This provider's $16.2M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 73% from 2014 to 2023.
72% 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.
Notable: Payments increased 58% 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 | $2.8K | $1.1K | 2.68x | $1.8K | $1.4M | 1.6K | 1.2K |
| 2015 | $3.1K | $1.1K | 2.71x | $1.9K | $1.4M | 1.7K | 1.3K |
| 2016 | $2.9K | $1.1K | 2.74x | $1.8K | $1.2M | 1.5K | 1.2K |
| 2017 | $3.3K | $1.2K | 2.68x | $2.1K | $1.5M | 1.7K | 1.3K |
| 2018 | $3.4K | $1.2K | 2.91x | $2.3K | $1.7M | 2.0K | 1.4K |
| 2019 | $2.9K | $1.0K | 2.75x | $1.8K | $1.5M | 1.8K | 1.3K |
| 2020 | $3.3K | $1.4K | 2.36x | $1.9K | $1.2M | 1.4K | 992 |
| 2021 | $3.3K | $1.3K | 2.45x | $1.9K | $2.0M | 2.0K | 1.4K |
| 2022 | $3.3K | $1.5K | 2.16x | $1.8K | $2.0M | 1.9K | 1.4K |
| 2023 | $3.4K | $1.7K | 1.99x | $1.7K | $2.4M | 2.2K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 11.2K | $11.7M | $1.0K | 3.18x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 4.0K | $974.6K | $242.07 | 3.34x |
| V2785 | Processing, preserving and transporting corneal tissue | 242 | $855.4K | $3.5K | 1.27x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 196 | $686.0K | $3.5K | 1.90x |
| 66982 | Removal of cataract with insertion of lens | 449 | $462.7K | $1.0K | 3.21x |
| 65756 | Transplant of outer layer of corneal tissue | 234 | $445.1K | $1.9K | 2.84x |
| 0191T | Internal insertion of eye fluid drainage device | 145 | $396.7K | $2.7K | 2.02x |
| 65820 | Incision to improve eye fluid flow | 100 | $183.5K | $1.8K | 3.05x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 206 | $126.1K | $612.14 | 4.57x |
| 67903 | Shortening or advancement of upper eyelid muscle to correct drooping or paralysis | 124 | $80.6K | $649.83 | 3.98x |
| 65426 | Removal or relocation of corneal conjunctiva | 84 | $74.8K | $890.09 | 3.20x |
| 67010 | Partial removal of eye fluid between the lens and retina | 49 | $48.6K | $991.38 | 3.19x |
| 67966 | Removal of over one-fourth of the eyelid involving lid margin | 54 | $42.1K | $780.09 | 3.25x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 103 | $37.3K | $362.40 | 1.28x |
| 66710 | Destruction of lens tissue using laser | 44 | $36.7K | $833.60 | 3.38x |
| 66825 | Repositioning of lens prosthesis | 38 | $34.8K | $915.40 | 3.53x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 378 | $29.7K | $78.54 | 5.81x |
| 67914 | Suture repair of a turning-outward defect of upper or lower eyelid | 11 | $7.9K | $722.42 | 3.74x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 37 | $6.3K | $169.79 | 2.73x |
| J7315 | Mitomycin, ophthalmic, 0.2 mg | 11 | $3.3K | $296.09 | 1.43x |
This provider submits charges 3.02 times higher than what Medicare actually pays.
A markup ratio of 3.02x means for every $100 Medicare pays, this provider initially charges $302. 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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