This provider's $10.2M in total Medicare payments ranks in the 97th 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.
Notable: Payments increased 95% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $2.5K | $752.49 | 3.28x | $1.7K | $931.1K | 1.2K | 959 |
| 2015 | $2.6K | $795.29 | 3.21x | $1.8K | $682.3K | 895 | 692 |
| 2016 | $2.6K | $688.40 | 3.84x | $2.0K | $773.0K | 1.0K | 789 |
| 2017 | $2.7K | $887.57 | 3.06x | $1.8K | $683.0K | 867 | 647 |
| 2018 | $2.7K | $871.33 | 3.11x | $1.8K | $636.4K | 809 | 621 |
| 2019 | $2.8K | $727.00 | 3.79x | $2.0K | $1.2M | 1.6K | 1.3K |
| 2020 | $3.0K | $935.45 | 3.20x | $2.1K | $1.3M | 1.6K | 1.2K |
| 2021 | $3.3K | $876.44 | 3.82x | $2.5K | $1.4M | 1.7K | 1.3K |
| 2022 | $3.5K | $858.87 | 4.07x | $2.6K | $1.2M | 1.5K | 1.1K |
| 2023 | $3.5K | $1.0K | 3.39x | $2.5K | $1.4M | 1.5K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 6.1K | $4.9M | $799.09 | 3.27x |
| V2785 | Processing, preserving and transporting corneal tissue | 454 | $1.5M | $3.2K | 1.27x |
| 0191T | Internal insertion of eye fluid drainage device | 437 | $902.0K | $2.1K | 2.53x |
| 66982 | Removal of cataract with insertion of lens | 1.1K | $869.3K | $801.96 | 3.29x |
| 65756 | Transplant of outer layer of corneal tissue | 375 | $559.3K | $1.5K | 3.37x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.8K | $325.6K | $178.01 | 8.98x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 118 | $315.6K | $2.7K | 3.24x |
| 67904 | Repair of tendon of upper eyelid | 241 | $122.9K | $509.94 | 5.69x |
| 66183 | Insertion of eye fluid drainage device | 58 | $100.8K | $1.7K | 2.72x |
| 66710 | Destruction of lens tissue using laser | 153 | $100.2K | $654.69 | 3.49x |
| 67917 | Extensive repair of turning-outward eyelid defect | 157 | $83.4K | $531.52 | 5.34x |
| 66170 | Creation of eye fluid drainage tract | 101 | $79.0K | $782.28 | 5.07x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 116 | $57.7K | $497.58 | 5.54x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 26 | $55.0K | $2.1K | 2.51x |
| 67900 | Repair of brow paralysis | 251 | $52.3K | $208.25 | 13.95x |
| 66625 | Removal of iris to improve eye fluid flow | 120 | $42.2K | $351.97 | 6.78x |
| 67875 | Temporary closure of eyelids by suture | 241 | $42.1K | $174.52 | 11.22x |
| 67010 | Partial removal of eye fluid between the lens and retina | 50 | $35.3K | $706.25 | 5.97x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 305 | $24.3K | $79.72 | 1.95x |
| 66986 | Exchange of lens prosthesis | 43 | $19.0K | $441.82 | 6.31x |
This provider submits charges 3.32 times higher than what Medicare actually pays.
A markup ratio of 3.32x means for every $100 Medicare pays, this provider initially charges $332. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data