This provider's $19.4M in total Medicare payments ranks in the 98th 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 | $1.7K | $1.2K | 1.46x | $547.69 | $1.9M | 1.4K | 1.3K |
| 2015 | $1.9K | $1.1K | 1.74x | $827.89 | $2.3M | 1.7K | 1.5K |
| 2016 | $2.1K | $1.1K | 1.98x | $1.1K | $1.9M | 1.5K | 1.4K |
| 2017 | $2.1K | $1.1K | 1.90x | $1.0K | $2.3M | 1.6K | 1.4K |
| 2018 | $2.5K | $1.1K | 2.27x | $1.4K | $2.2M | 1.5K | 1.4K |
| 2019 | $2.6K | $1.2K | 2.23x | $1.4K | $2.2M | 1.5K | 1.3K |
| 2020 | $2.7K | $1.3K | 2.03x | $1.4K | $1.7M | 1.1K | 989 |
| 2021 | $3.2K | $1.5K | 2.17x | $1.7K | $1.7M | 963 | 896 |
| 2022 | $4.7K | $1.4K | 3.44x | $3.3K | $1.6M | 900 | 853 |
| 2023 | $5.2K | $1.6K | 3.20x | $3.6K | $1.6M | 800 | 754 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 2.0K | $3.8M | $1.9K | 2.04x |
| 67042 | Removal of membrane from the retina, pars plana approach | 1.9K | $3.6M | $1.8K | 1.94x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 1.7K | $3.0M | $1.8K | 2.11x |
| 67041 | Removal of membrane from the retina | 1.5K | $2.7M | $1.8K | 2.10x |
| 66984 | Removal of cataract with insertion of lens | 2.1K | $2.1M | $1.0K | 1.67x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 1.0K | $1.9M | $1.8K | 1.87x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 491 | $924.1K | $1.9K | 2.03x |
| 67039 | Laser destruction of eye fluid (vitreous) between the lens and retina | 128 | $234.5K | $1.8K | 1.73x |
| 67107 | Repair of detached retina and drainage of eye fluid between lens and retina | 106 | $198.2K | $1.9K | 1.88x |
| 66850 | Fragmenting, aspiration, and removal of lens material | 373 | $197.5K | $529.55 | 3.49x |
| 66982 | Removal of cataract with insertion of lens | 182 | $183.2K | $1.0K | 1.66x |
| 65920 | Removal of implanted lens in eye | 321 | $179.8K | $560.02 | 3.40x |
| 66986 | Exchange of lens prosthesis | 259 | $137.6K | $531.09 | 3.48x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 485 | $122.3K | $252.10 | 1.71x |
| 65930 | Removal of blood clot from eye | 159 | $87.1K | $547.69 | 3.57x |
| 66825 | Repositioning of lens prosthesis | 86 | $43.4K | $504.45 | 3.11x |
| 66985 | Insertion of lens prosthesis | 78 | $41.7K | $534.85 | 3.37x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 59 | $11.4K | $192.37 | 1.95x |
This provider submits charges 2.02 times higher than what Medicare actually pays.
A markup ratio of 2.02x means for every $100 Medicare pays, this provider initially charges $202. 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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