This provider's $4.6M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 63% from 2014 to 2023.
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 | $1.4K | $455.79 | 3.11x | $961.35 | $331.1K | 679 | 648 |
| 2015 | $1.5K | $473.05 | 3.07x | $977.90 | $358.6K | 741 | 718 |
| 2016 | $1.4K | $502.43 | 2.83x | $919.92 | $421.6K | 852 | 812 |
| 2017 | $1.5K | $501.42 | 2.94x | $975.23 | $430.2K | 845 | 803 |
| 2018 | $1.5K | $526.70 | 2.78x | $935.59 | $528.6K | 1.0K | 950 |
| 2019 | $1.3K | $478.26 | 2.75x | $838.20 | $553.9K | 1.1K | 1.0K |
| 2020 | $1.6K | $622.67 | 2.54x | $956.23 | $474.7K | 833 | 791 |
| 2021 | $1.5K | $643.99 | 2.39x | $895.23 | $492.2K | 872 | 823 |
| 2022 | $1.4K | $622.23 | 2.21x | $752.15 | $511.9K | 879 | 844 |
| 2023 | $1.3K | $546.96 | 2.42x | $776.04 | $538.9K | 969 | 921 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 15823 | Removal of excessive skin and fat of upper eyelid | 2.1K | $1.1M | $505.46 | 2.47x |
| 67904 | Repair of tendon of upper eyelid | 970 | $523.0K | $539.20 | 2.41x |
| 68320 | Repair of conjunctiva | 872 | $517.8K | $593.82 | 2.59x |
| 67961 | Removal of up to one-fourth of the eyelid involving lid margin | 986 | $392.0K | $397.59 | 3.39x |
| 68815 | Probing of nasal-tear duct with insertion of tube or stent | 734 | $349.0K | $475.41 | 2.29x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 482 | $272.7K | $565.69 | 3.04x |
| 68720 | Creation of drainage tract from tear sac to the nasal cavity | 241 | $261.7K | $1.1K | 1.69x |
| 67400 | Exploration of cavity behind eye, frontal or transconjunctival approach | 175 | $167.2K | $955.44 | 1.99x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 302 | $165.9K | $549.44 | 3.10x |
| 67900 | Repair of brow paralysis | 264 | $133.4K | $505.35 | 2.55x |
| 15740 | Creation of skin and tissue graft | 240 | $127.4K | $531.02 | 3.58x |
| 15733 | Creation of flap graft to head and/or neck | 98 | $120.7K | $1.2K | 2.69x |
| 67917 | Extensive repair of turning-outward eyelid defect | 196 | $101.2K | $516.54 | 2.41x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 144 | $79.2K | $550.21 | 3.98x |
| 67903 | Shortening or advancement of upper eyelid muscle to correct drooping or paralysis | 139 | $75.8K | $545.00 | 2.20x |
| 31239 | Incision of tear duct using an endoscope | 73 | $75.5K | $1.0K | 1.61x |
| 15732 | Muscle flap wound repair at head and neck | 73 | $50.4K | $690.17 | 4.81x |
| 67950 | Enlargement of eyelid margin | 98 | $45.6K | $465.23 | 2.68x |
| 67875 | Temporary closure of eyelids by suture | 208 | $37.7K | $181.07 | 2.75x |
| 68700 | Plastic repair of tear ducts | 99 | $37.6K | $379.34 | 3.30x |
This provider submits charges 2.63 times higher than what Medicare actually pays.
A markup ratio of 2.63x means for every $100 Medicare pays, this provider initially charges $263. 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 WA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Olympia Orthopaedic Associates Pllc | Olympia, WA | $38.7M | ✓ 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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