Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Baylor Surgicare At Blue Star, LLC (NPI 1649793613)

Field	Value
Entity Type	Organization
Organization	Baylor Surgicare At Blue Star, LLC
Address	3800 Gaylord Parkway
City	Frisco
State	TX
ZIP	75034
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	July 21, 2017

Payer Source	Total Paid
Medicare	$563.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	20	$7,340	$124.7K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	20	$6,780	$108.5K
23430	In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…	20	$3,170	$66.5K
29827	The 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…	30	$1,860	$61.5K
29880	In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…	30	$1,090	$29.3K
29881	The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…	30	$1,080	$28K
29828	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…	10	$2,420	$26.6K
64483	This 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).	70	$280	$19K
23412	In this procedure, the provider performs an open surgical repair of a chronic, or persistent, tear of the rotator cuff in the shoulder. A rotator cuff is a group of four muscles that stabilizes the…	10	$1,650	$18.2K
29824	The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…	30	$610	$15.8K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Baylor Surgicare At Blue Star, LLC — 0 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	620	760	30	$900	$38K
27130	279	430	20	$890	$26.7K
G0260	61	70	70	$210	$19.8K
29827	31	240	20	$860	$19K
64483	281	690	60	$190	$18.3K
29828	50	60	20	$820	$14.8K
64493	284	640	50	$180	$12.3K
29881	9	60	10	$700	$11.9K
29880	7	50	20	$610	$11.6K
23430	27	70	20	$510	$11.2K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Baylor Surgicare At Blue Star, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Supreme Medical Laboratories LLC	TX	Clinical Medical Laboratory	$648K	$1.2M
Ayass Lung Clinic, PLLC	TX	Clinical Medical Laboratory	$552K	$30.5K
Fareha Kazi	TX	Internal Medicine Physician	$440K	$0
Mark Mcquaid	TX	Surgery Physician	$371.1K	$0
David Keelen	TX	Pain Medicine Physician	$324.2K	$0
John Skiendzielewski	TX	Phlebology Physician	$280.8K	$0
Brent Stevenson	TX	Sleep Medicine (Psychiatry & Neurology) Physician	$272.6K	$0
Annaliese Majeed	TX	Physician Assistant	$222.3K	$0
Andrew Morchower	TX	Interventional Pain Medicine Physician	$205.9K	$0
Timothy Rodgers	TX	Dermatology Physician	$137.2K	$0

Baylor Surgicare At Blue Star, LLC — Billing Profile & Reimbursement Data

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Baylor Surgicare At Blue Star, LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References