68 | 3.80x |
| 67041 | Removal of membrane from the retina | 232 | $257.5K | $1.1K | 4.12x |
This provider submits charges 4.98 times higher than what Medicare actually pays.
A markup ratio of 4.98x means for every $100 Medicare pays, this provider initially charges $498. 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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