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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.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Abilene Spine & Joint Surgery Center Pa
๐Ÿ”ช
Organization

Abilene Spine & Joint Surgery Center Pa

NPI: 1245266790
Abilene, TX
10 years of data
Ambulatory Surgical Center
$15.4M
Total Payments
111
Beneficiaries
21.7K
Services
3.27x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$15.4M
Specialty median$657.1K

๐Ÿ“‹ Key Findings

1Billed $15.4M over 10 years
23.27x markup ratio (above median)
398th percentile in Ambulatory Surgical Center by payments
4Payments surged 189% in 2019
518 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $15.4M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.

Medicare payments to this provider grew 874% from 2014 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 189% in 2019

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
2014$962.01$260.823.69x$701.19$364.6K1.4K5
2015$974.21$255.383.81x$718.83$361.4K1.4K5
2016$970.35$260.083.73x$710.27$391.4K1.5K5
2017$965.30$259.683.72x$705.62$364.1K1.4K5
2018$1.1K$287.353.70x$774.95$391.1K1.4K7
2019$1.3K$398.143.29x$911.47$1.1M2.8K13
2020$2.0K$603.843.38x$1.4K$2.4M3.9K16
2021$3.7K$1.1K3.29x$2.6K$3.7M3.3K19
2022$3.5K$1.1K3.33x$2.5K$2.8M2.6K18
2023$5.2K$1.8K2.87x$3.4K$3.6M1.9K18

Top Procedures (20)

63685Insertion of spinal neurostimulator generator or receiverโš  3.1x markup
$3.3M
189 services$17.6K/svc3.11x markup
63650Insertion of spinal neurostimulator electrode array through skinโš  3.1x markup
$2.7M
797 services$3.3K/svc3.09x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet jointโš  3.0x markup
$1.8M
3.3K services$534.78/svc3.04x markup
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single levelโš  3.9x markup
$1.5M
6.2K services$239.67/svc3.94x markup
64493Injection of lower or sacral spine facet joint using imaging guidance, single levelโš  3.6x markup
$1.2M
4.7K services$252.43/svc3.60x markup
64628Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bonesโš  3.0x markup
$947.9K
135 services$7.0K/svc3.04x markup
27279Fusion of pelvic joint using imaging guidanceโš  3.0x markup
$930.1K
90 services$10.3K/svc3.01x markup
64555Insertion of peripheral nerve neurostimulator electrode through skin
$596.8K
159 services$3.8K/svc2.92x markup
64590Insertion of peripheral or gastric neurostimulator generatorโš  3.0x markup
$501.6K
37 services$13.6K/svc3.05x markup
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet jointโš  3.2x markup
$481.8K
843 services$571.48/svc3.20x markup
64490Injection of upper or middle spine facet joint using imaging guidance, single levelโš  3.5x markup
$443.4K
1.7K services$267.60/svc3.50x markup
22612Fusion of spine in lower back
$254.1K
22 services$11.5K/svc1.79x markup
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrographyโš  3.3x markup
$181.7K
801 services$226.81/svc3.25x markup
22869Insertion of stabilizing or separating device into lower spine at single levelโš  3.2x markup
$116.9K
13 services$9.0K/svc3.19x markup
64625Destruction of nerves supplying joint between spine and pelvis using imaging guidanceโš  3.2x markup
$111.7K
194 services$575.87/svc3.20x markup
62321Injection of substance into middle or upper spine canal using imaging guidanceโš  3.4x markup
$93.6K
426 services$219.74/svc3.35x markup
64451Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidanceโš  3.8x markup
$75.2K
388 services$193.70/svc3.78x markup
0275TRemoval of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skinโš  3.3x markup
$40.4K
14 services$2.9K/svc3.28x markup
62323Injection of substance into lower spine canal using imaging guidanceโš  3.6x markup
$38.8K
183 services$212.01/svc3.63x markup
64640Destruction of peripheral nerve or branchโš  14.6x markup
$32.2K
385 services$83.59/svc14.62x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
63685Insertion of spinal neurostimulator generator or receiver189$3.3M$17.6K3.11x
63650Insertion of spinal neurostimulator electrode array through skin797$2.7M$3.3K3.09x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint3.3K$1.8M$534.783.04x
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level6.2K$1.5M$239.673.94x
64493Injection of lower or sacral spine facet joint using imaging guidance, single level4.7K$1.2M$252.433.60x
64628Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones135$947.9K$7.0K3.04x
27279Fusion of pelvic joint using imaging guidance90$930.1K$10.3K3.01x
64555Insertion of peripheral nerve neurostimulator electrode through skin159$596.8K$3.8K2.92x
64590Insertion of peripheral or gastric neurostimulator generator37$501.6K$13.6K3.05x
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint843$481.8K$571.483.20x
64490Injection of upper or middle spine facet joint using imaging guidance, single level1.7K$443.4K$267.603.50x
22612Fusion of spine in lower back22$254.1K$11.5K1.79x
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography801$181.7K$226.813.25x
22869Insertion of stabilizing or separating device into lower spine at single level13$116.9K$9.0K3.19x
64625Destruction of nerves supplying joint between spine and pelvis using imaging guidance194$111.7K$575.873.20x
62321Injection of substance into middle or upper spine canal using imaging guidance426$93.6K$219.743.35x
64451Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance388$75.2K$193.703.78x
0275TRemoval of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin14$40.4K$2.9K3.28x
62323Injection of substance into lower spine canal using imaging guidance183$38.8K$212.013.63x
64640Destruction of peripheral nerve or branch385$32.2K$83.5914.62x

Markup Analysis

Charge-to-Payment Ratio

3.27x

This provider submits charges 3.27 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.27x means for every $100 Medicare pays, this provider initially charges $327. This is higher than the national average.

Location

Abilene, 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.

Abilene Spine & Joint Surgery Center Pa (you)
$15.4M
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.

Believe this data is inaccurate? Dispute this data