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    OpenPayerNPI Medicare & MedicaidMemorial Hermann Surgery Center Pinecroft, LLC
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    Memorial Hermann Surgery Center Pinecroft, LLC — Billing Profile & Reimbursement Data

    NPI 1124492541 · The Woodlands, TX · Ambulatory Surgical Clinic/Center

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    Memorial Hermann Surgery Center Pinecroft, LLC is a ambulatory surgical clinic/center provider located in The Woodlands, Texas. This profile covers 34 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMemorial Hermann Surgery Center Pinecroft, LLC
    Address9305 Pinecroft Dr
    CityThe Woodlands
    StateTX
    ZIP77380
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedNovember 23, 2015

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

    Payer SourceTotal Paid
    Medicare$847.9K
    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64628The provider uses a thermal (heat) method under imaging guidance to destroy an intraosseous basivertebral nerve. Use this code for the first two lumbar or sacral vertebral bodies treated at a session.20$7,740$123.9K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.80$1,140$89K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.100$560$53.5K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…120$460$53.4K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…110$380$41.4K
    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).130$310$40.6K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…110$370$39K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.170$220$37.9K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…20$1,720$34.4K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…130$260$33K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64628133020$3,980$91.6K
    453852521,13050$280$26.4K
    52649162030$750$24.1K
    G0260297070$210$19.8K
    646355454040$370$19.1K
    298279024020$860$19K
    31267214020$800$18.3K
    6448314569060$190$18.3K
    453802561,16050$190$16.4K
    64625315030$370$14.8K

    Showing 1–10 of 34

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Memorial Hermann Surgery Center Pinecroft, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Memorial Hermann Health SystemTXGeneral Acute Care Hospital$0$84.4M
    Memorial Hermann Health SystemTXGeneral Acute Care Hospital$0$39.5M
    Memorial Hermann Health SystemTXGeneral Acute Care Hospital$0$26.8M
    Conroe Surgery Center 2, LLCTXAmbulatory Surgical Clinic/Center$2M$0
    Memorial Hermann Surgery Center Sugar Land LLPTXAmbulatory Surgical Clinic/Center$1.8M$0
    Memorial Hermann Surgery Center Preston Road, Ltd.TXAmbulatory Surgical Clinic/Center$1.7M$1.3K
    Memorial Hermann Surgery Center Kirby, LLCTXAmbulatory Surgical Clinic/Center$1.6M$0
    Physicians West Houston Surgical Center, LLCTXAmbulatory Surgical Clinic/Center$1.3M$0
    Memorial Hermann Surgery Center Woodlands Parkway, LLCTXAmbulatory Surgical Clinic/Center$1.2M$0
    Memorial Hermann Surgery Center Southwest LLPTXAmbulatory Surgical Clinic/Center$1.2M$27K

    Nearby Providers

    Other providers in the same ZIP code as Memorial Hermann Surgery Center Pinecroft, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Urgent Care PATXUrgent Care Clinic/Center$0$25.2M
    Maxim Healthcare Services, Inc.TXHome Health Agency$0$19M
    Shaun S. Varghese, M.d., PLLCTXNeurology with Special Qualifications in Child Neurology Physician$0$16.8M
    Singleton Associates PATXDiagnostic Radiology Physician$0$16.2M
    Guy BurrowsTXNeurology Physician$11.3M$0
    Trifecta Pharmacy LLCTXCommunity/Retail Pharmacy$7.9M$1.3K
    Samir ShirodkarTXUrology Physician$3.4M$0
    Randall JohnsonTXRheumatology Physician$2.5M$0
    Wise Diagnostic Systems, LLCTXClinical Medical Laboratory$2M$451.8K
    Asit ChoksiTXMedical Oncology Physician$2.4M$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
    Memorial Hermann Surgery Center Pinecroft, LLC — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas