BLUEBONNET SURGERY PAVILION LLC
Ambulatory Surgical Clinic/Center · WAXAHACHIE, TX
Organization Active NPI 1639561640
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 109 | 380 | $1,689,020 | $959,892 | $764,456 |
| 2023 | 107 | 339 | $1,790,695 | $1,003,761 | $799,263 |
| 2022 | 137 | 307 | $1,913,068 | $839,051 | $668,774 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 90 | $355 | $281 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 56 | $346 | $276 |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 50 | $4,594 | $3,662 |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 30 | $323 | $255 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 26 | $329 | $260 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 24 | $867 | $691 |
| 0627T | Injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level | 19 | $10,123 | $8,066 |
| 63685 | Insertion or replacement of spinal neurostimulator generator or receiver | 13 | $24,403 | $19,435 |
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.