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    OpenPayerNPI Medicare & MedicaidPlano Ambulatory Surgery Associates, LP
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    Plano Ambulatory Surgery Associates, LP — Billing Profile & Reimbursement Data

    NPI 1568427151 · Plano, TX · Ambulatory Surgical Clinic/Center

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    Plano Ambulatory Surgery Associates, LP is a ambulatory surgical clinic/center provider located in Plano, Texas. This profile covers 24 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
    OrganizationPlano Ambulatory Surgery Associates, LP
    Address4005 West 15th St
    CityPlano
    StateTX
    ZIP75093
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 18, 2006

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

    Payer SourceTotal Paid
    Medicare$1.5M
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…640$840$539.3K
    64590The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that…10$14,920$194K
    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…460$300$140.1K
    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…320$360$115.6K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.30$3,850$107.7K
    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…180$460$80.6K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…140$420$58.5K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…70$840$57.3K
    67917During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…90$540$45.6K
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.20$1,930$38.6K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64590436020$6,710$134.3K
    6698470990100$560$113.9K
    64561204030$2,040$73.3K
    6790487030$550$32.9K
    158236712030$530$27.5K
    453851291,13050$280$26.4K
    669822927020$650$23.4K
    6796671020$480$19.7K
    152607011020$710$19.2K
    6463535154040$370$19.1K

    Showing 1–10 of 24

    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
    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…30$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis30$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
    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…98140110$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis6080100$0$0

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Plano Ambulatory Surgery Associates, LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chippenham & Johnston-willis Hospitals IncVAGeneral Acute Care Hospital$0$103.7M
    Hca Health Services Of Virginia IncVAGeneral Acute Care Hospital$0$64.5M
    Columbia/hca John Randolph, Inc.VAGeneral Acute Care Hospital$0$49.1M
    El Paso Healthcare System LtdTXGeneral Acute Care Hospital$0$38.5M
    Spotsylvania Medical Center IncVAGeneral Acute Care Hospital$0$31M
    Mission Health Community Multispecialty Providers, LLCNCInternal Medicine Physician$0$24.1M
    Columbia Medical Center Of Arlington Subsidiary LPTXGeneral Acute Care Hospital$0$21.8M
    Columbia Hospital At Medical City Dallas Subsidiary LPTXGeneral Acute Care Hospital$0$21.5M
    Lewis Gale Physicians LLCVAInternal Medicine Physician$0$20.6M
    Reston Hospital Center LLCVAGeneral Acute Care Hospital$0$14.9M

    Nearby Providers

    Other providers in the same ZIP code as Plano Ambulatory Surgery Associates, LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Always With You HomecareTXHome Health Agency$0$12.3M
    Tahir RanaTXRadiation Oncology Physician$2.5M$0
    Dallas Nephrology AssociatesTXAmbulatory Surgical Clinic/Center$2M$1.8K
    Odette CampbellTXInternal Medicine Physician$2M$0
    James PetrikasTXRadiation Oncology Physician$1.8M$0
    Richard HerrscherTXAllergy & Immunology Physician$1.7M$0
    Surgcenter Of Plano LLCTXAmbulatory Surgical Clinic/Center$1.7M$0
    Jeremiah GraffTXFoot & Ankle Surgery Podiatrist$1.6M$0
    Asha KarippotTXHematology & Oncology Physician$1.4M$0
    Thuy LeTXHematology & Oncology Physician$1.2M$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
    Plano Ambulatory Surgery Associates, LP — 2 of 24 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 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Plano Ambulatory Surgery Associates, LP — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas