This provider's $21.7M in total Medicare payments ranks in the 98th 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 | $3.0K | $712.93 | 4.18x | $2.3K | $1.7M | 2.7K | 2.1K |
| 2015 | $3.3K | $778.36 | 4.18x | $2.5K | $1.8M | 2.8K | 2.2K |
| 2016 | $3.3K | $688.86 | 4.73x | $2.6K | $2.0M | 3.2K | 2.5K |
| 2017 | $3.1K | $685.60 | 4.45x | $2.4K | $2.3M | 3.6K | 2.8K |
| 2018 | $3.0K | $645.75 | 4.67x | $2.4K | $2.6M | 3.9K | 3.0K |
| 2019 | $3.0K | $646.99 | 4.65x | $2.4K | $2.6M | 4.4K | 3.3K |
| 2020 | $3.1K | $711.45 | 4.37x | $2.4K | $2.0M | 3.5K | 2.6K |
| 2021 | $3.1K | $735.86 | 4.20x | $2.4K | $2.1M | 4.0K | 3.0K |
| 2022 | $3.2K | $748.80 | 4.22x | $2.4K | $2.3M | 4.1K | 3.0K |
| 2023 | $3.2K | $798.48 | 4.05x | $2.4K | $2.3M | 4.2K | 3.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 13.0K | $9.4M | $724.65 | 3.87x |
| 67042 | Removal of membrane from the retina, pars plana approach | 2.0K | $2.7M | $1.3K | 3.73x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 1.2K | $1.5M | $1.3K | 3.85x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 1.0K | $1.4M | $1.3K | 3.73x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 5.0K | $884.4K | $176.42 | 3.98x |
| 0191T | Internal insertion of eye fluid drainage device | 472 | $872.2K | $1.8K | 3.69x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 588 | $785.5K | $1.3K | 4.10x |
| 66982 | Removal of cataract with insertion of lens | 1.1K | $762.3K | $708.41 | 3.97x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 1.9K | $705.0K | $363.39 | 3.77x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 359 | $480.9K | $1.3K | 3.72x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4.4K | $360.2K | $81.37 | 4.07x |
| 65820 | Incision to improve eye fluid flow | 227 | $309.9K | $1.4K | 3.73x |
| 67121 | Removal of implant material from inside the eye | 322 | $167.8K | $521.27 | 6.03x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 1.5K | $161.2K | $107.38 | 3.88x |
| 66820 | Removal of recurring cataract in lens capsule | 403 | $150.3K | $372.89 | 7.31x |
| 66985 | Insertion of lens prosthesis | 284 | $113.8K | $400.74 | 7.00x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 47 | $113.2K | $2.4K | 3.04x |
| 66174 | Dilation to improve eye fluid flow | 78 | $95.8K | $1.2K | 4.15x |
| 67904 | Repair of tendon of upper eyelid | 185 | $92.3K | $498.74 | 4.68x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 828 | $87.8K | $106.01 | 4.21x |
This provider submits charges 3.94 times higher than what Medicare actually pays.
A markup ratio of 3.94x means for every $100 Medicare pays, this provider initially charges $394. 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 |
|---|---|---|---|
| Cei Physicians Psc Llc | Blue Ash, OH | $43.6M | ✓ Clear |
| 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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