This provider's $5.8M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 20.1x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 71% from 2014 to 2023.
63% 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 78% in 2017
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 | $6.7K | $636.73 | 10.47x | $6.0K | $433.3K | 641 | 485 |
| 2015 | $8.0K | $722.76 | 11.13x | $7.3K | $425.1K | 592 | 433 |
| 2016 | $8.0K | $561.92 | 14.20x | $7.4K | $329.7K | 495 | 357 |
| 2017 | $8.3K | $682.45 | 12.23x | $7.7K | $587.1K | 830 | 618 |
| 2018 | $8.4K | $743.08 | 11.37x | $7.7K | $757.8K | 1.1K | 817 |
| 2019 | $8.0K | $619.44 | 12.94x | $7.4K | $697.6K | 1.1K | 874 |
| 2020 | $9.5K | $680.96 | 14.00x | $8.9K | $546.2K | 803 | 617 |
| 2021 | $9.8K | $606.21 | 16.19x | $9.2K | $642.7K | 979 | 771 |
| 2022 | $11.6K | $723.08 | 16.02x | $10.9K | $686.5K | 999 | 790 |
| 2023 | $14.4K | $829.19 | 17.32x | $13.5K | $741.4K | 988 | 767 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 4.9K | $3.5M | $717.18 | 24.63x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 218 | $338.4K | $1.6K | 7.41x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 285 | $281.5K | $987.89 | 15.26x |
| 0191T | Internal insertion of eye fluid drainage device | 101 | $191.6K | $1.9K | 3.69x |
| 66982 | Removal of cataract with insertion of lens | 198 | $143.8K | $726.13 | 26.16x |
| 29848 | Release of wrist ligament using an endoscope | 232 | $137.9K | $594.30 | 14.72x |
| 26055 | Incision of tendon covering | 278 | $109.0K | $391.97 | 18.04x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 63 | $102.6K | $1.6K | 11.21x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 135 | $87.4K | $647.29 | 11.36x |
| 64721 | Release and/or relocation of median nerve of hand | 165 | $86.1K | $521.69 | 15.96x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 144 | $80.4K | $558.47 | 17.50x |
| 29881 | Removal of one knee cartilage using an endoscope | 80 | $71.3K | $890.82 | 15.06x |
| 49505 | Repair of groin hernia patient age 5 years or older | 64 | $61.0K | $953.13 | 14.50x |
| 28285 | Correction of toe joint deformity | 118 | $59.6K | $505.42 | 12.91x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 28 | $55.6K | $2.0K | 4.11x |
| 45380 | Biopsy of large bowel using an endoscope | 149 | $47.2K | $317.11 | 27.09x |
| 47563 | Removal of gallbladder with x-ray study of bile ducts using an endoscope | 27 | $47.0K | $1.7K | 14.52x |
| 65820 | Incision to improve eye fluid flow | 35 | $42.8K | $1.2K | 5.51x |
| 58558 | Biopsy and/or removal of polyp of the uterus using an endoscope | 45 | $40.6K | $902.44 | 16.47x |
| 66710 | Destruction of lens tissue using laser | 63 | $35.8K | $567.47 | 14.74x |
This provider submits charges 20.1 times higher than what Medicare actually pays.
A markup ratio of 20.1x means for every $100 Medicare pays, this provider initially charges $2010. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Dallas, TX | $76.6M | ✓ Clear |
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | ✓ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | ✓ 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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