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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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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Waco Ambulatory Surgery Center, Lp
๐Ÿ”ช
Organization

Waco Ambulatory Surgery Center, Lp

NPI: 1356718514
Waco, TX
8 years of data
Ambulatory Surgical Center
$14.6M
Total Payments
3.4K
Beneficiaries
3.4K
Services
11.79x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$14.6M
Specialty median$657.1K

๐Ÿ“‹ Key Findings

1Billed $14.6M over 8 years
211.79x markup ratio (above median)
398th percentile in Ambulatory Surgical Center by payments
4Payments surged 51% in 2019
516 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $14.6M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.

Their average markup ratio of 11.79x is significantly above the specialty median of 6.1x.

Medicare payments to this provider grew 149% from 2016 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 51% 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
2016$72.2K$9.9K7.30x$62.3K$882.5K9191
2017$78.6K$11.4K6.89x$67.2K$1.2M107107
2018$62.5K$9.0K6.98x$53.6K$1.2M115115
2019$52.3K$4.6K11.34x$47.7K$1.8M516515
2020$46.9K$4.3K10.95x$42.6K$2.4M666656
2021$45.9K$4.1K11.34x$41.9K$2.4M736729
2022$55.0K$6.5K8.47x$48.5K$2.6M591583
2023$51.1K$5.5K9.37x$45.6K$2.2M605601

Top Procedures (16)

33249Insertion or replacement of single or dual chamber pacing defibrillator leadsโš  4.7x markup
$4.9M
246 services$19.8K/svc4.73x markup
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodesโš  10.7x markup
$2.7M
457 services$5.9K/svc10.67x markup
C9600Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branchโš  12.1x markup
$2.1M
476 services$4.4K/svc12.09x markup
33228Removal and replacement of dual lead permanent pacemaker pulse generatorโš  10.9x markup
$1.2M
216 services$5.7K/svc10.93x markup
33264Removal and replacement of defibrillator pulse generatorโš  5.4x markup
$914.3K
49 services$18.7K/svc5.36x markup
33285Insertion of heart rhythm monitor under skinโš  5.6x markup
$884.9K
174 services$5.1K/svc5.56x markup
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heartโš  42.9x markup
$877.9K
977 services$898.61/svc42.90x markup
93460Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heartโš  49.5x markup
$299.9K
320 services$937.29/svc49.45x markup
93459Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heartโš  46.0x markup
$176.9K
199 services$888.74/svc45.95x markup
92920Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin)โš  21.1x markup
$139.7K
74 services$1.9K/svc21.13x markup
93454Insertion of catheter for imaging of heart blood vessels or graftsโš  33.6x markup
$117.7K
125 services$941.84/svc33.58x markup
33229Removal and replacement of multiple lead permanent pacemakerโš  6.8x markup
$102.1K
11 services$9.3K/svc6.76x markup
33233Removal of permanent pacemaker pulse generatorโš  6.4x markup
$56.9K
14 services$4.1K/svc6.44x markup
33282Implantation patient-activated heart monitoring deviceโš  6.1x markup
$55.5K
12 services$4.6K/svc6.11x markup
93461Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heartโš  57.3x markup
$36.6K
41 services$892.52/svc57.32x markup
33286Removal of heart rhythm monitor from under skinโš  34.4x markup
$8.7K
36 services$241.40/svc34.42x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
33249Insertion or replacement of single or dual chamber pacing defibrillator leads246$4.9M$19.8K4.73x
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes457$2.7M$5.9K10.67x
C9600Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch476$2.1M$4.4K12.09x
33228Removal and replacement of dual lead permanent pacemaker pulse generator216$1.2M$5.7K10.93x
33264Removal and replacement of defibrillator pulse generator49$914.3K$18.7K5.36x
33285Insertion of heart rhythm monitor under skin174$884.9K$5.1K5.56x
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart977$877.9K$898.6142.90x
93460Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart320$299.9K$937.2949.45x
93459Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart199$176.9K$888.7445.95x
92920Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin)74$139.7K$1.9K21.13x
93454Insertion of catheter for imaging of heart blood vessels or grafts125$117.7K$941.8433.58x
33229Removal and replacement of multiple lead permanent pacemaker11$102.1K$9.3K6.76x
33233Removal of permanent pacemaker pulse generator14$56.9K$4.1K6.44x
33282Implantation patient-activated heart monitoring device12$55.5K$4.6K6.11x
93461Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart41$36.6K$892.5257.32x
33286Removal of heart rhythm monitor from under skin36$8.7K$241.4034.42x

Markup Analysis

Charge-to-Payment Ratio

11.79x

This provider submits charges 11.79 times higher than what Medicare actually pays.

What This Means

A markup ratio of 11.79x means for every $100 Medicare pays, this provider initially charges $1179. This is higher than the national average.

Location

Waco, 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.

Waco Ambulatory Surgery Center, Lp (you)
$14.6M
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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