This provider's $5.3M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 88% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $9.7K | $3.6K | 2.72x | $6.2K | $944.6K | 283 | 242 |
| 2021 | $18.7K | $3.1K | 5.94x | $15.5K | $1.8M | 508 | 437 |
| 2022 | $21.0K | $3.5K | 5.98x | $17.5K | $1.4M | 443 | 391 |
| 2023 | $22.2K | $5.1K | 4.32x | $17.0K | $1.2M | 279 | 249 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 116 | $2.2M | $18.9K | 1.87x |
| 63655 | Implantation of spinal neurostimulator electrodes | 59 | $778.0K | $13.2K | 2.60x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 144 | $517.1K | $3.6K | 3.55x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach, complex | 49 | $331.5K | $6.8K | 6.49x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 134 | $286.7K | $2.1K | 12.60x |
| 22867 | Insertion of stabilizing or separating device into lower spine at single level with open decompression | 23 | $226.9K | $9.9K | 3.79x |
| 33285 | Insertion of heart rhythm monitor under skin | 35 | $195.6K | $5.6K | 9.47x |
| 22612 | Fusion of spine in lower back | 15 | $183.9K | $12.3K | 3.74x |
| 66984 | Removal of cataract with insertion of lens | 110 | $85.6K | $778.27 | 12.73x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 12 | $74.8K | $6.2K | 5.47x |
| 36821 | Relocation of arm vein with connection to arm artery, open procedure | 62 | $66.1K | $1.1K | 12.95x |
| 36832 | Revision of dialysis graft, open procedure | 35 | $65.6K | $1.9K | 14.51x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 79 | $48.2K | $610.50 | 13.82x |
| 36902 | Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation | 27 | $46.0K | $1.7K | 14.61x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 43 | $45.5K | $1.1K | 15.33x |
| 28285 | Correction of toe joint deformity | 57 | $45.0K | $788.79 | 19.58x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 116 | $35.2K | $303.45 | 14.65x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 139 | $34.7K | $249.44 | 16.94x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 55 | $28.2K | $512.30 | 19.33x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 70 | $17.6K | $251.72 | 15.98x |
This provider submits charges 4.8 times higher than what Medicare actually pays.
A markup ratio of 4.8x means for every $100 Medicare pays, this provider initially charges $480. 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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