This provider's $19.9M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 52% from 2014 to 2023.
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 | $2.1K | $770.30 | 2.73x | $1.3K | $1.6M | 1.8K | 1.4K |
| 2015 | $2.0K | $680.66 | 3.00x | $1.4K | $1.6M | 2.0K | 1.5K |
| 2016 | $2.0K | $651.14 | 3.11x | $1.4K | $1.6M | 1.9K | 1.5K |
| 2017 | $2.2K | $800.01 | 2.75x | $1.4K | $1.6M | 1.8K | 1.4K |
| 2018 | $2.3K | $998.03 | 2.32x | $1.3K | $2.1M | 2.3K | 1.8K |
| 2019 | $2.3K | $911.28 | 2.49x | $1.4K | $2.4M | 2.6K | 2.1K |
| 2020 | $2.5K | $1.3K | 1.92x | $1.2K | $1.7M | 1.8K | 1.4K |
| 2021 | $2.4K | $1.2K | 1.96x | $1.2K | $2.5M | 2.5K | 2.0K |
| 2022 | $2.7K | $1.5K | 1.80x | $1.2K | $2.4M | 2.3K | 1.8K |
| 2023 | $3.0K | $1.7K | 1.77x | $1.3K | $2.4M | 2.3K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 12.8K | $11.1M | $870.22 | 2.41x |
| 66982 | Removal of cataract with insertion of lens | 5.7K | $4.9M | $863.66 | 2.43x |
| 65820 | Incision to improve eye fluid flow | 955 | $1.6M | $1.7K | 1.47x |
| 0191T | Internal insertion of eye fluid drainage device | 512 | $1.1M | $2.1K | 1.48x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 406 | $659.1K | $1.6K | 1.54x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 45 | $134.6K | $3.0K | 1.67x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 46 | $75.4K | $1.6K | 1.53x |
| 66174 | Dilation to improve eye fluid flow | 74 | $62.7K | $847.57 | 2.36x |
| 66989 | Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 17 | $50.8K | $3.0K | 1.67x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 213 | $46.1K | $216.57 | 9.24x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 274 | $45.3K | $165.17 | 12.11x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 71 | $37.9K | $534.51 | 3.74x |
| 66170 | Creation of eye fluid drainage tract | 41 | $30.8K | $750.69 | 2.93x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 13 | $26.4K | $2.0K | 1.27x |
| 65875 | Removal of scar tissue in eye | 58 | $26.1K | $450.82 | 4.44x |
| 67917 | Extensive repair of turning-outward eyelid defect | 26 | $16.0K | $614.56 | 2.44x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 79 | $14.5K | $183.58 | 10.89x |
| 66986 | Exchange of lens prosthesis | 17 | $10.5K | $615.93 | 3.25x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 64 | $9.5K | $148.99 | 10.51x |
This provider submits charges 2.3 times higher than what Medicare actually pays.
A markup ratio of 2.3x means for every $100 Medicare pays, this provider initially charges $230. 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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