{"schemaVersion":"2026-07-19","market":"San Antonio-New Braunfels, TX","generatedAt":"2026-07-19T18:06:51.481Z","methodology":{"scopeRule":"Texas rows whose five-digit rendering-provider ZIP is in the versioned San Antonio-New Braunfels, TX ZIP5 set (census-zcta-county-2020__cbsa-delineation-2023-07-provisional); limited to the explicitly listed eyelid CPT/HCPCS codes.","suppressionNotice":"CMS suppresses data elements representing fewer than 11 beneficiaries. A null beneficiary count means CMS did not publish that count; it does not mean zero.","interpretationLimits":["These are historical Original Medicare fee-for-service utilization and payment measurements, not cash prices, patient quotes, or total episode prices.","A provider-service row is an NPI, procedure, place-of-service, and year combination; it is not a unique patient or surgery.","Service units are overlapping CMS-reported units, not episodes, and can differ from the number of procedures or beneficiaries.","CMS place of service F means a professional service was furnished in a facility setting; it is not itself evidence of a facility fee. Only rows billed by an ASC organization are classified as ASC facility services.","Submitted charge, Medicare allowed amount, and Medicare payment are distinct average line-item measurements. The allowed amount includes Medicare, beneficiary cost sharing, and third-party responsibility.","Dollar aggregates are publishable only inside one procedure-code, claim-role, and place-of-service comparison group. All broader summary dollar fields are deliberately null."]},"provenance":{"datasetTitle":"Medicare Physician & Other Practitioners - by Provider and Service","publisher":"Centers for Medicare & Medicaid Services","landingPageUrl":"https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider-and-service","catalogUrl":"https://data.cms.gov/data.json","retrievedAt":"2026-07-19T18:06:51.481Z","contentSha256":"df1fc13c9d78be14f8fc3c10c02b1a4298a6ee9cda534b3631c1f7b9dd03e5d6","releases":[{"year":2024,"datasetUuid":"335e5f35-eca6-482d-87b3-f99883e213e3","apiUrl":"https://data.cms.gov/data-api/v1/dataset/335e5f35-eca6-482d-87b3-f99883e213e3/data","versionDate":"2024-12-01"},{"year":2023,"datasetUuid":"0e9f2f2b-7bf9-451a-912c-e02e654dd725","apiUrl":"https://data.cms.gov/data-api/v1/dataset/0e9f2f2b-7bf9-451a-912c-e02e654dd725/data","versionDate":"2023-12-31"},{"year":2022,"datasetUuid":"e650987d-01b7-4f09-b75e-b0b075afbf98","apiUrl":"https://data.cms.gov/data-api/v1/dataset/e650987d-01b7-4f09-b75e-b0b075afbf98/data","versionDate":"2022-12-02"},{"year":2021,"datasetUuid":"31dc2c47-f297-4948-bfb4-075e1bec3a02","apiUrl":"https://data.cms.gov/data-api/v1/dataset/31dc2c47-f297-4948-bfb4-075e1bec3a02/data","versionDate":"2021-12-02"},{"year":2020,"datasetUuid":"c957b49e-1323-49e7-8678-c09da387551d","apiUrl":"https://data.cms.gov/data-api/v1/dataset/c957b49e-1323-49e7-8678-c09da387551d/data","versionDate":"2020-12-02"},{"year":2019,"datasetUuid":"867b8ac7-ccb7-4cc9-873d-b24340d89e32","apiUrl":"https://data.cms.gov/data-api/v1/dataset/867b8ac7-ccb7-4cc9-873d-b24340d89e32/data","versionDate":"2019-12-02"},{"year":2018,"datasetUuid":"fb6d9fe8-38c1-4d24-83d4-0b7b291000b2","apiUrl":"https://data.cms.gov/data-api/v1/dataset/fb6d9fe8-38c1-4d24-83d4-0b7b291000b2/data","versionDate":"2018-12-02"},{"year":2017,"datasetUuid":"85bf3c9c-2244-490d-ad7d-c34e4c28f8ea","apiUrl":"https://data.cms.gov/data-api/v1/dataset/85bf3c9c-2244-490d-ad7d-c34e4c28f8ea/data","versionDate":"2017-12-02"},{"year":2016,"datasetUuid":"7918e22a-fbfb-4a07-9f59-f8aab2b757d4","apiUrl":"https://data.cms.gov/data-api/v1/dataset/7918e22a-fbfb-4a07-9f59-f8aab2b757d4/data","versionDate":"2016-12-02"},{"year":2015,"datasetUuid":"f8cdb11a-d5f7-4fbe-aac4-05abc8ee2c83","apiUrl":"https://data.cms.gov/data-api/v1/dataset/f8cdb11a-d5f7-4fbe-aac4-05abc8ee2c83/data","versionDate":"2015-12-02"},{"year":2014,"datasetUuid":"f63b48ae-946e-48f7-9f56-327a68da4e0b","apiUrl":"https://data.cms.gov/data-api/v1/dataset/f63b48ae-946e-48f7-9f56-327a68da4e0b/data","versionDate":"2014-12-02"},{"year":2013,"datasetUuid":"ad5e7548-98ab-4325-af4b-b2a7099b9351","apiUrl":"https://data.cms.gov/data-api/v1/dataset/ad5e7548-98ab-4325-af4b-b2a7099b9351/data","versionDate":"2013-12-02"}]},"cptAllowlist":[{"code":"15820","label":"Lower-eyelid blepharoplasty","family":"lower_blepharoplasty"},{"code":"15821","label":"Lower-eyelid blepharoplasty with extensive fat-pad work","family":"lower_blepharoplasty"},{"code":"15822","label":"Upper-eyelid blepharoplasty","family":"upper_blepharoplasty"},{"code":"15823","label":"Upper-eyelid blepharoplasty with excess skin removal","family":"upper_blepharoplasty"},{"code":"67900","label":"Brow ptosis repair","family":"brow_ptosis"},{"code":"67901","label":"Ptosis repair using a frontalis suspension technique","family":"eyelid_ptosis"},{"code":"67902","label":"Ptosis repair using a frontalis suspension with fascial sling","family":"eyelid_ptosis"},{"code":"67903","label":"Ptosis