This provider's $20.8M in total Medicare payments ranks in the 98th 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.
Notable: Payments increased 63% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $3.1K | $1.0K | 3.00x | $2.1K | $2.3M | 2.7K | 2.0K |
| 2015 | $3.2K | $1.0K | 3.02x | $2.1K | $2.2M | 2.7K | 2.0K |
| 2016 | $3.2K | $989.43 | 3.18x | $2.2K | $2.2M | 2.6K | 1.9K |
| 2017 | $3.1K | $847.34 | 3.60x | $2.2K | $2.3M | 2.6K | 2.0K |
| 2018 | $3.4K | $1.1K | 3.01x | $2.3K | $2.2M | 2.5K | 1.9K |
| 2019 | $3.5K | $1.2K | 2.97x | $2.3K | $2.1M | 2.4K | 1.8K |
| 2020 | $3.8K | $1.1K | 3.27x | $2.6K | $1.3M | 1.4K | 1.0K |
| 2021 | $3.4K | $1.1K | 3.00x | $2.3K | $2.1M | 2.1K | 1.5K |
| 2022 | $3.7K | $1.2K | 3.08x | $2.5K | $2.2M | 2.3K | 1.6K |
| 2023 | $3.9K | $1.1K | 3.37x | $2.7K | $1.8M | 1.9K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 13.5K | $12.0M | $885.67 | 3.89x |
| 66982 | Removal of cataract with insertion of lens | 5.7K | $4.9M | $867.95 | 5.05x |
| 0191T | Internal insertion of eye fluid drainage device | 446 | $859.3K | $1.9K | 2.28x |
| 66174 | Dilation to improve eye fluid flow | 311 | $516.7K | $1.7K | 2.76x |
| 65820 | Incision to improve eye fluid flow | 381 | $433.8K | $1.1K | 3.57x |
| V2785 | Processing, preserving and transporting corneal tissue | 86 | $279.6K | $3.3K | 1.28x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 972 | $212.0K | $218.09 | 10.63x |
| 66850 | Fragmenting, aspiration, and removal of lens material | 238 | $206.2K | $866.48 | 4.11x |
| 66985 | Insertion of lens prosthesis | 239 | $205.7K | $860.57 | 3.43x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 120 | $170.6K | $1.4K | 3.09x |
| 66986 | Exchange of lens prosthesis | 200 | $150.4K | $752.10 | 3.94x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 336 | $147.5K | $438.94 | 3.76x |
| 66825 | Repositioning of lens prosthesis | 183 | $140.4K | $766.99 | 3.60x |
| 66989 | Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 37 | $110.7K | $3.0K | 1.59x |
| 65756 | Transplant of outer layer of corneal tissue | 58 | $91.7K | $1.6K | 2.78x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 20 | $59.8K | $3.0K | 1.76x |
| 66172 | Creation of eye fluid drainage tract | 72 | $59.0K | $819.88 | 2.68x |
| 65426 | Removal or relocation of corneal conjunctiva | 58 | $44.4K | $766.20 | 3.21x |
| 66987 | Complex removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 19 | $43.2K | $2.3K | 2.66x |
| 67010 | Partial removal of eye fluid between the lens and retina | 45 | $39.6K | $879.68 | 3.78x |
This provider submits charges 4.06 times higher than what Medicare actually pays.
A markup ratio of 4.06x means for every $100 Medicare pays, this provider initially charges $406. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Island Eye Surgicenter Llc | Westbury, NY | $69.9M | ✓ Clear |
| Long Island Ambulatory Surgery Center, Llc | Brentwood, NY | $41.6M | ✓ Clear |
| Syracuse Asc, Llc | Liverpool, NY | $38.3M | ✓ 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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