This provider's $22.8M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 76% 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 | $1.8K | $780.45 | 2.35x | $1.1K | $1.5M | 2.2K | 1.6K |
| 2015 | $1.7K | $727.03 | 2.40x | $1.0K | $2.1M | 3.2K | 2.4K |
| 2016 | $1.7K | $687.11 | 2.53x | $1.1K | $2.2M | 3.2K | 2.4K |
| 2017 | $1.9K | $755.34 | 2.45x | $1.1K | $2.4M | 3.4K | 2.6K |
| 2018 | $1.9K | $777.60 | 2.45x | $1.1K | $2.6M | 3.7K | 2.7K |
| 2019 | $2.1K | $921.46 | 2.28x | $1.2K | $2.4M | 3.4K | 2.5K |
| 2020 | $2.2K | $946.58 | 2.27x | $1.2K | $2.1M | 2.8K | 2.1K |
| 2021 | $2.1K | $862.07 | 2.42x | $1.2K | $2.3M | 2.9K | 2.1K |
| 2022 | $2.2K | $922.88 | 2.34x | $1.2K | $2.4M | 3.1K | 2.3K |
| 2023 | $2.3K | $974.25 | 2.37x | $1.3K | $2.7M | 3.3K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 16.1K | $12.1M | $751.70 | 2.30x |
| 67042 | Removal of membrane from the retina, pars plana approach | 1.5K | $2.1M | $1.4K | 2.19x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 973 | $1.3M | $1.4K | 2.19x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 923 | $1.2M | $1.3K | 2.30x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 5.6K | $1.0M | $178.82 | 2.94x |
| 0191T | Internal insertion of eye fluid drainage device | 495 | $913.1K | $1.8K | 2.16x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 507 | $700.7K | $1.4K | 2.21x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 379 | $520.1K | $1.4K | 2.18x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 830 | $382.7K | $461.09 | 3.11x |
| 67039 | Laser destruction of eye fluid (vitreous) between the lens and retina | 225 | $312.1K | $1.4K | 2.20x |
| 66982 | Removal of cataract with insertion of lens | 393 | $294.4K | $749.00 | 2.31x |
| 65820 | Incision to improve eye fluid flow | 159 | $220.1K | $1.4K | 2.29x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 83 | $208.5K | $2.5K | 2.19x |
| 67917 | Extensive repair of turning-outward eyelid defect | 287 | $134.9K | $470.17 | 2.96x |
| 67904 | Repair of tendon of upper eyelid | 255 | $127.7K | $500.67 | 2.80x |
| V2785 | Processing, preserving and transporting corneal tissue | 47 | $125.2K | $2.7K | 1.28x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 59 | $108.4K | $1.8K | 2.15x |
| 67903 | Shortening or advancement of upper eyelid muscle to correct drooping or paralysis | 199 | $94.4K | $474.61 | 3.15x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 165 | $80.8K | $489.58 | 2.85x |
| 68720 | Creation of drainage tract from tear sac to the nasal cavity | 80 | $78.3K | $979.17 | 2.26x |
This provider submits charges 2.33 times higher than what Medicare actually pays.
A markup ratio of 2.33x means for every $100 Medicare pays, this provider initially charges $233. 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 CO for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Harmony Surgery Center, Llc | Fort Collins, CO | $37.3M | ✓ Clear |
| Surgery Center Of Northern Colorado | Fort Collins, CO | $35.8M | ✓ 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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