repair using an internal approach","family":"eyelid_ptosis"},{"code":"67904","label":"Ptosis repair using an external approach","family":"eyelid_ptosis"},{"code":"67906","label":"Ptosis repair using a superior rectus technique with fascial sling","family":"eyelid_ptosis"},{"code":"67908","label":"Ptosis repair using a conjunctival-Mueller muscle approach","family":"eyelid_ptosis"}],"observedProcedureCodes":["15822","15823","67900","67903","67904","67908"],"summary":{"providerServiceRows":330,"uniqueBillingNpis":35,"uniqueProcedureCodes":6,"uniqueProviderProcedurePairs":73,"totalServiceUnits":26659,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},"years":[{"year":2024,"providerServiceRows":36,"uniqueBillingNpis":16,"uniqueProcedureCodes":5,"uniqueProviderProcedurePairs":34,"totalServiceUnits":2274,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"year":2023,"providerServiceRows":28,"uniqueBillingNpis":13,"uniqueProcedureCodes":6,"uniqueProviderProcedurePairs":28,"totalServiceUnits":1903,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"year":2022,"providerServiceRows":29,"uniqueBillingNpis":14,"uniqueProcedureCodes":6,"uniqueProviderProcedurePairs":29,"totalServiceUnits":1917,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"year":2021,"providerServiceRows":22,"uniqueBillingNpis":13,"uniqueProcedureCodes":4,"uniqueProviderProcedurePairs":22,"totalServiceUnits":1757,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"year":2020,"providerServiceRows":21,"uniqueBillingNpis":11,"uniqueProcedureCodes":5,"uniqueProviderProcedurePairs":21,"totalServiceUnits":1583,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"year":2019,"providerServiceRows":32,"uniqueBillingNpis":16,"uniqueProcedureCodes":6,"uniqueProviderProcedurePairs":31,"totalServiceUnits":2658,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"year":2018,"providerServiceRows":27,"uniqueBillingNpis":13,"uniqueProcedureCodes":5,"uniqueProviderProcedurePairs":25,"totalServiceUnits":2659,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"year":2017,"providerServiceRows":30,"uniqueBillingNpis":17,"uniqueProcedureCodes":5,"uniqueProviderProcedurePairs":29,"totalServiceUnits":2908,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"year":2016,"providerServiceRows":25,"uniqueBillingNpis":13,"uniqueProcedureCodes":4,"uniqueProviderProcedurePairs":23,"totalServiceUnits":2840,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"year":2015,"providerServiceRows":22,"uniqueBillingNpis":11,"uniqueProcedureCodes":4,"uniqueProviderProcedurePairs":20,"totalServiceUnits":2313,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"year":2014,"providerServiceRows":35,"uniqueBillingNpis":14,"uniqueProcedureCodes":5,"uniqueProviderProcedurePairs":29,"totalServiceUnits":2084,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"year":2013,"providerServiceRows":23,"uniqueBillingNpis":11,"uniqueProcedureCodes":4,"uniqueProviderProcedurePairs":22,"totalServiceUnits":1763,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null}],"procedures":[{"procedureCode":"15822","procedureLabel":"Upper-eyelid blepharoplasty","procedureFamily":"upper_blepharoplasty","firstYear":2013,"lastYear":2024,"providerServiceRows":11,"uniqueBillingNpis":2,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":2,"totalServiceUnits":615,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureFamily":"upper_blepharoplasty","firstYear":2013,"lastYear":2024,"providerServiceRows":149,"uniqueBillingNpis":33,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":33,"totalServiceUnits":9251,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureFamily":"brow_ptosis","firstYear":2013,"lastYear":2024,"providerServiceRows":47,"uniqueBillingNpis":9,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":9,"totalServiceUnits":6052,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureFamily":"eyelid_ptosis","firstYear":2017,"lastYear":2024,"providerServiceRows":14,"uniqueBillingNpis":6,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":6,"totalServiceUnits":298,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureFamily":"eyelid_ptosis","firstYear":2013,"lastYear":2024,"providerServiceRows":103,"uniqueBillingNpis":20,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":20,"totalServiceUnits":10310,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null},{"procedureCode":"67908","procedureLabel":"Ptosis repair using a conjunctival-Mueller muscle approach","procedureFamily":"eyelid_ptosis","firstYear":2014,"lastYear":2023,"providerServiceRows":6,"uniqueBillingNpis":3,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":3,"totalServiceUnits":133,"dollarAggregatesPublishable":false,"weightedAverageSubmittedChargeCents":null,"weightedAverageMedicareAllowedCents":null,"weightedAverageMedicarePaymentCents":null}],"comparisonGroups":[{"procedureCode":"15822","procedureLabel":"Upper-eyelid