This provider's $12.9M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 911% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 438% 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 | $3.0K | $554.92 | 5.35x | $2.4K | $236.5K | 629 | 436 |
| 2016 | $5.3K | $1.7K | 3.18x | $3.6K | $1.3M | 885 | 610 |
| 2017 | $5.1K | $1.7K | 2.97x | $3.4K | $1.8M | 904 | 691 |
| 2018 | $7.2K | $2.3K | 3.06x | $4.8K | $2.0M | 937 | 683 |
| 2019 | $7.3K | $2.5K | 2.97x | $4.9K | $1.2M | 734 | 534 |
| 2020 | $9.4K | $3.5K | 2.67x | $5.9K | $1.1M | 504 | 375 |
| 2021 | $15.1K | $3.8K | 4.03x | $11.4K | $1.2M | 656 | 479 |
| 2022 | $26.6K | $3.1K | 8.64x | $23.5K | $1.7M | 707 | 548 |
| 2023 | $30.5K | $4.6K | 6.67x | $26.0K | $2.4M | 782 | 585 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 367 | $6.2M | $16.9K | 2.44x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 590 | $2.0M | $3.3K | 4.14x |
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 86 | $947.2K | $11.0K | 5.66x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 93 | $811.1K | $8.7K | 3.44x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 78 | $789.7K | $10.1K | 8.13x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.1K | $650.1K | $577.88 | 6.02x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.4K | $332.4K | $230.06 | 15.54x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 521 | $307.6K | $590.49 | 5.99x |
| 0775T | Fusion of sacroiliac joint between spine and pelvis with bone graft, accessed through skin using imaging guidance | 19 | $201.3K | $10.6K | 8.67x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 641 | $146.8K | $228.99 | 12.36x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 13 | $92.9K | $7.1K | 12.37x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 377 | $84.4K | $223.93 | 15.41x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 336 | $74.3K | $221.15 | 12.21x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 19 | $71.4K | $3.8K | 10.44x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 354 | $68.9K | $194.66 | 13.55x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 225 | $48.4K | $215.08 | 16.01x |
| 62310 | Injections of substances into upper or middle spine | 143 | $36.2K | $253.09 | 13.83x |
| 62311 | Injections of substances into lower or sacral spine | 40 | $10.1K | $253.27 | 13.28x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 31 | $7.9K | $254.62 | 13.75x |
| 64520 | Injection of anesthetic agent, middle or lower spine sympathetic nerves | 26 | $6.1K | $233.56 | 11.94x |
This provider submits charges 4.6 times higher than what Medicare actually pays.
A markup ratio of 4.6x means for every $100 Medicare pays, this provider initially charges $460. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Dallas, TX | $76.6M | ✓ Clear |
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | ✓ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | ✓ 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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