This provider's $21.2M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.74x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 88% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 91% 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 | $6.0K | $1.1K | 5.31x | $4.8K | $1.3M | 2.8K | 2.0K |
| 2015 | $5.2K | $811.22 | 6.45x | $4.4K | $1.2M | 3.0K | 2.1K |
| 2016 | $6.5K | $860.94 | 7.52x | $5.6K | $1.3M | 2.9K | 2.1K |
| 2017 | $7.0K | $1.2K | 5.77x | $5.8K | $1.9M | 3.4K | 2.6K |
| 2018 | $7.9K | $1.4K | 5.79x | $6.6K | $1.7M | 2.8K | 2.2K |
| 2019 | $7.9K | $1.3K | 5.93x | $6.6K | $3.2M | 4.0K | 3.3K |
| 2020 | $8.7K | $1.5K | 5.61x | $7.1K | $3.1M | 3.3K | 2.7K |
| 2021 | $7.6K | $1.1K | 6.97x | $6.5K | $2.6M | 3.3K | 2.8K |
| 2022 | $8.7K | $1.5K | 5.83x | $7.2K | $2.4M | 3.0K | 2.6K |
| 2023 | $7.9K | $1.2K | 6.30x | $6.6K | $2.4M | 3.1K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 259 | $3.4M | $13.3K | 2.84x |
| 66984 | Removal of cataract with insertion of lens | 2.1K | $1.6M | $759.97 | 9.55x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 80 | $1.4M | $17.2K | 2.82x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 528 | $1.0M | $2.0K | 6.19x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 4.1K | $1.0M | $246.90 | 9.63x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.0K | $703.6K | $232.45 | 14.56x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 3.0K | $682.2K | $227.25 | 15.22x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 165 | $616.0K | $3.7K | 3.82x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 107 | $560.5K | $5.2K | 4.17x |
| 62311 | Injections of substances into lower or sacral spine | 2.0K | $526.5K | $258.96 | 8.52x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 992 | $468.1K | $471.88 | 7.53x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 131 | $445.0K | $3.4K | 3.24x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 48 | $417.8K | $8.7K | 3.28x |
| 67042 | Removal of membrane from the retina, pars plana approach | 289 | $404.8K | $1.4K | 7.09x |
| 55875 | Insertion of needles or catheters into prostate for radiation therapy | 308 | $395.4K | $1.3K | 7.81x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 2.0K | $370.9K | $184.64 | 28.72x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 255 | $363.1K | $1.4K | 7.79x |
| 67041 | Removal of membrane from the retina | 264 | $357.7K | $1.4K | 7.45x |
| 29881 | Removal of one knee cartilage using an endoscope | 324 | $308.4K | $952.00 | 12.71x |
| 50590 | Shock wave crushing of kidney stones | 267 | $298.5K | $1.1K | 10.46x |
This provider submits charges 7.74 times higher than what Medicare actually pays.
A markup ratio of 7.74x means for every $100 Medicare pays, this provider initially charges $774. 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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