blepharoplasty","procedureFamily":"upper_blepharoplasty","claimRole":"asc_facility_service","placeOfService":"facility","years":[2024,2023,2022,2021,2020,2019,2018,2017,2015,2014,2013],"providerServiceRows":11,"uniqueBillingNpis":2,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":2,"totalServiceUnits":615,"dollarAggregatesPublishable":true,"weightedAverageSubmittedChargeCents":483542,"weightedAverageMedicareAllowedCents":53395,"weightedAverageMedicarePaymentCents":42479},{"procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureFamily":"upper_blepharoplasty","claimRole":"asc_facility_service","placeOfService":"facility","years":[2024,2023,2022,2021,2020,2019,2018,2017,2016,2015,2014,2013],"providerServiceRows":48,"uniqueBillingNpis":10,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":10,"totalServiceUnits":5696,"dollarAggregatesPublishable":true,"weightedAverageSubmittedChargeCents":545449,"weightedAverageMedicareAllowedCents":53294,"weightedAverageMedicarePaymentCents":42201},{"procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureFamily":"upper_blepharoplasty","claimRole":"professional_service_in_facility_setting","placeOfService":"facility","years":[2024,2023,2022,2021,2020,2019,2018,2017,2016,2015,2014,2013],"providerServiceRows":86,"uniqueBillingNpis":20,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":20,"totalServiceUnits":3270,"dollarAggregatesPublishable":true,"weightedAverageSubmittedChargeCents":248964,"weightedAverageMedicareAllowedCents":75134,"weightedAverageMedicarePaymentCents":59296},{"procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureFamily":"upper_blepharoplasty","claimRole":"professional_service_non_facility","placeOfService":"non_facility","years":[2024,2019,2018,2017,2016,2015,2014,2013],"providerServiceRows":15,"uniqueBillingNpis":8,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":8,"totalServiceUnits":285,"dollarAggregatesPublishable":true,"weightedAverageSubmittedChargeCents":235621,"weightedAverageMedicareAllowedCents":71454,"weightedAverageMedicarePaymentCents":56288},{"procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureFamily":"brow_ptosis","claimRole":"asc_facility_service","placeOfService":"facility","years":[2024,2023,2022,2021,2020,2019,2018,2017,2016,2015,2014,2013],"providerServiceRows":17,"uniqueBillingNpis":4,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":4,"totalServiceUnits":3726,"dollarAggregatesPublishable":true,"weightedAverageSubmittedChargeCents":946047,"weightedAverageMedicareAllowedCents":55689,"weightedAverageMedicarePaymentCents":44328},{"procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureFamily":"brow_ptosis","claimRole":"professional_service_in_facility_setting","placeOfService":"facility","years":[2024,2023,2022,2021,2020,2019,2018,2017,2016,2015,2014,2013],"providerServiceRows":28,"uniqueBillingNpis":5,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":5,"totalServiceUnits":2295,"dollarAggregatesPublishable":true,"weightedAverageSubmittedChargeCents":252857,"weightedAverageMedicareAllowedCents":38229,"weightedAverageMedicarePaymentCents":30415},{"procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureFamily":"brow_ptosis","claimRole":"professional_service_non_facility","placeOfService":"non_facility","years":[2018,2014],"providerServiceRows":2,"uniqueBillingNpis":1,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":1,"totalServiceUnits":31,"dollarAggregatesPublishable":true,"weightedAverageSubmittedChargeCents":311613,"weightedAverageMedicareAllowedCents":68694,"weightedAverageMedicarePaymentCents":54703},{"procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureFamily":"eyelid_ptosis","claimRole":"asc_facility_service","placeOfService":"facility","years":[2024,2023,2022],"providerServiceRows":3,"uniqueBillingNpis":1,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":1,"totalServiceUnits":92,"dollarAggregatesPublishable":true,"weightedAverageSubmittedChargeCents":173500,"weightedAverageMedicareAllowedCents":64933,"weightedAverageMedicarePaymentCents":51442},{"procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureFamily":"eyelid_ptosis","claimRole":"professional_service_in_facility_setting","placeOfService":"facility","years":[2024,2023,2022,2019,2018,2017],"providerServiceRows":11,"uniqueBillingNpis":5,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":5,"totalServiceUnits":206,"dollarAggregatesPublishable":true,"weightedAverageSubmittedChargeCents":180363,"weightedAverageMedicareAllowedCents":52091,"weightedAverageMedicarePaymentCents":41037},{"procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureFamily":"eyelid_ptosis","claimRole":"asc_facility_service","placeOfService":"facility","years":[2024,2023,2022,2021,2020,2019,2018,2017,2016,2015,2014,2013],"providerServiceRows":36,"uniqueBillingNpis":7,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":7,"totalServiceUnits":6073,"dollarAggregatesPublishable":true,"weightedAverageSubmittedChargeCents":320786,"weightedAverageMedicareAllowedCents":50596,"weightedAverageMedicarePaymentCents":40063