This provider's $20.3M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.52x is significantly above the specialty median of 6.1x.
80% 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 | $3.2K | $760.95 | 4.17x | $2.4K | $2.1M | 3.3K | 2.5K |
| 2015 | $3.5K | $758.77 | 4.58x | $2.7K | $2.1M | 3.3K | 2.4K |
| 2016 | $3.2K | $702.85 | 4.50x | $2.5K | $2.1M | 3.2K | 2.3K |
| 2017 | $4.2K | $892.51 | 4.70x | $3.3K | $2.1M | 2.9K | 2.0K |
| 2018 | $3.8K | $829.57 | 4.58x | $3.0K | $2.2M | 2.9K | 2.0K |
| 2019 | $3.2K | $835.39 | 3.79x | $2.3K | $2.4M | 3.1K | 2.1K |
| 2020 | $3.3K | $943.45 | 3.52x | $2.4K | $1.8M | 2.2K | 1.5K |
| 2021 | $3.6K | $1.1K | 3.37x | $2.5K | $1.9M | 2.3K | 1.6K |
| 2022 | $3.9K | $935.44 | 4.21x | $3.0K | $1.5M | 1.8K | 1.3K |
| 2023 | $4.1K | $1.2K | 3.49x | $2.9K | $2.0M | 2.3K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 21.3K | $16.0M | $748.39 | 5.88x |
| V2785 | Processing, preserving and transporting corneal tissue | 295 | $977.5K | $3.3K | 1.33x |
| 66982 | Removal of cataract with insertion of lens | 1.0K | $772.6K | $740.72 | 7.14x |
| 65756 | Transplant of outer layer of corneal tissue | 317 | $435.2K | $1.4K | 4.08x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 784 | $337.1K | $429.96 | 4.13x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.4K | $245.2K | $179.91 | 5.32x |
| 31267 | Removal of nasal sinus tissue using an endoscope | 198 | $184.4K | $931.55 | 3.29x |
| 67904 | Repair of tendon of upper eyelid | 385 | $183.6K | $476.99 | 4.39x |
| 65820 | Incision to improve eye fluid flow | 103 | $149.0K | $1.4K | 3.28x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 57 | $142.6K | $2.5K | 4.07x |
| 30520 | Reshaping of nasal cartilage | 239 | $136.3K | $570.09 | 4.94x |
| 67917 | Extensive repair of turning-outward eyelid defect | 167 | $87.0K | $521.18 | 5.14x |
| 30140 | Removal of nasal air passage | 185 | $78.3K | $423.49 | 5.63x |
| 67900 | Repair of brow paralysis | 173 | $72.0K | $416.43 | 3.54x |
| 66180 | Creation of shunt to improve eye fluid flow | 48 | $68.9K | $1.4K | 4.68x |
| 31276 | Exploration of nasal sinus using an endoscope | 66 | $59.4K | $900.72 | 4.06x |
| 66174 | Dilation to improve eye fluid flow | 39 | $54.3K | $1.4K | 4.35x |
| 31255 | Removal of nasal sinus using an endoscope | 67 | $48.7K | $727.17 | 4.03x |
| 66183 | Insertion of eye fluid drainage device | 29 | $36.7K | $1.3K | 6.44x |
| 0191T | Internal insertion of eye fluid drainage device | 22 | $36.3K | $1.7K | 1.66x |
This provider submits charges 5.52 times higher than what Medicare actually pays.
A markup ratio of 5.52x means for every $100 Medicare pays, this provider initially charges $552. 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 NC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| The Eye Surgery Center Of The Carolinas Lp | Southern Pines, NC | $33.8M | ✓ 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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