This provider's $4.9M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 159% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 134% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $2.9K | $989.38 | 2.90x | $1.9K | $601.0K | 715 | 418 |
| 2021 | $3.5K | $1.5K | 2.35x | $2.0K | $1.4M | 1.4K | 800 |
| 2022 | $3.3K | $1.6K | 2.08x | $1.7K | $1.4M | 1.4K | 845 |
| 2023 | $2.9K | $1.3K | 2.26x | $1.6K | $1.6M | 1.9K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 3.7K | $2.9M | $786.58 | 3.59x |
| V2785 | Processing, preserving and transporting corneal tissue | 181 | $714.7K | $3.9K | 1.29x |
| 0191T | Internal insertion of eye fluid drainage device | 177 | $382.1K | $2.2K | 2.06x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 137 | $336.5K | $2.5K | 1.50x |
| 65756 | Transplant of outer layer of corneal tissue | 178 | $257.7K | $1.4K | 3.32x |
| 66982 | Complex removal of cataract with insertion of lens | 192 | $146.2K | $761.68 | 3.70x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 379 | $63.8K | $168.26 | 4.04x |
| 66174 | Dilation to improve eye fluid flow | 32 | $37.3K | $1.2K | 3.34x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 370 | $28.5K | $76.97 | 2.26x |
| 66988 | Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye | 18 | $27.4K | $1.5K | 2.80x |
| 65820 | Incision to improve eye fluid flow | 13 | $19.2K | $1.5K | 2.20x |
| 65855 | Laser repair to improve eye fluid flow | 11 | $979.62 | $89.06 | 6.77x |
This provider submits charges 2.98 times higher than what Medicare actually pays.
A markup ratio of 2.98x means for every $100 Medicare pays, this provider initially charges $298. 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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