This provider's $14.2M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.33x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 277% 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 | $8.9K | $723.89 | 12.31x | $8.2K | $651.5K | 960 | 674 |
| 2015 | $9.2K | $854.47 | 10.76x | $8.3K | $775.2K | 1.0K | 731 |
| 2016 | $9.6K | $798.15 | 12.09x | $8.9K | $864.2K | 1.1K | 786 |
| 2017 | $8.6K | $806.89 | 10.71x | $7.8K | $936.8K | 1.4K | 969 |
| 2018 | $9.0K | $871.02 | 10.30x | $8.1K | $1.0M | 1.4K | 944 |
| 2019 | $8.3K | $758.98 | 10.99x | $7.6K | $1.5M | 2.4K | 1.6K |
| 2020 | $11.8K | $1.3K | 9.11x | $10.5K | $1.6M | 2.2K | 1.4K |
| 2021 | $10.7K | $1.2K | 8.89x | $9.5K | $2.1M | 2.7K | 1.9K |
| 2022 | $11.8K | $1.3K | 8.83x | $10.5K | $2.2M | 2.5K | 1.7K |
| 2023 | $13.1K | $1.5K | 8.47x | $11.6K | $2.5M | 2.3K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 8.5K | $6.3M | $739.95 | 10.41x |
| 0191T | Internal insertion of eye fluid drainage device | 582 | $1.1M | $1.9K | 15.61x |
| 66982 | Removal of cataract with insertion of lens | 1.1K | $780.2K | $725.74 | 13.76x |
| 27447 | Repair of knee joint | 110 | $755.2K | $6.9K | 7.72x |
| 66174 | Dilation to improve eye fluid flow | 668 | $633.0K | $947.64 | 10.18x |
| 67042 | Removal of membrane from the retina, pars plana approach | 451 | $622.8K | $1.4K | 9.27x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 416 | $568.8K | $1.4K | 7.91x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 185 | $464.4K | $2.5K | 12.75x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 1.1K | $390.7K | $363.80 | 1.65x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 271 | $375.2K | $1.4K | 8.31x |
| 66183 | Insertion of eye fluid drainage device | 151 | $322.0K | $2.1K | 7.67x |
| 67904 | Repair of tendon of upper eyelid | 676 | $298.2K | $441.17 | 12.63x |
| 66986 | Exchange of lens prosthesis | 360 | $254.2K | $706.14 | 10.60x |
| V2785 | Processing, preserving and transporting corneal tissue | 49 | $167.1K | $3.4K | 1.35x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 121 | $159.9K | $1.3K | 8.71x |
| 58552 | Vaginal removal of uterus (250 grams or less), tubes, and/or ovaries using an endoscope | 48 | $126.7K | $2.6K | 5.69x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 238 | $105.9K | $445.09 | 16.01x |
| 67917 | Extensive repair of turning-outward eyelid defect | 182 | $80.1K | $440.38 | 12.65x |
| 66989 | Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 29 | $73.0K | $2.5K | 12.72x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 841 | $71.7K | $85.25 | 1.76x |
This provider submits charges 10.33 times higher than what Medicare actually pays.
A markup ratio of 10.33x means for every $100 Medicare pays, this provider initially charges $1033. 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 UT for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Zion Eye Institute, Inc | St George, UT | $48.0M | ✓ 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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