This provider's $3.4M in total Medicare payments ranks in the 90th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 13.07x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 224% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 173% in 2022
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $17.6K | $1.4K | 12.58x | $16.2K | $491.5K | 604 | 494 |
| 2022 | $15.9K | $1.2K | 12.86x | $14.7K | $1.3M | 1.6K | 1.2K |
| 2023 | $16.0K | $1.1K | 13.98x | $14.9K | $1.6M | 1.7K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens, simple | 1.9K | $1.9M | $984.84 | 12.50x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 96 | $289.1K | $3.0K | 12.77x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 980 | $209.5K | $213.82 | 14.09x |
| 0449T | Insertion of initial aqueous fluid drainage device into eye | 66 | $180.9K | $2.7K | 12.85x |
| 67042 | Removal of membrane from the retina, pars plana approach with removal of internal limiting membrane of retina | 86 | $153.3K | $1.8K | 12.44x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 208 | $120.7K | $580.29 | 17.69x |
| 66982 | Removal of cataract with insertion of lens, complex | 113 | $110.9K | $981.63 | 12.54x |
| 67039 | Laser destruction of eye fluid (vitreous) between the lens and retina, focal | 51 | $91.4K | $1.8K | 12.37x |
| 67903 | Shortening or advancement of upper eyelid muscle to correct drooping or paralysis | 95 | $64.4K | $678.08 | 15.26x |
| 66174 | Dilation of fluid outflow drainage within eye | 45 | $52.6K | $1.2K | 18.97x |
| 0191T | Internal insertion of eye fluid drainage device | 16 | $42.8K | $2.7K | 12.50x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 17 | $30.5K | $1.8K | 12.35x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 16 | $28.8K | $1.8K | 12.34x |
| 67040 | Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser | 14 | $25.4K | $1.8K | 12.23x |
| 67904 | Repair of tendon of upper eyelid | 39 | $25.0K | $641.45 | 15.77x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 11 | $23.7K | $2.2K | 8.23x |
| 67950 | Reconstruction of eyelid margin | 28 | $19.0K | $678.98 | 15.24x |
| 64721 | Release and/or relocation of hand nerve | 23 | $17.4K | $757.98 | 13.15x |
| 67914 | Suture repair of turning-outward upper or lower eyelid defect | 26 | $10.8K | $416.15 | 24.86x |
| 67966 | Removal of over 1/4 of eyelid margin and repair of eyelid | 14 | $10.0K | $713.39 | 14.50x |
This provider submits charges 13.07 times higher than what Medicare actually pays.
A markup ratio of 13.07x means for every $100 Medicare pays, this provider initially charges $1307. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Specialty Surgical Center, Llc | Beverly Hills, CA | $49.2M | ✓ Clear |
| Santa Rosa Surgery Center L P | Santa Rosa, CA | $41.3M | ✓ Clear |
| Peninsula Eye Surgery Center Llc | Mountain View, CA | $37.0M | ✓ Clear |
| Fort Sutter Surgery Center A California Limited Partnership | Sacramento, CA | $33.6M | ✓ 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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