This provider's $32.6M in total Medicare payments ranks in the 99th 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 | $1.6K | $669.26 | 2.33x | $889.20 | $3.0M | 4.5K | 30 |
| 2015 | $1.5K | $667.35 | 2.29x | $861.71 | $3.0M | 4.5K | 26 |
| 2016 | $1.5K | $687.40 | 2.23x | $848.83 | $3.2M | 4.6K | 30 |
| 2017 | $1.5K | $694.84 | 2.22x | $848.16 | $3.5M | 5.0K | 28 |
| 2018 | $1.6K | $714.33 | 2.20x | $854.25 | $3.7M | 5.2K | 30 |
| 2019 | $1.7K | $739.94 | 2.29x | $955.26 | $3.7M | 4.9K | 30 |
| 2020 | $1.7K | $757.70 | 2.21x | $918.34 | $3.1M | 4.1K | 27 |
| 2021 | $1.6K | $750.15 | 2.12x | $842.07 | $3.4M | 4.6K | 26 |
| 2022 | $1.7K | $780.14 | 2.16x | $907.98 | $3.0M | 3.9K | 22 |
| 2023 | $1.7K | $810.14 | 2.14x | $920.21 | $3.0M | 3.7K | 23 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 20.0K | $16.0M | $802.42 | 2.07x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 1.5K | $2.2M | $1.5K | 2.13x |
| 0191T | Internal insertion of eye fluid drainage device | 898 | $1.7M | $1.8K | 2.01x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 2.0K | $1.6M | $792.60 | 2.38x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 7.1K | $1.4M | $203.44 | 3.81x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 911 | $1.4M | $1.5K | 1.85x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 707 | $1.0M | $1.5K | 2.02x |
| V2785 | Processing, preserving and transporting corneal tissue | 295 | $866.9K | $2.9K | 1.56x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 443 | $763.4K | $1.7K | 1.68x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 382 | $568.4K | $1.5K | 2.24x |
| 67041 | Removal of membrane of retina | 403 | $562.0K | $1.4K | 2.29x |
| 66174 | Dilation of fluid outflow drainage within eye | 273 | $390.6K | $1.4K | 2.11x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 128 | $341.5K | $2.7K | 2.30x |
| 65756 | Transplantation of outer layer of corneal tissue | 216 | $325.4K | $1.5K | 2.32x |
| 66170 | Creation of eye fluid drainage tract for treatment of glaucoma | 367 | $281.2K | $766.19 | 1.93x |
| 66250 | Revision or repair of operative wound of eye | 414 | $269.8K | $651.73 | 1.71x |
| 65855 | Laser repair to improve eye fluid flow | 2.1K | $260.8K | $122.92 | 6.92x |
| 66710 | Destruction of lens tissue using laser | 389 | $259.1K | $665.94 | 1.66x |
| 67040 | Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser | 166 | $243.6K | $1.5K | 1.86x |
| 66183 | Insertion of eye fluid drainage device | 109 | $233.3K | $2.1K | 1.75x |
This provider submits charges 2.22 times higher than what Medicare actually pays.
A markup ratio of 2.22x means for every $100 Medicare pays, this provider initially charges $222. 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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