SDM ASC LLC
Ambulatory Surgical Clinic/Center · FORT WORTH, TX
Organization Active NPI 1902850571
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 178 | 578 | $5,761,102 | $874,857 | $697,029 |
| 2023 | 145 | 442 | $2,953,471 | $363,201 | $289,410 |
| 2022 | 97 | 274 | $678,568 | $114,293 | $90,998 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 114 | $344 | $273 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 103 | $649 | $518 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 87 | $382 | $304 |
| 64555 | Insertion of peripheral nerve neurostimulator electrode through skin | 46 | $5,440 | $4,334 |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 44 | $349 | $278 |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 33 | $659 | $525 |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 32 | $4,794 | $3,819 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 18 | $347 | $277 |
| 64479 | Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level | 18 | $407 | $324 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | 007141 | TX |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.