This provider's $19.0M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
78% 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 | $2.1K | $889.09 | 2.35x | $1.2K | $1.7M | 2.8K | 1.8K |
| 2015 | $2.2K | $552.96 | 3.96x | $1.6K | $1.7M | 2.9K | 1.8K |
| 2016 | $2.4K | $889.54 | 2.64x | $1.5K | $1.9M | 2.9K | 1.9K |
| 2017 | $2.6K | $1.0K | 2.53x | $1.6K | $2.1M | 3.3K | 2.1K |
| 2018 | $2.3K | $654.61 | 3.57x | $1.7K | $2.1M | 3.2K | 2.0K |
| 2019 | $2.4K | $689.61 | 3.41x | $1.7K | $2.0M | 3.2K | 2.0K |
| 2020 | $2.4K | $700.28 | 3.36x | $1.7K | $1.8M | 2.8K | 1.7K |
| 2021 | $2.4K | $734.99 | 3.27x | $1.7K | $1.9M | 2.7K | 1.6K |
| 2022 | $3.0K | $795.05 | 3.82x | $2.2K | $2.0M | 2.7K | 1.7K |
| 2023 | $3.3K | $818.98 | 3.99x | $2.5K | $1.8M | 2.5K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 19.7K | $14.8M | $751.79 | 3.90x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 6.2K | $1.2M | $192.88 | 4.73x |
| 66982 | Removal of cataract with insertion of lens | 1.4K | $1.0M | $742.06 | 3.96x |
| 0191T | Internal insertion of eye fluid drainage device | 477 | $927.1K | $1.9K | 2.56x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 170 | $424.6K | $2.5K | 2.78x |
| V2785 | Processing, preserving and transporting corneal tissue | 70 | $210.0K | $3.0K | 1.28x |
| 65400 | Removal of growth of cornea | 286 | $93.9K | $328.31 | 5.03x |
| 65756 | Transplant of outer layer of corneal tissue | 61 | $80.9K | $1.3K | 2.20x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 555 | $79.2K | $142.78 | 3.83x |
| 65820 | Incision to improve eye fluid flow | 59 | $44.0K | $745.54 | 6.85x |
| 66174 | Dilation of fluid outflow drainage within eye | 44 | $39.9K | $907.81 | 6.12x |
| 65426 | Removal or relocation of corneal conjunctiva | 14 | $7.7K | $547.56 | 4.12x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 30 | $4.0K | $133.73 | 3.85x |
This provider submits charges 3.85 times higher than what Medicare actually pays.
A markup ratio of 3.85x means for every $100 Medicare pays, this provider initially charges $385. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Dallas, TX | $76.6M | ✓ Clear |
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | ✓ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | ✓ 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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