This provider's $7.4M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.41x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 87% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $2.7K | $245.83 | 10.79x | $2.4K | $455.0K | 1.7K | 1.6K |
| 2015 | $3.3K | $309.86 | 10.78x | $3.0K | $590.1K | 2.0K | 1.8K |
| 2016 | $3.2K | $281.68 | 11.51x | $3.0K | $712.2K | 2.4K | 2.1K |
| 2017 | $5.5K | $1.1K | 4.86x | $4.4K | $977.9K | 2.6K | 2.2K |
| 2018 | $3.6K | $306.02 | 11.92x | $3.3K | $789.7K | 2.7K | 2.3K |
| 2019 | $3.9K | $293.99 | 13.19x | $3.6K | $796.4K | 2.8K | 2.3K |
| 2020 | $3.1K | $252.82 | 12.29x | $2.9K | $641.3K | 2.3K | 2.0K |
| 2021 | $3.9K | $305.23 | 12.74x | $3.6K | $818.6K | 2.6K | 2.3K |
| 2022 | $3.9K | $279.26 | 14.00x | $3.6K | $806.0K | 2.5K | 2.3K |
| 2023 | $4.1K | $322.61 | 12.63x | $3.8K | $850.2K | 2.3K | 2.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45380 | Biopsy of large bowel using an endoscope | 9.2K | $3.1M | $334.56 | 11.08x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 3.1K | $1.2M | $371.65 | 9.29x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 2.5K | $569.5K | $224.30 | 15.57x |
| 66984 | Removal of cataract with insertion of lens | 567 | $426.2K | $751.75 | 9.67x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.4K | $331.0K | $233.56 | 15.20x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 675 | $246.3K | $364.89 | 7.98x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 513 | $188.8K | $368.03 | 6.92x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 12 | $149.8K | $12.5K | 2.76x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 513 | $147.9K | $288.21 | 10.13x |
| 45381 | Injections of large bowel using an endoscope | 576 | $123.3K | $214.13 | 14.12x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 614 | $119.6K | $194.86 | 14.16x |
| 62311 | Injections of substances into lower or sacral spine | 431 | $114.9K | $266.52 | 8.78x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 384 | $89.0K | $231.64 | 15.20x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 157 | $87.1K | $554.87 | 5.90x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 376 | $85.9K | $228.33 | 15.33x |
| 43450 | Dilation of esophagus | 285 | $68.0K | $238.61 | 16.65x |
| 43249 | Balloon dilation of esophagus using an endoscope | 126 | $67.2K | $533.28 | 9.30x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 14 | $48.6K | $3.5K | 3.54x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 11 | $40.2K | $3.7K | 3.52x |
| 62310 | Injections of substances into upper or middle spine | 141 | $38.1K | $270.38 | 8.67x |
This provider submits charges 11.41 times higher than what Medicare actually pays.
A markup ratio of 11.41x means for every $100 Medicare pays, this provider initially charges $1141. 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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