},{"procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureFamily":"eyelid_ptosis","claimRole":"professional_service_in_facility_setting","placeOfService":"facility","years":[2024,2023,2022,2021,2020,2019,2018,2017,2016,2015,2014,2013],"providerServiceRows":54,"uniqueBillingNpis":13,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":13,"totalServiceUnits":3979,"dollarAggregatesPublishable":true,"weightedAverageSubmittedChargeCents":234409,"weightedAverageMedicareAllowedCents":79237,"weightedAverageMedicarePaymentCents":62766},{"procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureFamily":"eyelid_ptosis","claimRole":"professional_service_non_facility","placeOfService":"non_facility","years":[2024,2020,2019,2018,2017,2016,2015,2014,2013],"providerServiceRows":13,"uniqueBillingNpis":3,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":3,"totalServiceUnits":258,"dollarAggregatesPublishable":true,"weightedAverageSubmittedChargeCents":237498,"weightedAverageMedicareAllowedCents":73356,"weightedAverageMedicarePaymentCents":57999},{"procedureCode":"67908","procedureLabel":"Ptosis repair using a conjunctival-Mueller muscle approach","procedureFamily":"eyelid_ptosis","claimRole":"asc_facility_service","placeOfService":"facility","years":[2023,2022,2020,2019,2016],"providerServiceRows":5,"uniqueBillingNpis":2,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":2,"totalServiceUnits":120,"dollarAggregatesPublishable":true,"weightedAverageSubmittedChargeCents":520313,"weightedAverageMedicareAllowedCents":55944,"weightedAverageMedicarePaymentCents":44235},{"procedureCode":"67908","procedureLabel":"Ptosis repair using a conjunctival-Mueller muscle approach","procedureFamily":"eyelid_ptosis","claimRole":"professional_service_in_facility_setting","placeOfService":"facility","years":[2014],"providerServiceRows":1,"uniqueBillingNpis":1,"uniqueProcedureCodes":1,"uniqueProviderProcedurePairs":1,"totalServiceUnits":13,"dollarAggregatesPublishable":true,"weightedAverageSubmittedChargeCents":147692,"weightedAverageMedicareAllowedCents":47007,"weightedAverageMedicarePaymentCents":36892}],"providers":[{"npi":"1336184258","providerName":"Angela Rowden","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78240","years":[2024],"procedureCodes":["15823"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":1,"totalServiceUnits":34},{"npi":"1497959746","providerName":"Brett Davies","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","years":[2024,2023,2022,2021,2020,2019],"procedureCodes":["15823","67903","67904"],"placeOfServices":["facility","non_facility"],"claimRoles":["professional_service_in_facility_setting","professional_service_non_facility"],"providerServiceRows":11,"totalServiceUnits":300},{"npi":"1659558617","providerName":"Christina Bui","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78253","years":[2022],"procedureCodes":["15823"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":1,"totalServiceUnits":21},{"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","years":[2024,2023,2022,2021,2020,2019,2018,2017,2016,2015,2014,2013],"procedureCodes":["15823","67900","67904"],"placeOfServices":["facility","non_facility"],"claimRoles":["professional_service_in_facility_setting","professional_service_non_facility"],"providerServiceRows":38,"totalServiceUnits":2701},{"npi":"1447212121","providerName":"Christus Santa Rosa Outpatient Surgery - New Braunfels, Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"New Braunfels","state":"TX","zip5":"78130","years":[2019,2018,2017],"procedureCodes":["15823","67900","67904"],"placeOfServices":["facility"],"claimRoles":["asc_facility_service"],"providerServiceRows":6,"totalServiceUnits":231},{"npi":"1154369114","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78209","years":[2024,2017,2016,2015,2014,2013],"procedureCodes":["15823","67904","67908"],"placeOfServices":["facility"],"claimRoles":["asc_facility_service"],"providerServiceRows":12,"totalServiceUnits":498},{"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","years":[2024,2023,2022,2021,2020,2019,2018,2017,2016,2014,2013],"procedureCodes":["15822","15823","67900","67904","67908"],"placeOfServices":["facility"],"claimRoles":["asc_facility_service"],"providerServiceRows":32,"totalServiceUnits":1848},{"npi":"1770894776","providerName":"Clinton Duncan","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","years":[2016],"procedureCodes":["15823"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":1,"totalServiceUnits":12},{"npi":"1306804273","providerName":"Constance Fry","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","years":[2020,2019,2018,2017,2016,2015],"procedureCodes":["15823","67904"],"placeOfServices":["facility","non_facility"],"claimRoles":["professional_service_in_facility_setting","professional_service_non_facility"],"providerServiceRows":9,"totalServiceUnits":159},{"npi":"1346228426","providerName":"Courtney