This provider's $8.8M in total Medicare payments ranks in the 96th 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 | $3.2K | $755.15 | 4.23x | $2.4K | $764.8K | 1.2K | 989 |
| 2015 | $3.4K | $829.55 | 4.06x | $2.5K | $845.6K | 1.3K | 1.1K |
| 2016 | $3.5K | $827.10 | 4.27x | $2.7K | $799.8K | 1.3K | 1.0K |
| 2017 | $3.4K | $919.58 | 3.68x | $2.5K | $932.9K | 1.4K | 1.1K |
| 2018 | $3.7K | $1.0K | 3.62x | $2.6K | $1.0M | 1.5K | 1.1K |
| 2019 | $3.5K | $1.0K | 3.41x | $2.5K | $946.7K | 1.4K | 988 |
| 2020 | $3.7K | $1.1K | 3.35x | $2.6K | $806.3K | 1.2K | 844 |
| 2021 | $3.6K | $1.1K | 3.23x | $2.5K | $869.2K | 1.2K | 907 |
| 2022 | $3.7K | $1.1K | 3.38x | $2.6K | $813.1K | 1.0K | 759 |
| 2023 | $3.6K | $1.1K | 3.30x | $2.5K | $944.9K | 1.1K | 803 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 6.4K | $4.6M | $719.34 | 4.03x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 863 | $1.1M | $1.3K | 3.71x |
| 0191T | Internal insertion of eye fluid drainage device | 298 | $543.8K | $1.8K | 2.66x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.9K | $517.0K | $180.77 | 3.69x |
| 67042 | Removal of membrane from the retina, pars plana approach | 331 | $447.1K | $1.4K | 3.58x |
| 67041 | Removal of membrane from the retina | 377 | $443.2K | $1.2K | 4.08x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 100 | $244.7K | $2.4K | 3.22x |
| 66982 | Removal of cataract with insertion of lens | 284 | $205.8K | $724.65 | 4.01x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 125 | $186.3K | $1.5K | 3.41x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 82 | $109.1K | $1.3K | 3.62x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 75 | $98.1K | $1.3K | 3.68x |
| 66179 | Creation of shunt to improve eye fluid flow | 40 | $75.8K | $1.9K | 2.72x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 572 | $61.3K | $107.18 | 4.86x |
| 66170 | Creation of eye fluid drainage tract | 90 | $52.5K | $583.87 | 4.90x |
| 67904 | Repair of tendon of upper eyelid | 70 | $31.9K | $455.97 | 5.10x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 59 | $25.3K | $428.34 | 6.05x |
| 66250 | Revision or repair of operative wound of eye | 16 | $8.4K | $525.92 | 4.06x |
| 67917 | Extensive repair of turning-outward eyelid defect | 12 | $6.3K | $527.57 | 4.41x |
| 67255 | Repair of defect of sclera with graft | 12 | $4.2K | $352.27 | 7.73x |
This provider submits charges 3.83 times higher than what Medicare actually pays.
A markup ratio of 3.83x means for every $100 Medicare pays, this provider initially charges $383. 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 SC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Physicians Eye Surgery Center Llc | Charleston, SC | $45.3M | ✓ Clear |
| The Southeastern Spine Institute Ambulatory Surgery Center, Llc | Mt. Pleasant, SC | $33.4M | ✓ 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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