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    OpenPayerNPI Medicare & MedicaidGramercy Surgery Center, Ltd
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    Gramercy Surgery Center, Ltd — Billing Profile & Reimbursement Data

    NPI 1225091630 · Houston, TX · Ambulatory Surgical Clinic/Center

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    Gramercy Surgery Center, Ltd is a ambulatory surgical clinic/center provider located in Houston, Texas. This profile covers 17 Medicare and 2 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
    OrganizationGramercy Surgery Center, Ltd
    Address2727 Gramercy St
    CityHouston
    StateTX
    ZIP77025
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 7, 2006

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

    Payer SourceTotal Paid
    Medicare$1M
    Medicaid$26.1K

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…120$1,510$187.2K
    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…210$830$172K
    V2785Processing, preserving and transporting corneal tissue40$3,700$151.8K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…70$1,520$102K
    67113The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with…60$1,510$87.3K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.50$1,500$71.8K
    65756During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.40$1,540$53.8K
    67040The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the…30$1,540$47.7K
    66852The provider removes the lens material by making an incision through pars plana to treat a cataract, which obscures the patient’s vision. He may also remove vitreous humor during the procedure.20$1,540$30.9K
    67311The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is…50$550$25.5K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V278542020$3,450$127.5K
    66984262990100$560$113.9K
    6704239020$1,150$41.3K
    6575664020$1,110$32.2K
    6685211020$1,540$30.9K
    6711333020$1,230$29.4K
    67036137020$1,000$29.1K
    6710826020$1,170$28.1K
    6698211727020$650$23.4K
    6704052020$1,100$23.1K

    Showing 1–10 of 17

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    67311The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is…20$1,140$26.2K
    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…50$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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    67311The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is…2120170$1,100$272.7K
    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…87140110$0$0

    Nearby Providers

    Other providers in the same ZIP code as Gramercy Surgery Center, Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Citizen Care Home Health, Inc.TXHome Health Agency$0$29.2M
    Joseph KhawlyTXOphthalmology Physician$3.2M$0
    Jonathan TzuTXOphthalmology Physician$2.8M$0
    Lindsey HarrisTXRetina Specialist (Ophthalmology) Physician$2.7M$0
    Hea Gramercy Surgery Center, PLLCTXAmbulatory Surgical Clinic/Center$2.6M$27.6K
    Hassan RahmanTXOphthalmology Physician$2.4M$0
    Eric HolzTXOphthalmology Physician$1.4M$0
    Andrew KopelTXOphthalmology Physician$1.2M$0
    Daniel GealyTXOphthalmology Physician$923.7K$0
    Bailey LeeTXOphthalmology Physician$911.8K$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
    Gramercy Surgery Center, Ltd — 2 of 17 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 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Gramercy Surgery Center, Ltd — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas