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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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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Precision Surgery Center, Llc.
๐Ÿ”ช
Organization

Precision Surgery Center, Llc.

NPI: 1669959151
Texarkana, TX
4 years of data
Ambulatory Surgical Center
$4.3M
Total Payments
5.7K
Beneficiaries
8.7K
Services
4.45x
Markup Ratio

Peer Comparison

92th
percentile in specialty
This provider$4.3M
Specialty median$657.1K

๐Ÿ“‹ Key Findings

1Billed $4.3M over 4 years
24.45x markup ratio (above median)
392th percentile in Ambulatory Surgical Center by payments
4Payments surged 197% in 2021
512 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $4.3M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.

Medicare payments to this provider grew 157% from 2020 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 197% in 2021

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
2020$2.6K$563.674.69x$2.1K$462.7K1.3K858
2021$6.6K$1.7K3.79x$4.9K$1.4M2.6K1.5K
2022$6.6K$1.8K3.72x$4.8K$1.3M2.5K1.7K
2023$7.0K$2.0K3.58x$5.0K$1.2M2.3K1.6K

Top Procedures (14)

63685Insertion of spinal neurostimulator pulse generator or receiverโš  3.6x markup
$1.2M
70 services$17.7K/svc3.57x markup
63650Implantation of spinal neurostimulator electrodes, accessed through the skinโš  3.8x markup
$603.1K
178 services$3.4K/svc3.76x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidanceโš  4.8x markup
$575.5K
977 services$589.05/svc4.85x markup
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidanceโš  5.3x markup
$516.6K
1.9K services$272.02/svc5.31x markup
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidanceโš  4.9x markup
$513.8K
2.2K services$232.39/svc4.86x markup
62321Injection of substance into spinal canal of upper or middle back using imaging guidanceโš  4.9x markup
$206.7K
895 services$230.98/svc4.89x markup
64493Injections of lower or sacral spine facet joint using imaging guidanceโš  6.2x markup
$179.9K
767 services$234.58/svc6.15x markup
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrographyโš  6.2x markup
$173.0K
824 services$209.97/svc6.19x markup
64633Destruction of upper or middle spinal facet joint nerves using imaging guidanceโš  4.9x markup
$134.8K
230 services$586.28/svc4.89x markup
64625Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance
$60.1K
102 services$589.49/svc2.42x markup
64490Injections of upper or middle spine facet joint using imaging guidanceโš  6.1x markup
$56.4K
238 services$237.06/svc6.10x markup
64624Destruction of genicular nerve branches of knee by injection using imaging guidance
$45.4K
86 services$527.77/svc2.25x markup
64454Injection of anesthetic agent and/or steroid into genicular nerve branches of knee using imaging guidanceโš  5.4x markup
$6.6K
57 services$115.66/svc5.39x markup
20610Aspiration and/or injection of large joint or joint capsuleโš  4.7x markup
$3.9K
176 services$22.27/svc4.72x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
63685Insertion of spinal neurostimulator pulse generator or receiver70$1.2M$17.7K3.57x
63650Implantation of spinal neurostimulator electrodes, accessed through the skin178$603.1K$3.4K3.76x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance977$575.5K$589.054.85x
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance1.9K$516.6K$272.025.31x
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidance2.2K$513.8K$232.394.86x
62321Injection of substance into spinal canal of upper or middle back using imaging guidance895$206.7K$230.984.89x
64493Injections of lower or sacral spine facet joint using imaging guidance767$179.9K$234.586.15x
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography824$173.0K$209.976.19x
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance230$134.8K$586.284.89x
64625Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance102$60.1K$589.492.42x
64490Injections of upper or middle spine facet joint using imaging guidance238$56.4K$237.066.10x
64624Destruction of genicular nerve branches of knee by injection using imaging guidance86$45.4K$527.772.25x
64454Injection of anesthetic agent and/or steroid into genicular nerve branches of knee using imaging guidance57$6.6K$115.665.39x
20610Aspiration and/or injection of large joint or joint capsule176$3.9K$22.274.72x

Markup Analysis

Charge-to-Payment Ratio

4.45x

This provider submits charges 4.45 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.45x means for every $100 Medicare pays, this provider initially charges $445. This is higher than the national average.

Location

Texarkana, 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.

Precision Surgery Center, Llc. (you)
$4.3M
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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