Ridner","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","years":[2015],"procedureCodes":["15823"],"placeOfServices":["non_facility"],"claimRoles":["professional_service_non_facility"],"providerServiceRows":1,"totalServiceUnits":16},{"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","years":[2024,2023,2022,2021,2020,2019,2018,2017,2016,2015,2014,2013],"procedureCodes":["15823","67900","67904"],"placeOfServices":["facility","non_facility"],"claimRoles":["professional_service_in_facility_setting","professional_service_non_facility"],"providerServiceRows":39,"totalServiceUnits":4787},{"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","years":[2019,2017,2016,2015,2014,2013],"procedureCodes":["15823","67903","67904","67908"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":15,"totalServiceUnits":394},{"npi":"1154777407","providerName":"Donovan Reed","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","years":[2024,2023],"procedureCodes":["15823","67900","67903","67904"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":7,"totalServiceUnits":170},{"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","years":[2024,2023,2022,2021,2019,2018,2017],"procedureCodes":["15823","67903","67904"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":15,"totalServiceUnits":303},{"npi":"1710026596","providerName":"Jorge De La Chapa","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78248","years":[2024,2023,2022,2021,2020,2019,2018],"procedureCodes":["15823","67904"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":10,"totalServiceUnits":183},{"npi":"1992718373","providerName":"Joseph Kavanagh","entityType":"individual","providerType":"Ophthalmology","city":"Seguin","state":"TX","zip5":"78155","years":[2021,2019,2018,2017,2016,2015,2014,2013],"procedureCodes":["15823"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":8,"totalServiceUnits":147},{"npi":"1861527483","providerName":"Lisa Marten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","years":[2017],"procedureCodes":["15823"],"placeOfServices":["non_facility"],"claimRoles":["professional_service_non_facility"],"providerServiceRows":1,"totalServiceUnits":11},{"npi":"1770505984","providerName":"Manuel Lopez","entityType":"individual","providerType":"Otolaryngology","city":"San Antonio","state":"TX","zip5":"78258","years":[2024,2023,2022,2021,2020,2019,2018,2017,2016,2015,2014,2013],"procedureCodes":["15823"],"placeOfServices":["facility","non_facility"],"claimRoles":["professional_service_in_facility_setting","professional_service_non_facility"],"providerServiceRows":12,"totalServiceUnits":256},{"npi":"1245572338","providerName":"Marie Somogyi","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","years":[2024,2023,2022],"procedureCodes":["15823","67903"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":5,"totalServiceUnits":166},{"npi":"1073951240","providerName":"Maxine Harvey","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78218","years":[2024],"procedureCodes":["15823"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":1,"totalServiceUnits":11},{"npi":"1972570117","providerName":"Methodist Medical Center Asc Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","years":[2019,2018,2017,2016,2014],"procedureCodes":["15823","67904"],"placeOfServices":["facility"],"claimRoles":["asc_facility_service"],"providerServiceRows":5,"totalServiceUnits":259},{"npi":"1659369601","providerName":"Nader Iskander","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","years":[2014],"procedureCodes":["15823"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":1,"totalServiceUnits":15},{"npi":"1922075167","providerName":"North Central Methodist Asc, Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","years":[2014],"procedureCodes":["15823"],"placeOfServices":["facility"],"claimRoles":["asc_facility_service"],"providerServiceRows":1,"totalServiceUnits":24},{"npi":"1164476933","providerName":"Novamed Surgery Center Of San Antonio Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","years":[2014,2013],"procedureCodes":["15823"],"placeOfServices":["facility"],"claimRoles":["asc_facility_service"],"providerServiceRows":2,"totalServiceUnits":50},{"npi":"1972096568","providerName":"Nuvision Same Day Procedure Center Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","years":[2024,2023,2022,2021,2020],"procedureCodes":["15823","67903","67904"],"placeOfServices":["facility"],"claimRoles":["asc_facility_service"],"providerServiceRows":10,"totalServiceUnits":398},{"npi":"1285685511","providerName":"Randy Mauffray","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78215","years":[2024,2023,2022,2021,2020,2019],"procedureCodes":["15823","67904"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":11,"totalServiceUnits":205},{"npi":"1033348180","providerName":"Rehan Ahmed","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78240","years":[2016,2015,2014,2013],"procedureCodes":["15823","67904"],"placeOfServices":["facility","non_facility"],"claimRoles":["professional_service_in_facility_setting","professional_service_non_facility"],"providerServiceRows":10,"totalServiceUnits":217},{"npi":"1013177799","providerName":"Ricardo