MEDICAL CITY SURGERY CENTER SOUTHLAKE, LLC
Ambulatory Surgical Clinic/Center · SOUTHLAKE, TX
Organization Active NPI 1144970807
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 204 | 453 | $7,109,945 | $845,472 | $673,821 |
| 2023 | 245 | 601 | $9,895,089 | $1,250,489 | $996,196 |
| 2022 | 15 | 26 | $568,542 | $72,033 | $57,392 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 93 | $651 | $519 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 47 | $325 | $261 |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 35 | $4,794 | $3,819 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 32 | $347 | $277 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 32 | $422 | $336 |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 16 | $347 | $277 |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 15 | $812 | $647 |
| 31267 | Removal of nasal sinus tissue using an endoscope | 15 | $1,857 | $1,480 |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 14 | $4,902 | $3,906 |
| 63685 | Insertion or replacement of spinal neurostimulator generator or receiver | 11 | $24,484 | $19,508 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.