This provider's $21.5M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
66% 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 | $2.0K | $672.74 | 2.91x | $1.3K | $1.7M | 2.6K | 1.9K |
| 2015 | $1.8K | $611.54 | 2.90x | $1.2K | $1.6M | 2.6K | 2.0K |
| 2016 | $1.7K | $616.24 | 2.76x | $1.1K | $2.1M | 3.5K | 2.6K |
| 2017 | $1.8K | $704.21 | 2.53x | $1.1K | $2.6M | 4.1K | 3.1K |
| 2018 | $2.2K | $946.43 | 2.35x | $1.3K | $2.6M | 3.7K | 2.8K |
| 2019 | $2.3K | $983.16 | 2.35x | $1.3K | $2.3M | 3.3K | 2.4K |
| 2020 | $2.4K | $994.69 | 2.37x | $1.4K | $1.7M | 3.0K | 2.2K |
| 2021 | $2.5K | $1.2K | 2.11x | $1.3K | $2.4M | 3.9K | 2.9K |
| 2022 | $3.2K | $1.3K | 2.55x | $1.9K | $2.4M | 3.7K | 2.7K |
| 2023 | $4.2K | $1.1K | 3.64x | $3.0K | $2.1M | 3.4K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 19.7K | $13.9M | $705.37 | 3.44x |
| 0191T | Internal insertion of eye fluid drainage device | 969 | $1.6M | $1.7K | 1.82x |
| V2785 | Processing, preserving and transporting corneal tissue | 369 | $1.1M | $2.9K | 1.68x |
| 66982 | Removal of cataract with insertion of lens | 1.2K | $845.5K | $711.09 | 3.53x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 4.1K | $658.0K | $161.16 | 6.84x |
| 66174 | Dilation to improve eye fluid flow | 546 | $561.3K | $1.0K | 3.37x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 189 | $438.0K | $2.3K | 3.26x |
| 66183 | Insertion of eye fluid drainage device, external approach | 180 | $362.1K | $2.0K | 2.36x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 2.8K | $300.4K | $105.86 | 2.82x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 743 | $274.5K | $369.40 | 1.62x |
| 65756 | Transplant of outer layer of corneal tissue | 184 | $241.3K | $1.3K | 2.47x |
| 65755 | Transplantation of tissue from one cornea to other cornea | 128 | $168.8K | $1.3K | 2.28x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 274 | $117.0K | $427.04 | 3.92x |
| 65820 | Incision to improve eye fluid flow | 133 | $93.9K | $706.30 | 4.67x |
| 67903 | Shortening or advancement of upper eyelid muscle to correct drooping or paralysis | 158 | $92.3K | $584.32 | 2.50x |
| 66989 | Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 36 | $83.3K | $2.3K | 3.06x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 38 | $73.5K | $1.9K | 2.64x |
| 66710 | Destruction of lens tissue using laser | 105 | $60.4K | $575.25 | 2.09x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 406 | $59.4K | $146.35 | 6.47x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 510 | $54.6K | $107.12 | 7.25x |
This provider submits charges 3.27 times higher than what Medicare actually pays.
A markup ratio of 3.27x means for every $100 Medicare pays, this provider initially charges $327. 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 TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Digestivecare, Llc | Germantown, TN | $36.0M | ✓ Clear |
| Knoxville Eye Surgery Center Llc | Knoxville, TN | $33.5M | ✓ 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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