This provider's $22.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.44x is significantly above the specialty median of 6.1x.
66% 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 | $5.0K | $802.14 | 6.27x | $4.2K | $2.2M | 3.1K | 2.3K |
| 2015 | $4.5K | $716.19 | 6.31x | $3.8K | $2.5M | 3.8K | 2.9K |
| 2016 | $4.7K | $684.04 | 6.80x | $4.0K | $2.5M | 4.1K | 3.0K |
| 2017 | $4.8K | $775.57 | 6.24x | $4.1K | $2.0M | 3.0K | 2.3K |
| 2018 | $7.2K | $841.81 | 8.50x | $6.3K | $2.0M | 2.9K | 2.1K |
| 2019 | $7.0K | $803.38 | 8.77x | $6.2K | $2.1M | 3.1K | 2.2K |
| 2020 | $6.6K | $841.64 | 7.89x | $5.8K | $1.9M | 2.7K | 1.9K |
| 2021 | $6.7K | $922.11 | 7.30x | $5.8K | $2.2M | 3.1K | 2.2K |
| 2022 | $6.9K | $1.1K | 6.20x | $5.8K | $2.5M | 3.3K | 2.3K |
| 2023 | $6.9K | $1.1K | 6.20x | $5.7K | $2.6M | 3.3K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 19.4K | $14.6M | $755.15 | 9.26x |
| V2785 | Processing, preserving and transporting corneal tissue | 567 | $1.5M | $2.6K | 3.39x |
| 0191T | Internal insertion of eye fluid drainage device | 511 | $963.2K | $1.9K | 7.41x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 4.9K | $947.2K | $193.35 | 9.14x |
| 65820 | Incision to improve eye fluid flow | 615 | $848.3K | $1.4K | 7.79x |
| 66982 | Removal of cataract with insertion of lens | 972 | $717.9K | $738.55 | 9.47x |
| 65756 | Transplant of outer layer of corneal tissue | 466 | $644.3K | $1.4K | 7.60x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 150 | $384.0K | $2.6K | 3.17x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 868 | $332.9K | $383.50 | 1.28x |
| 66710 | Destruction of lens tissue using laser | 430 | $275.0K | $639.44 | 7.97x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 1.5K | $171.0K | $116.71 | 11.52x |
| 68326 | Reconstruction of conjunctiva | 171 | $151.4K | $885.23 | 6.22x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 265 | $124.5K | $469.94 | 11.88x |
| 67904 | Repair of tendon of upper eyelid | 255 | $113.4K | $444.80 | 11.22x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 61 | $97.1K | $1.6K | 6.61x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 540 | $76.3K | $141.24 | 9.32x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 201 | $70.9K | $352.65 | 12.74x |
| 65755 | Transplantation of tissue from one cornea to other cornea | 50 | $67.3K | $1.3K | 6.18x |
| 66183 | Insertion of eye fluid drainage device | 43 | $58.4K | $1.4K | 5.66x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 229 | $25.1K | $109.48 | 2.49x |
This provider submits charges 8.44 times higher than what Medicare actually pays.
A markup ratio of 8.44x means for every $100 Medicare pays, this provider initially charges $844. 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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