This provider's $37.8M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.75x is significantly above the specialty median of 6.1x.
68% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of prosthetic 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 | $3.9K | $717.65 | 5.46x | $3.2K | $3.0M | 4.2K | 21 |
| 2015 | $4.1K | $738.06 | 5.61x | $3.4K | $3.3M | 4.4K | 18 |
| 2016 | $4.3K | $729.34 | 5.95x | $3.6K | $3.4M | 4.6K | 20 |
| 2017 | $4.3K | $715.50 | 6.06x | $3.6K | $3.6M | 5.1K | 19 |
| 2018 | $4.3K | $722.72 | 5.96x | $3.6K | $4.0M | 5.6K | 21 |
| 2019 | $4.3K | $735.67 | 5.85x | $3.6K | $4.3M | 5.8K | 23 |
| 2020 | $4.3K | $737.66 | 5.83x | $3.6K | $3.3M | 4.5K | 19 |
| 2021 | $4.3K | $770.93 | 5.56x | $3.5K | $4.1M | 5.3K | 21 |
| 2022 | $4.2K | $745.27 | 5.67x | $3.5K | $4.4M | 5.8K | 25 |
| 2023 | $4.3K | $765.51 | 5.59x | $3.5K | $4.5M | 5.9K | 24 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 31.8K | $25.0M | $785.63 | 5.52x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 4.8K | $3.8M | $786.30 | 5.50x |
| V2785 | Processing, preserving and transporting corneal tissue | 389 | $1.2M | $3.1K | 1.27x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 6.0K | $1.2M | $196.95 | 20.20x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 788 | $1.1M | $1.4K | 3.24x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 410 | $582.6K | $1.4K | 3.25x |
| 0191T | Internal insertion of eye fluid drainage device | 290 | $557.4K | $1.9K | 1.78x |
| 65820 | Incision to improve eye fluid flow | 331 | $506.5K | $1.5K | 2.62x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 272 | $494.2K | $1.8K | 2.20x |
| 65756 | Transplantation of outer layer of corneal tissue | 332 | $480.2K | $1.4K | 4.58x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 343 | $470.1K | $1.4K | 3.37x |
| 67041 | Removal of membrane of retina | 255 | $355.7K | $1.4K | 3.31x |
| 67040 | Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser | 230 | $315.7K | $1.4K | 3.33x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina, complex | 101 | $138.8K | $1.4K | 3.38x |
| 66183 | Insertion of eye fluid drainage device | 93 | $127.9K | $1.4K | 2.81x |
| 66761 | Creation of eye fluid drainage tracts in iris using a laser, per session | 811 | $117.7K | $145.08 | 27.12x |
| 66710 | Destruction of lens tissue using laser | 161 | $106.9K | $664.13 | 6.04x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 565 | $100.0K | $177.01 | 22.36x |
| 65855 | Laser repair to improve eye fluid flow | 934 | $97.7K | $104.56 | 38.47x |
| 66170 | Creation of eye fluid drainage tract for treatment of glaucoma | 135 | $96.4K | $714.03 | 5.16x |
This provider submits charges 5.75 times higher than what Medicare actually pays.
A markup ratio of 5.75x means for every $100 Medicare pays, this provider initially charges $575. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data