This provider's $19.5M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
62% 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 | $1.7K | $418.52 | 4.03x | $1.3K | $1.5M | 3.3K | 2.1K |
| 2015 | $1.5K | $478.32 | 3.21x | $1.1K | $1.5M | 3.4K | 2.1K |
| 2016 | $1.7K | $526.04 | 3.16x | $1.1K | $1.7M | 3.7K | 2.3K |
| 2017 | $1.9K | $602.24 | 3.12x | $1.3K | $2.4M | 5.5K | 3.3K |
| 2018 | $1.7K | $560.27 | 3.11x | $1.2K | $2.1M | 4.8K | 2.9K |
| 2019 | $1.7K | $687.02 | 2.47x | $1.0K | $2.5M | 6.3K | 3.8K |
| 2020 | $1.7K | $607.11 | 2.75x | $1.1K | $1.7M | 4.7K | 2.9K |
| 2021 | $2.1K | $665.61 | 3.09x | $1.4K | $2.0M | 5.4K | 3.2K |
| 2022 | $2.0K | $692.93 | 2.95x | $1.4K | $2.0M | 5.2K | 3.0K |
| 2023 | $1.9K | $660.43 | 2.81x | $1.2K | $2.0M | 5.2K | 3.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 18.2K | $11.9M | $657.48 | 3.46x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 9.6K | $1.6M | $168.93 | 7.75x |
| 0191T | Internal insertion of eye fluid drainage device | 748 | $1.2M | $1.7K | 1.58x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 3.3K | $1.2M | $365.43 | 1.37x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 7.0K | $553.6K | $79.50 | 1.58x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 243 | $535.4K | $2.2K | 2.27x |
| 66982 | Removal of cataract with insertion of lens | 763 | $493.7K | $647.03 | 3.65x |
| 66174 | Dilation to improve eye fluid flow | 204 | $259.9K | $1.3K | 1.57x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 579 | $239.9K | $414.38 | 2.73x |
| 67904 | Repair of tendon of upper eyelid | 555 | $236.8K | $426.64 | 7.74x |
| 66170 | Creation of eye fluid drainage tract | 321 | $200.3K | $624.01 | 3.65x |
| 67028 | Injection of drug into eye | 4.4K | $147.7K | $33.44 | 2.99x |
| 66183 | Insertion of eye fluid drainage device | 81 | $146.9K | $1.8K | 1.38x |
| 65820 | Incision to improve eye fluid flow | 158 | $129.7K | $820.65 | 3.05x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 91 | $113.3K | $1.2K | 1.58x |
| 66710 | Destruction of lens tissue using laser | 153 | $85.1K | $556.29 | 3.15x |
| 67966 | Removal of over one-fourth of the eyelid involving lid margin | 145 | $72.5K | $500.26 | 2.02x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 666 | $64.8K | $97.34 | 13.46x |
| 67917 | Extensive repair of turning-outward eyelid defect | 141 | $64.2K | $455.10 | 2.20x |
| 67924 | Repair of turning-inward eyelid defect | 90 | $46.0K | $511.46 | 5.62x |
This provider submits charges 3.5 times higher than what Medicare actually pays.
A markup ratio of 3.5x means for every $100 Medicare pays, this provider initially charges $350. 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 MS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Hattiesburg Clinic Pa | Hattiesburg, MS | $40.0M | ✓ Clear |
| Madison Physician Surgery Center, Llc | Flowood, MS | $38.0M | ✓ 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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