This provider's $15.6M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
79% 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 | $2.1K | $806.10 | 2.65x | $1.3K | $1.2M | 1.7K | 1.2K |
| 2015 | $1.9K | $551.68 | 3.41x | $1.3K | $1.3M | 1.8K | 1.3K |
| 2016 | $2.3K | $886.46 | 2.61x | $1.4K | $1.4M | 1.9K | 1.3K |
| 2017 | $2.5K | $1.1K | 2.34x | $1.4K | $1.6M | 2.0K | 1.4K |
| 2018 | $2.5K | $1.0K | 2.38x | $1.4K | $1.5M | 2.0K | 1.3K |
| 2019 | $2.4K | $995.63 | 2.43x | $1.4K | $1.8M | 2.2K | 1.5K |
| 2020 | $2.4K | $834.11 | 2.85x | $1.5K | $1.6M | 1.9K | 1.3K |
| 2021 | $2.4K | $858.77 | 2.77x | $1.5K | $1.6M | 1.9K | 1.3K |
| 2022 | $2.3K | $946.50 | 2.45x | $1.4K | $1.7M | 2.1K | 1.4K |
| 2023 | $2.8K | $1.2K | 2.39x | $1.7K | $1.8M | 1.9K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 15.9K | $12.2M | $770.44 | 3.49x |
| 0191T | Internal insertion of eye fluid drainage device | 419 | $837.1K | $2.0K | 1.31x |
| 66982 | Removal of cataract with insertion of lens | 959 | $736.8K | $768.30 | 3.50x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 189 | $416.7K | $2.2K | 1.28x |
| V2785 | Processing, preserving and transporting corneal tissue | 97 | $326.1K | $3.4K | 1.36x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 597 | $285.0K | $477.44 | 3.30x |
| 65756 | Transplant of outer layer of corneal tissue | 108 | $152.3K | $1.4K | 2.26x |
| 67917 | Extensive repair of turning-outward eyelid defect | 267 | $139.9K | $523.88 | 4.75x |
| 67924 | Repair of turning-inward eyelid defect | 152 | $85.0K | $559.12 | 4.39x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 359 | $67.9K | $189.14 | 3.70x |
| 67903 | Shortening or advancement of upper eyelid muscle to correct drooping or paralysis | 107 | $56.5K | $528.32 | 3.79x |
| 65820 | Incision to improve eye fluid flow | 36 | $52.8K | $1.5K | 1.36x |
| 67908 | Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis | 97 | $49.7K | $512.41 | 3.90x |
| 67904 | Repair of tendon of upper eyelid | 87 | $42.6K | $489.79 | 4.08x |
| 66170 | Creation of eye fluid drainage tract for treatment of glaucoma | 51 | $35.7K | $700.35 | 2.50x |
| 66710 | Destruction of lens tissue using laser | 36 | $24.2K | $670.91 | 2.25x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 12 | $24.0K | $2.0K | 1.50x |
| 67900 | Repair of brow paralysis | 12 | $4.4K | $365.77 | 5.47x |
| 68440 | Snip incision of tear-drainage opening at inner corner of the eye | 22 | $552.33 | $25.11 | 19.92x |
This provider submits charges 3.26 times higher than what Medicare actually pays.
A markup ratio of 3.26x means for every $100 Medicare pays, this provider initially charges $326. This is higher than the national average.
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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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