This provider's $43.6M in total Medicare payments ranks in the 99th 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 | $1.2K | $420.41 | 2.90x | $799.03 | $4.4M | 10.3K | 39 |
| 2015 | $1.3K | $464.59 | 2.89x | $877.84 | $4.2M | 9.1K | 34 |
| 2016 | $1.4K | $489.97 | 2.93x | $944.14 | $4.7M | 9.5K | 37 |
| 2017 | $1.5K | $534.20 | 2.86x | $991.92 | $4.9M | 9.2K | 37 |
| 2018 | $1.5K | $539.99 | 2.82x | $982.30 | $4.6M | 8.6K | 33 |
| 2019 | $1.6K | $541.85 | 2.97x | $1.1K | $4.5M | 8.4K | 36 |
| 2020 | $2.2K | $684.48 | 3.15x | $1.5K | $3.9M | 5.7K | 32 |
| 2021 | $2.9K | $524.99 | 5.55x | $2.4K | $4.4M | 8.4K | 36 |
| 2022 | $3.9K | $684.02 | 5.68x | $3.2K | $3.9M | 5.7K | 33 |
| 2023 | $3.9K | $728.69 | 5.42x | $3.2K | $4.1M | 5.6K | 34 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 30.7K | $22.2M | $723.21 | 3.49x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 1.9K | $2.6M | $1.3K | 3.13x |
| V2785 | Processing, preserving and transporting corneal tissue | 807 | $2.4M | $2.9K | 1.28x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 2.7K | $1.9M | $718.93 | 3.43x |
| 0191T | Internal insertion of eye fluid drainage device | 1.0K | $1.8M | $1.7K | 2.37x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 6.9K | $1.2M | $177.97 | 8.35x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 915 | $1.2M | $1.3K | 3.39x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 2.2K | $1.0M | $457.08 | 6.00x |
| 67904 | Repair of tendon of upper eyelid | 1.7K | $823.7K | $472.55 | 4.40x |
| 65756 | Transplantation of outer layer of corneal tissue | 572 | $771.0K | $1.3K | 4.20x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 434 | $664.5K | $1.5K | 3.30x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 470 | $637.3K | $1.4K | 3.26x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 418 | $563.6K | $1.3K | 3.40x |
| 67900 | Repair of brow paralysis | 892 | $399.9K | $448.29 | 4.91x |
| 67917 | Extensive repair of turning-outward eyelid defect | 881 | $397.6K | $451.33 | 4.43x |
| 65820 | Incision to improve eye fluid flow | 275 | $380.5K | $1.4K | 3.94x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 127 | $302.8K | $2.4K | 5.45x |
| 67041 | Removal of membrane from the retina | 202 | $248.7K | $1.2K | 2.70x |
| 66170 | Creation of eye fluid drainage tract for treatment of glaucoma | 392 | $239.9K | $611.92 | 3.92x |
| 66761 | Creation of eye fluid drainage tracts in iris using a laser, per session | 1.6K | $229.4K | $139.54 | 6.29x |
This provider submits charges 3.67 times higher than what Medicare actually pays.
A markup ratio of 3.67x means for every $100 Medicare pays, this provider initially charges $367. 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 OH for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| The Urology Center Llc | Cincinnati, OH | $37.6M | ✓ Clear |
| Eye Center Of Columbus, Llc | Columbus, OH | $35.0M | ✓ 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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