This provider's $3.9M in total Medicare payments ranks in the 92th 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.
Notable: Payments increased 269% in 2016
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $7.8K | $725.74 | 10.74x | $7.1K | $183.9K | 273 | 254 |
| 2016 | $2.4K | $651.60 | 3.66x | $1.7K | $678.4K | 1.1K | 905 |
| 2017 | $1.7K | $1.2K | 1.45x | $525.78 | $617.5K | 700 | 611 |
| 2018 | $1.7K | $1.1K | 1.48x | $553.27 | $461.5K | 577 | 508 |
| 2019 | $2.4K | $1.8K | 1.33x | $584.88 | $708.2K | 595 | 487 |
| 2020 | $2.8K | $2.2K | 1.29x | $630.71 | $595.2K | 404 | 321 |
| 2021 | $2.8K | $2.2K | 1.29x | $641.88 | $371.7K | 318 | 261 |
| 2022 | $1.2K | $789.74 | 1.50x | $391.82 | $213.8K | 259 | 210 |
| 2023 | $6.9K | $760.10 | 9.05x | $6.1K | $115.7K | 157 | 133 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 2.5K | $1.6M | $646.12 | 4.55x |
| 36902 | Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation | 327 | $516.2K | $1.6K | 1.55x |
| 36906 | Excision of blood clot and/or infusion to dissolve blood clot and balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation | 54 | $386.3K | $7.2K | 1.27x |
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 89 | $379.0K | $4.3K | 1.27x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 161 | $230.7K | $1.4K | 1.41x |
| 66982 | Removal of cataract with insertion of lens | 265 | $170.7K | $644.17 | 6.70x |
| 0191T | Internal insertion of eye fluid drainage device | 123 | $167.7K | $1.4K | 2.68x |
| 66174 | Dilation to improve eye fluid flow | 126 | $132.0K | $1.0K | 1.43x |
| 65820 | Incision to improve eye fluid flow | 132 | $98.3K | $744.67 | 2.14x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 20 | $40.0K | $2.0K | 1.27x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 161 | $39.5K | $245.26 | 2.19x |
| 36581 | Replacement of central venous catheter | 36 | $34.9K | $968.37 | 1.39x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 28 | $24.6K | $880.25 | 1.34x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 60 | $23.0K | $383.27 | 8.17x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 126 | $20.6K | $163.31 | 3.63x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 13 | $15.9K | $1.2K | 1.28x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 11 | $13.2K | $1.2K | 1.30x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance, single level | 34 | $7.4K | $218.05 | 1.66x |
| 36589 | Removal of central venous catheter for infusion | 13 | $2.6K | $197.06 | 1.46x |
| 67028 | Injection of drug into eye | 27 | $909.09 | $33.67 | 1.28x |
This provider submits charges 3.07 times higher than what Medicare actually pays.
A markup ratio of 3.07x means for every $100 Medicare pays, this provider initially charges $307. 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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