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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. North Pines Surgery Center, Llc
๐Ÿ”ช
Organization

North Pines Surgery Center, Llc

NPI: 1013392042
Conroe, TX
7 years of data
Ambulatory Surgical Center
$13.3M
Total Payments
3.4K
Beneficiaries
4.2K
Services
4.46x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$13.3M
Specialty median$657.1K

๐Ÿ“‹ Key Findings

1Billed $13.3M over 7 years
24.46x markup ratio (above median)
398th percentile in Ambulatory Surgical Center by payments
4Payments surged 65% in 2018
513 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $13.3M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.

Medicare payments to this provider grew 110% from 2017 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 65% in 2018

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2017$12.9K$3.1K4.11x$9.7K$1.1M342279
2018$11.4K$3.0K3.81x$8.4K$1.8M558424
2019$9.8K$2.6K3.83x$7.3K$1.8M574428
2020$10.7K$3.0K3.56x$7.7K$1.6M578458
2021$14.5K$3.7K3.92x$10.8K$2.3M656548
2022$15.6K$2.8K5.62x$12.8K$2.5M805675
2023$17.1K$3.3K5.14x$13.7K$2.3M682589

Top Procedures (20)

63685Insertion of spinal neurostimulator pulse generator or receiver
$6.6M
377 services$17.5K/svc1.73x markup
63650Implantation of spinal neurostimulator electrodes, accessed through the skin
$2.3M
655 services$3.5K/svc1.89x markup
27279Fusion sacroiliac joint through the skin or minimally invasive using image guidance
$1.1M
101 services$10.7K/svc1.87x markup
22869Insertion of stabilizing or separating device into lower spine at single level
$1.0M
122 services$8.5K/svc1.81x markup
0275TRemoval of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skinโš  23.1x markup
$609.7K
185 services$3.3K/svc23.09x markup
62362Implantation or replacement of programmable spinal canal drug infusion pump
$331.2K
31 services$10.7K/svc1.40x markup
C1826Generator, neurostimulator (implantable), includes closed feedback loop leads and all implantable components, with rechargeable battery and charging system
$223.2K
15 services$14.9K/svc2.02x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidanceโš  26.9x markup
$223.0K
384 services$580.62/svc26.94x markup
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidanceโš  24.2x markup
$188.0K
698 services$269.28/svc24.16x markup
64628Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones
$101.7K
14 services$7.3K/svc2.07x markup
64493Injections of lower or sacral spine facet joint using imaging guidanceโš  37.7x markup
$92.8K
381 services$243.50/svc37.70x markup
63688Removal or revision of neurostimulator pulse generator or receiverโš  13.2x markup
$82.0K
54 services$1.5K/svc13.24x markup
64633Destruction of upper or middle spinal facet joint nerves using imaging guidanceโš  28.9x markup
$64.9K
121 services$536.67/svc28.90x markup
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidanceโš  22.6x markup
$63.8K
268 services$238.00/svc22.65x markup
62321Injection of substance into spinal canal of upper or middle back using imaging guidanceโš  22.7x markup
$51.8K
218 services$237.39/svc22.71x markup
62350Implantation, revision, or repositioning of spinal canal medication catheterโš  7.8x markup
$48.3K
29 services$1.7K/svc7.78x markup
27307Incision of multiple tendons of thigh or hamstring muscleโš  25.1x markup
$39.2K
37 services$1.1K/svc25.15x markup
64490Injections of upper or middle spine facet joint using imaging guidanceโš  36.6x markup
$34.9K
139 services$251.03/svc36.63x markup
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrographyโš  27.2x markup
$33.5K
168 services$199.21/svc27.24x markup
22102Removal of rear piece of lower spine boneโš  7.9x markup
$24.0K
11 services$2.2K/svc7.89x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
63685Insertion of spinal neurostimulator pulse generator or receiver377$6.6M$17.5K1.73x
63650Implantation of spinal neurostimulator electrodes, accessed through the skin655$2.3M$3.5K1.89x
27279Fusion sacroiliac joint through the skin or minimally invasive using image guidance101$1.1M$10.7K1.87x
22869Insertion of stabilizing or separating device into lower spine at single level122$1.0M$8.5K1.81x
0275TRemoval of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin185$609.7K$3.3K23.09x
62362Implantation or replacement of programmable spinal canal drug infusion pump31$331.2K$10.7K1.40x
C1826Generator, neurostimulator (implantable), includes closed feedback loop leads and all implantable components, with rechargeable battery and charging system15$223.2K$14.9K2.02x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance384$223.0K$580.6226.94x
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance698$188.0K$269.2824.16x
64628Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones14$101.7K$7.3K2.07x
64493Injections of lower or sacral spine facet joint using imaging guidance381$92.8K$243.5037.70x
63688Removal or revision of neurostimulator pulse generator or receiver54$82.0K$1.5K13.24x
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance121$64.9K$536.6728.90x
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidance268$63.8K$238.0022.65x
62321Injection of substance into spinal canal of upper or middle back using imaging guidance218$51.8K$237.3922.71x
62350Implantation, revision, or repositioning of spinal canal medication catheter29$48.3K$1.7K7.78x
27307Incision of multiple tendons of thigh or hamstring muscle37$39.2K$1.1K25.15x
64490Injections of upper or middle spine facet joint using imaging guidance139$34.9K$251.0336.63x
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography168$33.5K$199.2127.24x
22102Removal of rear piece of lower spine bone11$24.0K$2.2K7.89x

Markup Analysis

Charge-to-Payment Ratio

4.46x

This provider submits charges 4.46 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.46x means for every $100 Medicare pays, this provider initially charges $446. This is higher than the national average.

Location

Conroe, TX

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulatory Surgical Center providers in TX for peer comparison.

North Pines Surgery Center, Llc (you)
$13.3M
Ophthalmology Surgery Center Of Dallas, Llc
$76.6M
Round Rock Surgery Center Llc
$56.6M
Amarillo Cataract And Eye Surgery
$33.3M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Ophthalmology Surgery Center Of Dallas, LlcDallas, TX$76.6Mโœ“ Clear
Round Rock Surgery Center LlcRound Rock, TX$56.6Mโœ“ Clear
Amarillo Cataract And Eye SurgeryAmarillo, TX$33.3Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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