This provider's $11.0M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 62% from 2014 to 2023.
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 | $1.6K | $454.29 | 3.48x | $1.1K | $803.3K | 1.5K | 1.1K |
| 2015 | $1.7K | $454.65 | 3.67x | $1.2K | $828.6K | 1.5K | 1.1K |
| 2016 | $1.7K | $460.90 | 3.79x | $1.3K | $738.1K | 1.3K | 903 |
| 2017 | $1.6K | $405.91 | 3.96x | $1.2K | $883.9K | 1.6K | 1.1K |
| 2018 | $2.1K | $628.01 | 3.36x | $1.5K | $1.1M | 1.9K | 1.4K |
| 2019 | $2.0K | $574.04 | 3.41x | $1.4K | $1.4M | 2.9K | 2.0K |
| 2020 | $2.5K | $948.28 | 2.68x | $1.6K | $1.1M | 2.6K | 1.8K |
| 2021 | $2.4K | $824.84 | 2.86x | $1.5K | $1.5M | 3.6K | 2.3K |
| 2022 | $2.2K | $494.04 | 4.36x | $1.7K | $1.3M | 3.1K | 2.1K |
| 2023 | $2.5K | $792.48 | 3.16x | $1.7K | $1.3M | 3.0K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 11.4K | $7.9M | $696.19 | 3.43x |
| 66982 | Removal of cataract with insertion of lens | 889 | $604.0K | $679.41 | 3.42x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 3.1K | $474.3K | $154.03 | 4.11x |
| 65820 | Incision to improve eye fluid flow | 303 | $421.1K | $1.4K | 2.93x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4.9K | $393.0K | $79.55 | 2.59x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 873 | $308.8K | $353.78 | 2.33x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 563 | $238.0K | $422.77 | 6.01x |
| 0191T | Internal insertion of eye fluid drainage device | 87 | $160.3K | $1.8K | 2.47x |
| V2785 | Processing, preserving and transporting corneal tissue | 39 | $145.0K | $3.7K | 1.51x |
| 66174 | Dilation to improve eye fluid flow | 116 | $143.0K | $1.2K | 3.26x |
| 67900 | Repair of brow paralysis | 199 | $80.2K | $402.97 | 5.71x |
| 65756 | Transplant of outer layer of corneal tissue | 26 | $35.7K | $1.4K | 2.96x |
| 67917 | Extensive repair of turning-outward eyelid defect | 67 | $31.3K | $466.83 | 4.76x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 372 | $29.0K | $77.86 | 8.26x |
| 67924 | Repair of turning-inward eyelid defect | 51 | $26.0K | $509.96 | 3.91x |
| 67904 | Repair of tendon of upper eyelid | 34 | $14.9K | $439.31 | 4.12x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 13 | $1.8K | $138.91 | 4.00x |
This provider submits charges 3.43 times higher than what Medicare actually pays.
A markup ratio of 3.43x means for every $100 Medicare pays, this provider initially charges $343. This is higher than the national average.
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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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