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    OpenPayerNPI Medicare & MedicaidCenter For Specialty Surgery Of Austin, LLC
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    Center For Specialty Surgery Of Austin, LLC — Billing Profile & Reimbursement Data

    NPI 1104204981 · Austin, TX · Ambulatory Surgical Clinic/Center

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    Center For Specialty Surgery Of Austin, LLC is a ambulatory surgical clinic/center provider located in Austin, Texas. This profile covers 18 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCenter For Specialty Surgery Of Austin, LLC
    Address8015 Shoal Creek Blvd
    CityAustin
    StateTX
    ZIP78757
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMay 12, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.9M
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63685The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…60$18,900$1.1M
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.190$3,760$724.9K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…330$830$278.2K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.360$500$179.8K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…540$250$135.9K
    22869Through a minimally invasive approach, the provider inserts an interlaminar stabilization or interspinous distraction, or decompression, device (IPD) and attaches it to the bony projections (spinous…10$8,380$108.9K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).330$300$99.9K
    64633In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…160$500$79.8K
    63663The provider revises and or replaces a previous placed permanent percutaneous electrode array for spinal cord stimulation. This service includes fluoroscopy when necessary. This procedure is…20$3,890$66.2K
    64490The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…210$260$53.1K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    636851516020$8,330$216.7K
    636501016050$1,960$147K
    2286921020$8,150$122.3K
    66984164990100$560$113.9K
    6366331020$2,260$43K
    G026097070$210$19.8K
    64635354040$370$19.1K
    644833369060$190$18.3K
    64633421030$390$12.8K
    64493364050$180$12.3K

    Showing 1–10 of 18

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…210$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Texas median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…43140110$0$0

    Nearby Providers

    Other providers in the same ZIP code as Center For Specialty Surgery Of Austin, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alamo Consumer Direct, LLCTXIn Home Supportive Care Agency$0$158.6M
    Austin Gi Surgicenter, LLCTXAmbulatory Surgical Clinic/Center$2M$0
    Austin Kidney Associates, P. A.TXAmbulatory Surgical Clinic/Center$598.9K$0
    Iden CowanTXPain Medicine (Anesthesiology) Physician$572.8K$0
    Bryan TownsendTXMOHS-Micrographic Surgery Physician$482.6K$0
    John GhidoniTXMOHS-Micrographic Surgery Physician$386K$0
    Advanced Sleep Centers IncTXSleep Disorder Diagnostic Clinic/Center$217.8K$0
    Carlton NewmanTXPodiatrist$132.6K$44.3K
    Jason FeuermanTXOphthalmology Physician$165K$0
    Cherie SimpsonTXGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist$123.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Center For Specialty Surgery Of Austin, LLC — 6 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Center For Specialty Surgery Of Austin, LLC — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas