This provider's $6.0M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 13.79x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 460% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 117% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $28.5K | $2.0K | 13.95x | $26.5K | $456.7K | 162 | 155 |
| 2021 | $37.3K | $2.7K | 13.59x | $34.6K | $927.5K | 311 | 297 |
| 2022 | $61.0K | $4.3K | 14.17x | $56.7K | $2.0M | 585 | 565 |
| 2023 | $25.7K | $1.9K | 13.74x | $23.9K | $2.6M | 853 | 813 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 497 | $3.5M | $7.1K | 13.83x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 309 | $2.2M | $7.2K | 13.69x |
| 27446 | Replacement of knee joint on side of knee | 11 | $71.3K | $6.5K | 15.15x |
| 29881 | Removal of one knee cartilage using an endoscope | 61 | $63.7K | $1.0K | 11.29x |
| 68720 | Creation of drainage tract from tear sac to nasal cavity | 12 | $13.2K | $1.1K | 11.87x |
| 29880 | Removal of both knee cartilages using an endoscope | 12 | $12.6K | $1.1K | 10.65x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 41 | $11.7K | $284.75 | 12.34x |
| 67908 | Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis | 20 | $10.2K | $512.39 | 16.17x |
| 68815 | Probing of nasal tear duct with insertion of tube or stent | 21 | $9.5K | $453.14 | 18.35x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 15 | $6.4K | $424.97 | 19.74x |
| 67917 | Extensive repair of turning-outward eyelid defect | 12 | $6.0K | $499.79 | 16.62x |
| 64450 | Injection of anesthetic agent and/or steroid into other nerve or branch | 64 | $1.3K | $19.57 | 93.54x |
| C9290 | Injection, bupivacaine liposome, 1 mg | 836 | $882.20 | $1.06 | 2.69x |
This provider submits charges 13.79 times higher than what Medicare actually pays.
A markup ratio of 13.79x means for every $100 Medicare pays, this provider initially charges $1379. 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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