MEDICAL CITY SURGERY CENTER SOUTHLAKE, LLC

Ambulatory Surgical Clinic/Center · SOUTHLAKE, TX

Organization Active NPI 1144970807

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024204453$7,109,945$845,472$673,821
2023245601$9,895,089$1,250,489$996,196
20221526$568,542$72,033$57,392

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint93$651$519
64493Injection of lower or sacral spine facet joint using imaging guidance, single level47$325$261
63650Insertion of spinal neurostimulator electrode array through skin35$4,794$3,819
62323Injection of substance into lower spine canal using imaging guidance32$347$277
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level32$422$336
62321Injection of substance into middle or upper spine canal using imaging guidance16$347$277
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint15$812$647
31267Removal of nasal sinus tissue using an endoscope15$1,857$1,480
0275TRemoval of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin14$4,902$3,906
63685Insertion or replacement of spinal neurostimulator generator or receiver11$24,484$19,508

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Ambulatory Surgical Clinic/Center261QA1903X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.