This provider's $12.4M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 10074% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 6360% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $1.8K | $1.4K | 1.28x | $380.57 | $23.5K | 17 | 17 |
| 2018 | $1.6K | $1.2K | 1.37x | $440.14 | $1.5M | 1.4K | 1.2K |
| 2019 | $1.6K | $1.2K | 1.35x | $400.80 | $1.4M | 1.7K | 1.3K |
| 2020 | $1.6K | $1.2K | 1.31x | $373.87 | $2.3M | 2.7K | 2.1K |
| 2021 | $1.5K | $1.1K | 1.33x | $370.32 | $2.5M | 3.0K | 2.2K |
| 2022 | $1.6K | $1.2K | 1.35x | $419.56 | $2.2M | 2.5K | 2.0K |
| 2023 | $1.6K | $1.2K | 1.37x | $439.77 | $2.4M | 2.6K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 6.8K | $5.2M | $766.22 | 1.36x |
| 66174 | Dilation to improve eye fluid flow | 526 | $729.3K | $1.4K | 1.34x |
| 67042 | Removal of membrane from the retina, pars plana approach | 457 | $657.5K | $1.4K | 1.29x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 445 | $639.2K | $1.4K | 1.31x |
| V2785 | Processing, preserving and transporting corneal tissue | 167 | $561.9K | $3.4K | 1.29x |
| 67041 | Removal of membrane from the retina | 384 | $551.8K | $1.4K | 1.29x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 366 | $529.7K | $1.4K | 1.30x |
| 66982 | Removal of cataract with insertion of lens | 606 | $464.6K | $766.59 | 1.36x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 276 | $391.9K | $1.4K | 1.33x |
| 66183 | Insertion of eye fluid drainage device | 170 | $345.5K | $2.0K | 1.29x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.6K | $302.6K | $193.83 | 1.37x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 193 | $278.1K | $1.4K | 1.28x |
| 0191T | Internal insertion of eye fluid drainage device | 113 | $243.8K | $2.2K | 1.27x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 75 | $189.9K | $2.5K | 1.28x |
| 66710 | Destruction of lens tissue using laser | 274 | $178.3K | $650.70 | 1.31x |
| 65756 | Transplant of outer layer of corneal tissue | 117 | $170.9K | $1.5K | 1.29x |
| 67039 | Laser destruction of eye fluid (vitreous) between the lens and retina | 116 | $166.9K | $1.4K | 1.30x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 79 | $157.7K | $2.0K | 1.27x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 255 | $131.0K | $513.63 | 1.69x |
| 66179 | Creation of shunt to improve eye fluid flow | 57 | $78.7K | $1.4K | 1.31x |
This provider submits charges 1.35 times higher than what Medicare actually pays.
A markup ratio of 1.35x means for every $100 Medicare pays, this provider initially charges $135. This is lower 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 AZ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Scottsdale Eye Surgery Center, P.C | Scottsdale, AZ | $44.2M | ✓ 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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