This provider's $16.2M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
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.
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 | $1.9K | $510.00 | 3.80x | $1.4K | $1.9M | 3.9K | 2.6K |
| 2015 | $1.9K | $489.57 | 3.81x | $1.4K | $1.8M | 3.9K | 2.6K |
| 2016 | $1.8K | $522.68 | 3.44x | $1.3K | $2.0M | 4.4K | 2.9K |
| 2017 | $1.9K | $525.12 | 3.67x | $1.4K | $1.9M | 4.1K | 2.7K |
| 2018 | $1.7K | $372.00 | 4.55x | $1.3K | $1.8M | 3.9K | 2.5K |
| 2019 | $2.1K | $483.04 | 4.27x | $1.6K | $1.5M | 3.5K | 2.3K |
| 2020 | $1.9K | $574.25 | 3.25x | $1.3K | $1.3M | 2.9K | 1.9K |
| 2021 | $1.8K | $537.30 | 3.40x | $1.3K | $1.4M | 3.0K | 2.0K |
| 2022 | $1.6K | $336.38 | 4.70x | $1.2K | $1.3M | 2.9K | 1.9K |
| 2023 | $1.7K | $412.67 | 4.10x | $1.3K | $1.4M | 3.0K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 15.9K | $11.6M | $726.57 | 3.97x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 13.7K | $2.4M | $178.70 | 6.60x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.3K | $604.5K | $450.10 | 2.44x |
| 66982 | Removal of cataract with insertion of lens | 726 | $527.0K | $725.87 | 4.30x |
| 0191T | Internal insertion of eye fluid drainage device | 120 | $211.6K | $1.8K | 1.52x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 1.3K | $141.9K | $106.64 | 20.63x |
| 67917 | Extensive repair of turning-outward eyelid defect | 308 | $133.8K | $434.45 | 5.06x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 319 | $120.7K | $378.40 | 1.78x |
| 67904 | Repair of tendon of upper eyelid | 238 | $112.0K | $470.58 | 3.31x |
| 15733 | Creation of flap graft to head and/or neck | 50 | $53.9K | $1.1K | 1.84x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 615 | $47.9K | $77.84 | 3.23x |
| 66180 | Creation of shunt to improve eye fluid flow | 32 | $40.2K | $1.3K | 1.99x |
| 15732 | Muscle flap wound repair at head and neck | 57 | $32.8K | $574.61 | 3.48x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 294 | $31.3K | $106.49 | 2.36x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 236 | $30.1K | $127.40 | 7.06x |
| 37609 | Tying or biopsy of temporal artery (side of skull) | 42 | $19.9K | $474.93 | 4.42x |
| 66170 | Creation of eye fluid drainage tract | 30 | $16.9K | $562.84 | 2.67x |
| 67255 | Repair of defect of sclera with graft | 33 | $11.7K | $354.80 | 2.70x |
| 66825 | Repositioning of lens prosthesis | 12 | $8.5K | $711.85 | 3.09x |
| 67924 | Repair of turning-inward eyelid defect | 13 | $7.5K | $573.39 | 3.84x |
This provider submits charges 4.41 times higher than what Medicare actually pays.
A markup ratio of 4.41x means for every $100 Medicare pays, this provider initially charges $441. 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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