This provider's $8.7M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 9.97x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 726% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 655% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $62.7K | $6.1K | 10.32x | $56.6K | $133.6K | 22 | 22 |
| 2018 | $68.8K | $12.0K | 5.75x | $56.8K | $1.0M | 97 | 97 |
| 2019 | $56.4K | $8.6K | 6.56x | $47.8K | $1.5M | 185 | 185 |
| 2020 | $59.2K | $7.6K | 7.81x | $51.6K | $1.9M | 367 | 367 |
| 2021 | $52.4K | $6.2K | 8.41x | $46.1K | $1.6M | 396 | 393 |
| 2022 | $53.3K | $5.8K | 9.14x | $47.5K | $1.4M | 365 | 361 |
| 2023 | $37.3K | $3.0K | 12.27x | $34.3K | $1.1M | 310 | 306 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 339 | $2.1M | $6.2K | 10.14x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 75 | $1.6M | $20.9K | 4.47x |
| 33264 | Removal and replacement of defibrillator pulse generator | 66 | $1.4M | $21.1K | 4.73x |
| C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | 229 | $1.1M | $4.6K | 12.11x |
| 33285 | Insertion of heart rhythm monitor under skin | 180 | $961.5K | $5.3K | 5.29x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 131 | $786.8K | $6.0K | 10.44x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 469 | $426.7K | $909.78 | 42.99x |
| 33229 | Removal and replacement of multiple lead permanent pacemaker pulse generator | 17 | $157.8K | $9.3K | 6.75x |
| 33282 | Implantation patient-activated heart monitoring device | 24 | $119.6K | $5.0K | 5.67x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 65 | $67.2K | $1.0K | 45.53x |
| 93454 | Insertion of catheter for imaging of heart including imaging interpretation and supervision and injection | 31 | $29.2K | $941.64 | 34.59x |
| C7523 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ve | 20 | $27.8K | $1.4K | 9.71x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 30 | $27.2K | $906.13 | 46.09x |
| C7524 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ve | 16 | $26.7K | $1.7K | 8.37x |
| 33286 | Removal of heart rhythm monitor from under skin | 50 | $12.2K | $244.55 | 33.98x |
This provider submits charges 9.97 times higher than what Medicare actually pays.
A markup ratio of 9.97x means for every $100 Medicare pays, this provider initially charges $997. 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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