This provider's $5.4M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.47x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 438% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 116% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $4.9K | $661.81 | 7.38x | $4.2K | $207.6K | 336 | 323 |
| 2015 | $4.7K | $638.90 | 7.38x | $4.1K | $177.3K | 300 | 281 |
| 2016 | $4.3K | $560.76 | 7.71x | $3.8K | $249.0K | 491 | 440 |
| 2017 | $4.6K | $499.81 | 9.25x | $4.1K | $342.0K | 735 | 643 |
| 2018 | $5.3K | $598.39 | 8.92x | $4.7K | $437.0K | 869 | 778 |
| 2019 | $5.4K | $771.51 | 7.03x | $4.7K | $943.6K | 1.1K | 908 |
| 2020 | $6.1K | $924.47 | 6.57x | $5.1K | $543.3K | 911 | 748 |
| 2021 | $4.7K | $586.93 | 8.08x | $4.2K | $512.7K | 1.0K | 826 |
| 2022 | $6.1K | $1.4K | 4.34x | $4.7K | $869.0K | 1.1K | 895 |
| 2023 | $6.4K | $1.5K | 4.42x | $5.0K | $1.1M | 1.3K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64721 | Release and/or relocation of median nerve of hand | 1.4K | $806.8K | $564.96 | 10.07x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 37 | $706.1K | $19.1K | 1.66x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 67 | $626.9K | $9.4K | 3.02x |
| 26055 | Incision of tendon covering | 971 | $386.0K | $397.57 | 10.60x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 103 | $331.5K | $3.2K | 3.67x |
| 25447 | Removal of bone joints between wrist and fingers | 294 | $203.9K | $693.41 | 9.88x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 782 | $201.7K | $257.99 | 9.60x |
| 26480 | Transplant of tendon of hand | 218 | $197.7K | $906.84 | 6.60x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 654 | $159.3K | $243.52 | 11.46x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 279 | $155.5K | $557.47 | 4.71x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 41 | $151.5K | $3.7K | 3.29x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 352 | $144.9K | $411.58 | 12.74x |
| 26123 | Removal of tissue of palm | 153 | $144.1K | $941.60 | 6.45x |
| 28296 | Correction of bunion | 147 | $135.4K | $921.00 | 7.12x |
| 29848 | Release of wrist ligament using an endoscope | 282 | $133.8K | $474.33 | 19.70x |
| 28285 | Correction of toe joint deformity | 253 | $131.6K | $520.27 | 8.10x |
| 20680 | Removal of deep bone implant | 163 | $125.5K | $770.07 | 6.45x |
| 28308 | Incision to straighten toe bone | 150 | $106.0K | $706.37 | 7.22x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 339 | $81.3K | $239.73 | 11.54x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 289 | $68.8K | $238.00 | 10.99x |
This provider submits charges 7.47 times higher than what Medicare actually pays.
A markup ratio of 7.47x means for every $100 Medicare pays, this provider initially charges $747. 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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