Sepulveda","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78213","years":[2023,2022,2021],"procedureCodes":["67904"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":3,"totalServiceUnits":44},{"npi":"1528075801","providerName":"Robert Green","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78205","years":[2022,2020],"procedureCodes":["15823"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":2,"totalServiceUnits":23},{"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","years":[2021,2019,2018,2017,2015,2014,2013],"procedureCodes":["15822","15823","67900","67904"],"placeOfServices":["facility"],"claimRoles":["asc_facility_service"],"providerServiceRows":15,"totalServiceUnits":734},{"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","years":[2024,2023,2022,2021,2020,2019,2018,2017,2016,2015,2014,2013],"procedureCodes":["15823","67900","67904"],"placeOfServices":["facility"],"claimRoles":["asc_facility_service"],"providerServiceRows":36,"totalServiceUnits":12258},{"npi":"1871915041","providerName":"Surgical Eye Center Of San Antonio","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"Live Oak","state":"TX","zip5":"78233","years":[2017],"procedureCodes":["15823"],"placeOfServices":["facility"],"claimRoles":["asc_facility_service"],"providerServiceRows":1,"totalServiceUnits":22},{"npi":"1972641751","providerName":"Tomy Starck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78256","years":[2019,2018,2017,2016],"procedureCodes":["15823","67900","67904"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":5,"totalServiceUnits":124},{"npi":"1073932786","providerName":"Wesley Brundridge","entityType":"individual","providerType":"Ophthalmology","city":"Fort Sam Houston","state":"TX","zip5":"78234","years":[2024],"procedureCodes":["67900","67904"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":2,"totalServiceUnits":27},{"npi":"1134235500","providerName":"William Walton","entityType":"individual","providerType":"Ophthalmology","city":"Live Oak","state":"TX","zip5":"78233","years":[2017],"procedureCodes":["15823"],"placeOfServices":["facility"],"claimRoles":["professional_service_in_facility_setting"],"providerServiceRows":1,"totalServiceUnits":11}],"rows":[{"year":2024,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15822","procedureLabel":"Upper-eyelid blepharoplasty","procedureDescription":"Upper-eyelid blepharoplasty","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":12,"serviceUnits":24,"beneficiaryDayServiceCount":12,"averageSubmittedChargeCents":371562,"averageMedicareAllowedCents":63290,"averageMedicarePaymentCents":50107,"averageMedicareStandardizedPaymentCents":53760,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1336184258","providerName":"Angela Rowden","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":34,"serviceUnits":34,"beneficiaryDayServiceCount":34,"averageSubmittedChargeCents":260000,"averageMedicareAllowedCents":69515,"averageMedicarePaymentCents":53557,"averageMedicareStandardizedPaymentCents":62815,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1497959746","providerName":"Brett Davies","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":38,"serviceUnits":38,"beneficiaryDayServiceCount":38,"averageSubmittedChargeCents":220000,"averageMedicareAllowedCents":70766,"averageMedicarePaymentCents":55417,"averageMedicareStandardizedPaymentCents":59695,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":94,"serviceUnits":94,"beneficiaryDayServiceCount":94,"averageSubmittedChargeCents":265931,"averageMedicareAllowedCents":77314,"averageMedicarePaymentCents":60154,"averageMedicareStandardizedPaymentCents":62237,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":42,"serviceUnits":42,"beneficiaryDayServiceCount":42,"averageSubmittedChargeCents":290065,"averageMedicareAllowedCents":84850,"averageMedicarePaymentCents":64278,"averageMedicareStandardizedPaymentCents":66751,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1154369114","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78209","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":16,"serviceUnits":30,"beneficiaryDayServiceCount":16,"averageSubmittedChargeCents":438606,"averageMedicareAllowedCents":59306,"averageMedicarePaymentCents":47251,"averageMedicareStandardizedPaymentCents":50674,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":75,"serviceUnits":146,"beneficiaryDayServiceCount":75,"averageSubmittedChargeCents":438606,"averageMedicareAllowedCents":63612,"averageMedicarePaymentCents":50317,"averageMedicareStandardizedPaymentCents":53989,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":71,"serviceUnits":71,"beneficiaryDayServiceCount":71,"averageSubmittedChargeCents":311175,"averageMedicareAllowedCents":77405,"averageMedicarePaymentCents":61672,"averageMedicareStandardizedPaymentCents":63758,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1154777407","providerName":"Donovan