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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.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

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

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

Round Rock Surgery Center Llc

NPI: 1750528717
Round Rock, TX
10 years of data
Ambulatory Surgical Center
$56.6M
Total Payments
202
Beneficiaries
75.1K
Services
4.02x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$56.6M
Specialty median$657.1K
Rank #5 of 44 in specialty

๐Ÿ“‹ Key Findings

1Billed $56.6M over 10 years
24.02x markup ratio (above median)
399th percentile in Ambulatory Surgical Center by payments
4Payments surged 112% in 2017
519 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $56.6M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.

Medicare payments to this provider grew 444% from 2014 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 112% in 2017

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
2014$2.6K$580.094.51x$2.0K$1.2M2.1K15
2015$2.6K$550.544.76x$2.1K$1.5M2.8K15
2016$3.3K$751.214.36x$2.5K$2.6M3.4K16
2017$6.4K$1.6K4.11x$4.9K$5.4M3.5K17
2018$6.0K$1.5K4.05x$4.5K$8.0M5.4K20
2019$4.5K$1.1K4.28x$3.5K$6.3M5.9K22
2020$2.3K$583.693.91x$1.7K$8.1M13.9K21
2021$1.7K$455.253.82x$1.3K$8.6M18.8K28
2022$3.0K$764.383.93x$2.2K$8.3M10.9K25
2023$2.9K$771.953.77x$2.1K$6.6M8.6K23

Top Procedures (20)

63685Insertion of spinal neurostimulator generator or receiverโš  3.8x markup
$26.8M
1.5K services$17.5K/svc3.77x markup
63650Insertion of spinal neurostimulator electrode array through skinโš  3.7x markup
$16.6M
4.9K services$3.4K/svc3.72x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet jointโš  4.4x markup
$2.0M
4.1K services$483.23/svc4.37x markup
63655Removal of spine bone for insertion of neurostimulator electrode plate in spineโš  3.0x markup
$1.9M
154 services$12.2K/svc3.02x markup
64493Injection of lower or sacral spine facet joint using imaging guidance, single levelโš  5.7x markup
$1.5M
6.4K services$228.31/svc5.74x markup
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single levelโš  5.3x markup
$1.5M
5.9K services$248.12/svc5.27x markup
62362Insertion of programmable spinal canal drug infusion pumpโš  3.8x markup
$1.1M
111 services$10.3K/svc3.75x markup
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet jointโš  5.8x markup
$840.6K
1.7K services$489.57/svc5.85x markup
64490Injection of upper or middle spine facet joint using imaging guidance, single levelโš  5.8x markup
$766.5K
3.4K services$226.77/svc5.77x markup
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrographyโš  8.8x markup
$459.5K
2.8K services$163.53/svc8.82x markup
64555Insertion of peripheral nerve neurostimulator electrode through skinโš  3.3x markup
$346.6K
81 services$4.3K/svc3.27x markup
64590Insertion of peripheral or gastric neurostimulator generatorโš  3.6x markup
$340.0K
23 services$14.8K/svc3.56x markup
62323Injection of substance into lower spine canal using imaging guidanceโš  3.7x markup
$315.6K
1.4K services$230.22/svc3.72x markup
62321Injection of substance into middle or upper spine canal using imaging guidanceโš  3.7x markup
$293.0K
1.3K services$228.57/svc3.74x markup
63663Revision of spinal neurostimulator electrode array using fluoroscopic guidanceโš  3.6x markup
$236.1K
72 services$3.3K/svc3.62x markup
63688Removal or revision of neurostimulator generator or receiverโš  3.8x markup
$217.7K
160 services$1.4K/svc3.76x markup
64625Destruction of nerves supplying joint between spine and pelvis using imaging guidanceโš  4.0x markup
$198.9K
331 services$601.02/svc3.95x markup
63047Partial removal of middle spine bone with release of spinal cord and/or nerves, lower back (lumbar) areaโš  3.4x markup
$161.9K
75 services$2.2K/svc3.38x markup
C1827Generator, neurostimulator (implantable), non-rechargeable, with implantable stimulation lead and external paired stimulation controller
$161.2K
18 services$9.0K/svc2.43x markup
64624Destruction of nerve branches of knee using imaging guidanceโš  3.4x markup
$113.0K
237 services$476.69/svc3.35x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
63685Insertion of spinal neurostimulator generator or receiver1.5K$26.8M$17.5K3.77x
63650Insertion of spinal neurostimulator electrode array through skin4.9K$16.6M$3.4K3.72x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint4.1K$2.0M$483.234.37x
63655Removal of spine bone for insertion of neurostimulator electrode plate in spine154$1.9M$12.2K3.02x
64493Injection of lower or sacral spine facet joint using imaging guidance, single level6.4K$1.5M$228.315.74x
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level5.9K$1.5M$248.125.27x
62362Insertion of programmable spinal canal drug infusion pump111$1.1M$10.3K3.75x
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint1.7K$840.6K$489.575.85x
64490Injection of upper or middle spine facet joint using imaging guidance, single level3.4K$766.5K$226.775.77x
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography2.8K$459.5K$163.538.82x
64555Insertion of peripheral nerve neurostimulator electrode through skin81$346.6K$4.3K3.27x
64590Insertion of peripheral or gastric neurostimulator generator23$340.0K$14.8K3.56x
62323Injection of substance into lower spine canal using imaging guidance1.4K$315.6K$230.223.72x
62321Injection of substance into middle or upper spine canal using imaging guidance1.3K$293.0K$228.573.74x
63663Revision of spinal neurostimulator electrode array using fluoroscopic guidance72$236.1K$3.3K3.62x
63688Removal or revision of neurostimulator generator or receiver160$217.7K$1.4K3.76x
64625Destruction of nerves supplying joint between spine and pelvis using imaging guidance331$198.9K$601.023.95x
63047Partial removal of middle spine bone with release of spinal cord and/or nerves, lower back (lumbar) area75$161.9K$2.2K3.38x
C1827Generator, neurostimulator (implantable), non-rechargeable, with implantable stimulation lead and external paired stimulation controller18$161.2K$9.0K2.43x
64624Destruction of nerve branches of knee using imaging guidance237$113.0K$476.693.35x

Markup Analysis

Charge-to-Payment Ratio

4.02x

This provider submits charges 4.02 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.02x means for every $100 Medicare pays, this provider initially charges $402. This is higher than the national average.

Location

Round Rock, 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.

Round Rock Surgery Center Llc (you)
$56.6M
Ophthalmology Surgery Center Of Dallas, Llc
$76.6M
Amarillo Cataract And Eye Surgery
$33.3M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Ophthalmology Surgery Center Of Dallas, LlcDallas, TX$76.6Mโœ“ Clear
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.

Believe this data is inaccurate? Dispute this data