This provider's $3.6M in total Medicare payments ranks in the 91th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.19x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 597% from 2022 to 2023.
63% of their billing comes from a single procedure code (63685 — Insertion of spinal neurostimulator generator or receiver).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 597% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2022 | $27.3K | $5.2K | 5.22x | $22.0K | $454.6K | 87 | 3 |
| 2023 | $22.9K | $3.6K | 6.32x | $19.3K | $3.2M | 874 | 14 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 129 | $2.3M | $17.6K | 5.27x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 220 | $760.3K | $3.5K | 6.61x |
| 62362 | Insertion of programmable spinal canal drug infusion pump | 21 | $199.9K | $9.5K | 6.74x |
| 22869 | Placement of stabilizing device to lower spine level | 17 | $135.6K | $8.0K | 3.27x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 24 | $54.8K | $2.3K | 7.13x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 139 | $37.1K | $266.97 | 18.82x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 73 | $36.7K | $503.27 | 11.80x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 45 | $22.1K | $490.41 | 12.11x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 87 | $20.9K | $240.57 | 21.20x |
| 62350 | Insertion, revision, or repositioning of spinal canal tube for medication administration | 14 | $18.1K | $1.3K | 24.81x |
| 64625 | Destruction of nerves supplying joint between spine and pelvis using imaging guidance | 30 | $17.1K | $569.85 | 20.78x |
| 63688 | Removal or revision of neurostimulator generator or receiver | 12 | $15.9K | $1.3K | 8.99x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 54 | $12.7K | $234.53 | 13.42x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 37 | $8.9K | $241.22 | 13.43x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 43 | $8.2K | $190.25 | 12.83x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 16 | $3.8K | $235.54 | 11.79x |
This provider submits charges 6.19 times higher than what Medicare actually pays.
A markup ratio of 6.19x means for every $100 Medicare pays, this provider initially charges $619. 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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