Reed","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":31,"serviceUnits":31,"beneficiaryDayServiceCount":31,"averageSubmittedChargeCents":120323,"averageMedicareAllowedCents":64623,"averageMedicarePaymentCents":51499,"averageMedicareStandardizedPaymentCents":56738,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":34,"serviceUnits":34,"beneficiaryDayServiceCount":34,"averageSubmittedChargeCents":243476,"averageMedicareAllowedCents":71909,"averageMedicarePaymentCents":57144,"averageMedicareStandardizedPaymentCents":59082,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1710026596","providerName":"Jorge De La Chapa","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78248","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":17,"serviceUnits":17,"beneficiaryDayServiceCount":17,"averageSubmittedChargeCents":162000,"averageMedicareAllowedCents":81133,"averageMedicarePaymentCents":64091,"averageMedicareStandardizedPaymentCents":63376,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1770505984","providerName":"Manuel Lopez","entityType":"individual","providerType":"Otolaryngology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":17,"serviceUnits":17,"beneficiaryDayServiceCount":17,"averageSubmittedChargeCents":160000,"averageMedicareAllowedCents":78290,"averageMedicarePaymentCents":58366,"averageMedicareStandardizedPaymentCents":60474,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1245572338","providerName":"Marie Somogyi","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":74,"serviceUnits":74,"beneficiaryDayServiceCount":74,"averageSubmittedChargeCents":241893,"averageMedicareAllowedCents":73723,"averageMedicarePaymentCents":57127,"averageMedicareStandardizedPaymentCents":62730,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1073951240","providerName":"Maxine Harvey","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78218","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":11,"serviceUnits":11,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":118202,"averageMedicareAllowedCents":78224,"averageMedicarePaymentCents":59193,"averageMedicareStandardizedPaymentCents":61300,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1972096568","providerName":"Nuvision Same Day Procedure Center Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":39,"serviceUnits":73,"beneficiaryDayServiceCount":39,"averageSubmittedChargeCents":170000,"averageMedicareAllowedCents":63605,"averageMedicarePaymentCents":50677,"averageMedicareStandardizedPaymentCents":54348,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1285685511","providerName":"Randy Mauffray","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78215","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":22,"serviceUnits":22,"beneficiaryDayServiceCount":22,"averageSubmittedChargeCents":242000,"averageMedicareAllowedCents":73960,"averageMedicarePaymentCents":57793,"averageMedicareStandardizedPaymentCents":58690,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":169,"serviceUnits":329,"beneficiaryDayServiceCount":169,"averageSubmittedChargeCents":384947,"averageMedicareAllowedCents":58552,"averageMedicarePaymentCents":46065,"averageMedicareStandardizedPaymentCents":50289,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":16,"serviceUnits":16,"beneficiaryDayServiceCount":16,"averageSubmittedChargeCents":247079,"averageMedicareAllowedCents":46781,"averageMedicarePaymentCents":34950,"averageMedicareStandardizedPaymentCents":36121,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":112,"serviceUnits":112,"beneficiaryDayServiceCount":112,"averageSubmittedChargeCents":251101,"averageMedicareAllowedCents":35978,"averageMedicarePaymentCents":28681,"averageMedicareStandardizedPaymentCents":29833,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1154777407","providerName":"Donovan Reed","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":17,"serviceUnits":17,"beneficiaryDayServiceCount":17,"averageSubmittedChargeCents":194118,"averageMedicareAllowedCents":50115,"averageMedicarePaymentCents":38804,"averageMedicareStandardizedPaymentCents":40058,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":97,"serviceUnits":185,"beneficiaryDayServiceCount":97,"averageSubmittedChargeCents":402765,"averageMedicareAllowedCents":57018,"averageMedicarePaymentCents":45429,"averageMedicareStandardizedPaymentCents":49965,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1073932786","providerName":"Wesley Brundridge","entityType":"individual","providerType":"Ophthalmology","city":"Fort Sam Houston","state":"TX","zip5":"78234","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":12,"serviceUnits":12,"beneficiaryDayServiceCount":12,"averageSubmittedChargeCents":251261,"averageMedicareAllowedCents":35725,"averageMedicarePaymentCents":28464,"averageMedicareStandardizedPaymentCents":29359,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1497959746","providerName":"Brett