THR/STT SOUTHLAKE ASC, LLC
Ambulatory Surgical Clinic/Center · SOUTHLAKE, TX
Organization Active NPI 1982716106
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 751 | 2,044 | $9,694,562 | $1,449,586 | $1,152,734 |
| 2023 | 651 | 1,822 | $8,333,385 | $1,169,940 | $929,190 |
| 2022 | 628 | 1,702 | $7,456,155 | $1,152,343 | $915,540 |
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 | 890 | $385 | $305 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 365 | $363 | $289 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 177 | $835 | $663 |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 147 | $391 | $309 |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 132 | $301 | $239 |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 109 | $347 | $277 |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 59 | $825 | $654 |
| 64625 | Destruction of nerves supplying joint between spine and pelvis using imaging guidance | 18 | $701 | $558 |
| 20610 | Aspiration and/or injection of fluid from large joint | 15 | $32 | $26 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 14 | $319 | $258 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | 00000 | 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.