This provider's $16.6M 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 | $2.3K | $586.97 | 3.96x | $1.7K | $1.5M | 2.0K | 1.6K |
| 2015 | $2.7K | $696.13 | 3.92x | $2.0K | $1.5M | 2.1K | 1.6K |
| 2016 | $2.6K | $679.47 | 3.81x | $1.9K | $1.5M | 2.0K | 1.6K |
| 2017 | $2.8K | $931.82 | 2.98x | $1.8K | $1.5M | 1.8K | 1.4K |
| 2018 | $2.9K | $934.61 | 3.08x | $1.9K | $1.6M | 1.9K | 1.5K |
| 2019 | $3.0K | $1.0K | 2.90x | $2.0K | $1.8M | 2.1K | 1.7K |
| 2020 | $3.2K | $1.3K | 2.40x | $1.9K | $1.5M | 1.4K | 1.1K |
| 2021 | $3.2K | $1.5K | 2.15x | $1.7K | $2.0M | 1.7K | 1.3K |
| 2022 | $3.2K | $1.6K | 2.07x | $1.7K | $1.9M | 1.7K | 1.3K |
| 2023 | $3.2K | $1.3K | 2.51x | $1.9K | $1.7M | 1.6K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 9.1K | $7.9M | $869.24 | 3.68x |
| 66982 | Removal of cataract with insertion of lens | 3.8K | $3.3M | $848.90 | 3.77x |
| 65820 | Incision to improve eye fluid flow | 808 | $1.2M | $1.5K | 2.18x |
| 0191T | Internal insertion of eye fluid drainage device | 308 | $682.9K | $2.2K | 1.48x |
| 66172 | Creation of eye fluid drainage tract | 849 | $662.7K | $780.53 | 4.10x |
| 66988 | Removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 317 | $616.9K | $1.9K | 1.64x |
| 66174 | Dilation to improve eye fluid flow | 401 | $562.8K | $1.4K | 2.28x |
| 66180 | Creation of shunt to improve eye fluid flow | 202 | $396.9K | $2.0K | 1.63x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 892 | $390.6K | $437.84 | 7.31x |
| 66987 | Complex removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 172 | $331.7K | $1.9K | 1.66x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 469 | $74.4K | $158.72 | 6.93x |
| 66989 | Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 23 | $68.9K | $3.0K | 1.30x |
| 66986 | Exchange of lens prosthesis | 114 | $66.5K | $583.42 | 5.48x |
| 67010 | Partial removal of eye fluid between the lens and retina | 62 | $48.9K | $789.22 | 4.05x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 22 | $47.9K | $2.2K | 1.47x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 16 | $47.9K | $3.0K | 1.30x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 29 | $46.5K | $1.6K | 1.99x |
| 66825 | Repositioning of lens prosthesis | 60 | $44.9K | $748.24 | 4.28x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 182 | $38.7K | $212.39 | 10.36x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 238 | $34.7K | $145.72 | 7.55x |
This provider submits charges 3.42 times higher than what Medicare actually pays.
A markup ratio of 3.42x means for every $100 Medicare pays, this provider initially charges $342. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Island Eye Surgicenter Llc | Westbury, NY | $69.9M | ✓ Clear |
| Long Island Ambulatory Surgery Center, Llc | Brentwood, NY | $41.6M | ✓ Clear |
| Syracuse Asc, Llc | Liverpool, NY | $38.3M | ✓ 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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