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 Plano, LLC (NPI 1962681130)

Field	Value
Entity Type	Organization
Organization	Baylor Surgicare At Plano, LLC
Address	1701 Ohio Dr
City	Plano
State	TX
ZIP	75093
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	October 24, 2007

Payer Source	Total Paid
Medicare	$869.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45380	The 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…	1,100	$400	$442.9K
45385	The 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…	300	$450	$136.8K
43239	The 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.	280	$230	$63.8K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	130	$410	$51.5K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	100	$420	$39.8K
20900	A bone graft restores structural integrity and natural osseous, or bony, tissue to the site of a bony defect, which increases its strength so it will last over a period of time. The provider…	20	$1,600	$30.3K
62323	The 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)…	80	$250	$19.6K
43249	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.	30	$570	$18.3K
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	30	$500	$15K
45381	The provider inserts a flexible endoscope into the anus and navigates the scope through the entire colon. The provider performs one or more injections into the submucosa (the tissue below the mucous…	40	$260	$11K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Baylor Surgicare At Plano, LLC — 5 of 21 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

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
15823	72	120	30	$530	$27.5K
45385	47	1,130	50	$280	$26.4K
66821	691	700	50	$230	$20K
45380	3	1,160	50	$190	$16.4K
64493	381	640	50	$180	$12.3K
G0105	50	610	30	$270	$12K
43239	56	1,210	70	$120	$11.3K
62323	133	530	40	$150	$10K
C9290	25	50	6,590	$1	$9.7K
43249	106	310	20	$290	$9.6K

Showing 1–10 of 21

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Always With You Homecare	TX	Home Health Agency	$0	$12.3M
Tahir Rana	TX	Radiation Oncology Physician	$2.5M	$0
Dallas Nephrology Associates	TX	Ambulatory Surgical Clinic/Center	$2M	$1.8K
Odette Campbell	TX	Internal Medicine Physician	$2M	$0
James Petrikas	TX	Radiation Oncology Physician	$1.8M	$0
Richard Herrscher	TX	Allergy & Immunology Physician	$1.7M	$0
Surgcenter Of Plano LLC	TX	Ambulatory Surgical Clinic/Center	$1.7M	$0
Jeremiah Graff	TX	Foot & Ankle Surgery Podiatrist	$1.6M	$0
Plano Ambulatory Surgery Associates, LP	TX	Ambulatory Surgical Clinic/Center	$1.5M	$0
Asha Karippot	TX	Hematology & Oncology Physician	$1.4M	$0

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

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Baylor Surgicare At Plano, 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