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    OpenPayerNPI Medicare & MedicaidBaylor Surgicare At Baylor Plano, LLC
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    Baylor Surgicare At Baylor Plano, LLC — Billing Profile & Reimbursement Data

    NPI 1760912554 · Plano, TX · Ambulatory Surgical Clinic/Center

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    Baylor Surgicare At Baylor Plano, LLC is a ambulatory surgical clinic/center provider located in Plano, Texas. This profile covers 19 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
    OrganizationBaylor Surgicare At Baylor Plano, LLC
    Address4825 Alliance
    CityPlano
    StateTX
    ZIP75093
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJune 14, 2017

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

    Payer SourceTotal Paid
    Medicare$372.8K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    38525The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…50$980$45.1K
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.60$660$42.2K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.30$1,620$42K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…60$640$39.4K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$1,660$33.2K
    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…70$360$24.8K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…50$440$23.5K
    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…70$270$18.2K
    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)…70$240$18K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…20$1,000$18K

    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

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453857681,13050$280$26.4K
    6463531154040$370$19.1K
    6448361969060$190$18.3K
    453809351,16050$190$16.4K
    19301312020$490$13.2K
    647211615020$400$12.7K
    6449319164050$180$12.3K
    45384187030$220$12.1K
    523564217020$550$11K
    2544795020$590$10.6K

    Showing 1–10 of 19

    Nearby Providers

    Other providers in the same ZIP code as Baylor Surgicare At Baylor Plano, LLC, 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
    Plano Ambulatory Surgery Associates, LPTXAmbulatory Surgical Clinic/Center$1.5M$0
    Asha KarippotTXHematology & Oncology Physician$1.4M$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
    Baylor Surgicare At Baylor Plano, LLC — 2 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas