This provider's $7.2M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 323% from 2014 to 2023.
77% 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.
Notable: Payments increased 546% in 2017
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 | $1.3K | $539.87 | 2.32x | $710.13 | $267.3K | 413 | 269 |
| 2015 | $1.3K | $589.30 | 2.26x | $744.03 | $251.0K | 371 | 234 |
| 2016 | $1.3K | $592.37 | 2.25x | $740.96 | $124.2K | 181 | 114 |
| 2017 | $1.1K | $479.38 | 2.27x | $607.24 | $802.2K | 1.4K | 947 |
| 2018 | $1.2K | $475.84 | 2.52x | $724.16 | $837.5K | 1.4K | 913 |
| 2019 | $1.2K | $483.50 | 2.48x | $716.50 | $922.5K | 1.5K | 967 |
| 2020 | $1.5K | $647.79 | 2.28x | $829.59 | $719.0K | 1.2K | 760 |
| 2021 | $1.8K | $592.35 | 3.11x | $1.2K | $1.0M | 2.3K | 1.5K |
| 2022 | $2.1K | $629.36 | 3.41x | $1.5K | $1.1M | 2.7K | 1.7K |
| 2023 | $2.2K | $654.23 | 3.42x | $1.6K | $1.1M | 2.5K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 6.9K | $5.5M | $805.18 | 2.31x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.4K | $487.1K | $200.30 | 4.31x |
| 66982 | Removal of cataract with insertion of lens | 530 | $428.8K | $809.07 | 2.36x |
| 0191T | Internal insertion of eye fluid drainage device | 66 | $147.4K | $2.2K | 2.63x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 236 | $116.4K | $493.42 | 3.05x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 44 | $112.1K | $2.5K | 3.14x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 1.1K | $109.5K | $99.52 | 3.42x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 250 | $93.1K | $372.57 | 1.32x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 514 | $53.8K | $104.72 | 8.74x |
| 67904 | Repair of tendon of upper eyelid | 90 | $47.1K | $523.62 | 3.13x |
| 67917 | Extensive repair of turning-outward eyelid defect | 27 | $15.5K | $573.10 | 2.59x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 74 | $10.9K | $147.05 | 5.03x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 13 | $7.4K | $571.90 | 3.15x |
| J1095 | Injection, dexamethasone 9 percent, intraocular, 1 microgram | 1.7K | $1.3K | $0.77 | 2.94x |
This provider submits charges 2.54 times higher than what Medicare actually pays.
A markup ratio of 2.54x means for every $100 Medicare pays, this provider initially charges $254. 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 AZ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Scottsdale Eye Surgery Center, P.C | Scottsdale, AZ | $44.2M | ✓ 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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