This provider's $9.0M in total Medicare payments ranks in the 96th 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 256% in 2020
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2019 | $17.5K | $4.6K | 3.83x | $12.9K | $804.4K | 327 | 294 |
| 2020 | $17.1K | $4.3K | 3.98x | $12.8K | $2.9M | 994 | 879 |
| 2021 | $20.6K | $5.4K | 3.84x | $15.3K | $2.7M | 858 | 775 |
| 2022 | $15.5K | $4.0K | 3.88x | $11.5K | $1.5M | 538 | 502 |
| 2023 | $18.6K | $4.7K | 3.95x | $13.9K | $1.1M | 274 | 266 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | 646 | $2.9M | $4.5K | 3.78x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 91 | $1.7M | $19.1K | 3.89x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 252 | $1.5M | $5.8K | 3.83x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 100 | $561.8K | $5.6K | 3.83x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 618 | $484.5K | $784.03 | 4.84x |
| 33264 | Removal and replacement of defibrillator pulse generator | 25 | $482.7K | $19.3K | 3.85x |
| 36902 | Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation | 313 | $482.5K | $1.5K | 3.84x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 275 | $229.8K | $835.77 | 4.54x |
| 36905 | Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation | 60 | $178.9K | $3.0K | 3.87x |
| 93455 | Insertion of catheter for imaging of heart blood vessels or grafts | 163 | $127.9K | $784.55 | 4.84x |
| 33206 | Insertion or replacement of permanent pacemaker and upper chamber electrodes | 14 | $79.3K | $5.7K | 3.77x |
| C9604 | Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; | 16 | $75.9K | $4.7K | 4.02x |
| 36901 | Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation | 152 | $59.4K | $391.06 | 3.89x |
| 33285 | Insertion of heart rhythm monitor under skin | 11 | $57.5K | $5.2K | 3.75x |
| 36589 | Removal of central venous catheter for infusion | 136 | $28.6K | $209.95 | 4.00x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 37 | $23.6K | $638.23 | 5.95x |
| 92920 | Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin) | 15 | $23.2K | $1.5K | 5.40x |
| G0365 | Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow) | 50 | $2.0K | $40.73 | 3.98x |
| 93986 | Ultrasound scan of blood flow in extremity on both sides of body for preoperative assessment of blood vessel for dialysis access | 17 | $701.11 | $41.24 | 8.80x |
This provider submits charges 3.92 times higher than what Medicare actually pays.
A markup ratio of 3.92x means for every $100 Medicare pays, this provider initially charges $392. 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 | โ Clear |
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | โ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | โ 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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