This provider's $21.2M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
69% 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.
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 | $1.1K | $533.49 | 2.00x | $531.64 | $1.9M | 3.7K | 2.7K |
| 2015 | $1.0K | $495.53 | 2.04x | $515.80 | $1.9M | 3.7K | 2.6K |
| 2016 | $1.3K | $672.07 | 1.87x | $583.88 | $2.3M | 4.2K | 2.9K |
| 2017 | $1.5K | $740.87 | 2.00x | $738.21 | $2.0M | 3.6K | 2.5K |
| 2018 | $1.8K | $857.16 | 2.04x | $895.57 | $2.2M | 3.7K | 2.5K |
| 2019 | $1.2K | $605.12 | 2.05x | $633.80 | $2.4M | 4.4K | 3.2K |
| 2020 | $1.3K | $596.21 | 2.21x | $722.21 | $2.1M | 3.6K | 2.6K |
| 2021 | $1.3K | $641.50 | 2.04x | $666.22 | $2.0M | 3.4K | 2.4K |
| 2022 | $1.5K | $797.84 | 1.86x | $683.99 | $2.0M | 3.3K | 2.4K |
| 2023 | $1.5K | $806.35 | 1.86x | $693.57 | $2.3M | 3.6K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 20.0K | $14.2M | $714.08 | 2.10x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 7.8K | $1.3M | $169.16 | 2.66x |
| 0191T | Internal insertion of eye fluid drainage device | 505 | $886.1K | $1.8K | 1.83x |
| 66982 | Removal of cataract with insertion of lens | 1.2K | $839.8K | $695.78 | 2.16x |
| V2785 | Processing, preserving and transporting corneal tissue | 237 | $753.6K | $3.2K | 1.64x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 921 | $404.8K | $439.55 | 2.37x |
| 65756 | Transplant of outer layer of corneal tissue | 222 | $289.6K | $1.3K | 1.76x |
| 65820 | Incision to improve eye fluid flow | 198 | $259.9K | $1.3K | 1.82x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 106 | $254.6K | $2.4K | 1.92x |
| 65780 | Transplantation of fetal sac tissue to cornea | 202 | $210.0K | $1.0K | 2.01x |
| 67904 | Repair of tendon of upper eyelid | 348 | $191.2K | $549.45 | 1.70x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 433 | $161.7K | $373.47 | 1.65x |
| 66180 | Creation of shunt to improve eye fluid flow | 101 | $130.2K | $1.3K | 1.81x |
| 0449T | Insertion of initial aqueous fluid drainage device into eye | 51 | $111.5K | $2.2K | 1.53x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 1.1K | $110.8K | $105.48 | 4.75x |
| 66710 | Destruction of lens tissue using laser | 165 | $94.5K | $572.88 | 1.75x |
| 67924 | Repair of turning-inward eyelid defect | 122 | $72.9K | $597.17 | 1.56x |
| 67900 | Repair of brow paralysis | 165 | $68.1K | $412.50 | 3.69x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 491 | $64.1K | $130.61 | 5.36x |
| 67917 | Extensive repair of turning-outward eyelid defect | 118 | $63.8K | $540.98 | 1.72x |
This provider submits charges 2.13 times higher than what Medicare actually pays.
A markup ratio of 2.13x means for every $100 Medicare pays, this provider initially charges $213. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laser & Surgical Services At Center For Sight Llc | Sarasota, FL | $47.1M | ✓ Clear |
| St Lukes Surgical Center Inc | Tarpon Springs, FL | $39.9M | ✓ Clear |
| West Florida Medical Center Clinic Pa | Pensacola, FL | $36.5M | ✓ Clear |
| Murdock Ambulatory Surgery Center Llc | Port Charlotte, FL | $36.2M | ✓ 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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