This provider's $22.4M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.22x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 88% from 2014 to 2023.
60% 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 | $3.5K | $644.97 | 5.43x | $2.9K | $1.5M | 2.3K | 1.6K |
| 2015 | $3.4K | $665.21 | 5.18x | $2.8K | $1.7M | 2.5K | 1.8K |
| 2016 | $3.4K | $656.21 | 5.17x | $2.7K | $1.9M | 2.8K | 1.9K |
| 2017 | $3.7K | $727.01 | 5.12x | $3.0K | $2.2M | 3.0K | 2.0K |
| 2018 | $3.7K | $809.68 | 4.54x | $2.9K | $2.3M | 2.9K | 2.0K |
| 2019 | $3.6K | $780.88 | 4.65x | $2.9K | $2.3M | 3.0K | 2.1K |
| 2020 | $5.1K | $1.6K | 3.16x | $3.5K | $2.8M | 2.8K | 1.8K |
| 2021 | $3.9K | $1.0K | 3.84x | $2.9K | $2.5M | 2.7K | 1.8K |
| 2022 | $4.6K | $1.3K | 3.59x | $3.3K | $2.6M | 2.7K | 1.7K |
| 2023 | $5.0K | $1.4K | 3.45x | $3.5K | $2.7M | 2.6K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 17.2K | $12.1M | $702.86 | 8.27x |
| 0191T | Internal insertion of eye fluid drainage device | 746 | $1.4M | $1.9K | 1.80x |
| 27447 | Repair of knee joint | 175 | $1.1M | $6.6K | 2.29x |
| V2785 | Processing, preserving and transporting corneal tissue | 264 | $861.9K | $3.3K | 1.30x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 330 | $681.9K | $2.1K | 1.69x |
| 66982 | Removal of cataract with insertion of lens | 742 | $537.5K | $724.44 | 8.03x |
| 66180 | Creation of shunt to improve eye fluid flow | 262 | $413.7K | $1.6K | 3.86x |
| 64721 | Release and/or relocation of median nerve of hand | 687 | $383.2K | $557.85 | 4.97x |
| 65756 | Transplant of outer layer of corneal tissue | 240 | $318.2K | $1.3K | 4.34x |
| 65820 | Incision to improve eye fluid flow | 185 | $255.3K | $1.4K | 2.58x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 37 | $248.0K | $6.7K | 2.24x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 14 | $242.1K | $17.3K | 1.33x |
| 67042 | Removal of membrane from the retina, pars plana approach | 182 | $236.6K | $1.3K | 4.39x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 100 | $232.8K | $2.3K | 2.98x |
| 19301 | Partial removal of breast | 322 | $215.6K | $669.69 | 4.73x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 60 | $200.5K | $3.3K | 2.93x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 139 | $182.5K | $1.3K | 4.35x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 132 | $177.5K | $1.3K | 4.25x |
| 52005 | Insertion of catheter into urinary duct (ureter) using an endoscope | 244 | $155.6K | $637.60 | 4.32x |
| 67041 | Removal of membrane from the retina | 124 | $152.8K | $1.2K | 4.63x |
This provider submits charges 6.22 times higher than what Medicare actually pays.
A markup ratio of 6.22x means for every $100 Medicare pays, this provider initially charges $622. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Dupage Eye Surgery Center, Llc | Wheaton, IL | $37.8M | ✓ 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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