This provider's $11.3M in total Medicare payments ranks in the 97th 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.
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 | $2.6K | $738.51 | 3.55x | $1.9K | $1.2M | 1.5K | 1.3K |
| 2015 | $2.7K | $751.08 | 3.61x | $2.0K | $1.3M | 1.5K | 1.3K |
| 2016 | $2.5K | $641.61 | 3.95x | $1.9K | $1.2M | 1.5K | 1.3K |
| 2017 | $2.5K | $693.01 | 3.66x | $1.8K | $1.3M | 1.4K | 1.2K |
| 2018 | $2.6K | $737.70 | 3.47x | $1.8K | $1.3M | 1.5K | 1.3K |
| 2019 | $2.6K | $802.32 | 3.25x | $1.8K | $1.2M | 1.4K | 1.2K |
| 2020 | $2.8K | $1.0K | 2.71x | $1.8K | $955.4K | 965 | 820 |
| 2021 | $2.9K | $1.2K | 2.56x | $1.8K | $936.8K | 840 | 720 |
| 2022 | $3.0K | $1.1K | 2.64x | $1.8K | $976.5K | 938 | 779 |
| 2023 | $3.0K | $1.1K | 2.64x | $1.9K | $1.0M | 896 | 744 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 67042 | Removal of membrane from the retina, pars plana approach | 1.6K | $2.1M | $1.3K | 2.42x |
| 66984 | Removal of cataract with insertion of lens | 3.0K | $2.1M | $714.67 | 4.33x |
| V2785 | Processing, preserving and transporting corneal tissue | 358 | $1.2M | $3.3K | 1.38x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 807 | $1.1M | $1.3K | 2.39x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 483 | $582.6K | $1.2K | 2.58x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 410 | $527.7K | $1.3K | 2.45x |
| 66180 | Creation of shunt to improve eye fluid flow | 268 | $427.5K | $1.6K | 2.17x |
| 65756 | Transplant of outer layer of corneal tissue | 320 | $419.1K | $1.3K | 2.39x |
| 66982 | Removal of cataract with insertion of lens | 422 | $296.4K | $702.41 | 4.41x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 186 | $234.3K | $1.3K | 2.47x |
| 67121 | Removal of implant material from inside the eye | 271 | $211.1K | $778.97 | 3.98x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 378 | $161.9K | $428.23 | 5.47x |
| 66710 | Destruction of lens tissue using laser | 275 | $152.1K | $553.04 | 5.36x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 74 | $147.3K | $2.0K | 1.58x |
| 67917 | Extensive repair of turning-outward eyelid defect | 325 | $140.9K | $433.39 | 5.90x |
| 67904 | Repair of tendon of upper eyelid | 295 | $137.6K | $466.49 | 5.48x |
| 66183 | Insertion of eye fluid drainage device | 88 | $134.3K | $1.5K | 2.90x |
| 67039 | Laser destruction of eye fluid (vitreous) between the lens and retina | 95 | $120.8K | $1.3K | 2.44x |
| 67041 | Removal of membrane from the retina | 68 | $91.7K | $1.3K | 2.34x |
| 68815 | Probing of nasal-tear duct with insertion of tube or stent | 219 | $85.6K | $390.65 | 5.07x |
This provider submits charges 3.16 times higher than what Medicare actually pays.
A markup ratio of 3.16x means for every $100 Medicare pays, this provider initially charges $316. 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 TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Digestivecare, Llc | Germantown, TN | $36.0M | ✓ Clear |
| Knoxville Eye Surgery Center Llc | Knoxville, TN | $33.5M | ✓ 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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