This provider's $18.2M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 67% from 2014 to 2023.
79% 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 | $1.6K | $561.78 | 2.93x | $1.1K | $1.5M | 2.8K | 1.9K |
| 2015 | $2.2K | $599.68 | 3.70x | $1.6K | $1.5M | 2.8K | 1.8K |
| 2016 | $2.0K | $527.91 | 3.86x | $1.5K | $1.5M | 2.8K | 1.8K |
| 2017 | $2.1K | $554.28 | 3.78x | $1.5K | $1.8M | 3.1K | 2.1K |
| 2018 | $2.1K | $559.28 | 3.82x | $1.6K | $1.6M | 2.7K | 1.8K |
| 2019 | $2.5K | $734.01 | 3.42x | $1.8K | $1.9M | 3.2K | 2.1K |
| 2020 | $2.1K | $645.35 | 3.23x | $1.4K | $1.6M | 2.7K | 1.7K |
| 2021 | $2.1K | $680.73 | 3.12x | $1.4K | $2.0M | 3.3K | 2.2K |
| 2022 | $2.1K | $625.48 | 3.30x | $1.4K | $2.1M | 3.4K | 2.2K |
| 2023 | $2.3K | $648.50 | 3.52x | $1.6K | $2.5M | 4.1K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 20.1K | $14.2M | $710.17 | 3.46x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 6.2K | $1.1M | $169.34 | 4.58x |
| 0191T | Internal insertion of eye fluid drainage device | 390 | $692.6K | $1.8K | 2.53x |
| 66982 | Removal of cataract with insertion of lens | 611 | $423.6K | $693.33 | 3.61x |
| 67904 | Repair of tendon of upper eyelid | 897 | $404.1K | $450.53 | 4.88x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 163 | $384.3K | $2.4K | 2.82x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 581 | $254.7K | $438.44 | 4.52x |
| 65820 | Incision to improve eye fluid flow | 95 | $108.6K | $1.1K | 2.19x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 49 | $99.6K | $2.0K | 2.21x |
| 67917 | Extensive repair of turning-outward eyelid defect | 202 | $98.8K | $489.06 | 4.50x |
| 66174 | Dilation to improve eye fluid flow | 49 | $52.4K | $1.1K | 4.30x |
| 66170 | Creation of eye fluid drainage tract | 86 | $49.8K | $579.22 | 3.92x |
| 66710 | Destruction of lens tissue using laser | 86 | $46.6K | $541.50 | 3.83x |
| 66180 | Creation of shunt to improve eye fluid flow | 37 | $44.8K | $1.2K | 2.59x |
| 67924 | Repair of turning-inward eyelid defect | 68 | $36.9K | $543.21 | 4.05x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 263 | $34.2K | $129.98 | 5.22x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 59 | $27.7K | $469.89 | 3.85x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 345 | $26.8K | $77.59 | 11.71x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 70 | $26.6K | $379.60 | 2.50x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 273 | $26.3K | $96.35 | 5.20x |
This provider submits charges 3.54 times higher than what Medicare actually pays.
A markup ratio of 3.54x means for every $100 Medicare pays, this provider initially charges $354. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Dallas, TX | $76.6M | ✓ Clear |
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | ✓ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | ✓ 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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