Davies","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureDescription":"Ptosis repair using an internal approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":18,"serviceUnits":19,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":200000,"averageMedicareAllowedCents":51727,"averageMedicarePaymentCents":41088,"averageMedicareStandardizedPaymentCents":46684,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1154777407","providerName":"Donovan Reed","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureDescription":"Ptosis repair using an internal approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":33,"serviceUnits":35,"beneficiaryDayServiceCount":35,"averageSubmittedChargeCents":121143,"averageMedicareAllowedCents":51266,"averageMedicarePaymentCents":40340,"averageMedicareStandardizedPaymentCents":41996,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1245572338","providerName":"Marie Somogyi","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureDescription":"Ptosis repair using an internal approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":21,"serviceUnits":21,"beneficiaryDayServiceCount":21,"averageSubmittedChargeCents":204227,"averageMedicareAllowedCents":58498,"averageMedicarePaymentCents":45689,"averageMedicareStandardizedPaymentCents":50347,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1972096568","providerName":"Nuvision Same Day Procedure Center Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureDescription":"Ptosis repair using an internal approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":18,"serviceUnits":30,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":173500,"averageMedicareAllowedCents":73327,"averageMedicarePaymentCents":57786,"averageMedicareStandardizedPaymentCents":62018,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":56,"serviceUnits":59,"beneficiaryDayServiceCount":59,"averageSubmittedChargeCents":261007,"averageMedicareAllowedCents":72565,"averageMedicarePaymentCents":56206,"averageMedicareStandardizedPaymentCents":58033,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":56,"serviceUnits":103,"beneficiaryDayServiceCount":57,"averageSubmittedChargeCents":456200,"averageMedicareAllowedCents":66680,"averageMedicarePaymentCents":52942,"averageMedicareStandardizedPaymentCents":56791,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":145,"serviceUnits":147,"beneficiaryDayServiceCount":147,"averageSubmittedChargeCents":257019,"averageMedicareAllowedCents":76842,"averageMedicarePaymentCents":60674,"averageMedicareStandardizedPaymentCents":63692,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":24,"serviceUnits":26,"beneficiaryDayServiceCount":26,"averageSubmittedChargeCents":247754,"averageMedicareAllowedCents":63499,"averageMedicarePaymentCents":49358,"averageMedicareStandardizedPaymentCents":56737,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":30,"serviceUnits":30,"beneficiaryDayServiceCount":30,"averageSubmittedChargeCents":289483,"averageMedicareAllowedCents":80352,"averageMedicarePaymentCents":63397,"averageMedicareStandardizedPaymentCents":65420,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1710026596","providerName":"Jorge De La Chapa","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78248","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":18,"serviceUnits":19,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":178463,"averageMedicareAllowedCents":79610,"averageMedicarePaymentCents":64003,"averageMedicareStandardizedPaymentCents":63116,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1972096568","providerName":"Nuvision Same Day Procedure Center Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":11,"serviceUnits":18,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":173500,"averageMedicareAllowedCents":72338,"averageMedicarePaymentCents":56573,"averageMedicareStandardizedPaymentCents":60748,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1285685511","providerName":"Randy Mauffray","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78215","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":19,"serviceUnits":19,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":257895,"averageMedicareAllowedCents":79297,"averageMedicarePaymentCents":60520,"averageMedicareStandardizedPaymentCents":61371,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":169,"serviceUnits":304,"beneficiaryDayServiceCount":174,"averageSubmittedChargeCents":388424,"averageMedicareAllowedCents":66633,"averageMedicarePaymentCents":52106,"averageMedicareStandardizedPaymentCents":57478,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2024,"npi":"1073932786","providerName":"Wesley Brundridge","entityType":"individual","providerType":"Ophthalmology","city":"Fort Sam Houston","state":"TX","zip5":"78234","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":15,"serviceUnits":15,"beneficiaryDayServiceCount":15,"averageSubmittedChargeCents":286811,"averageMedicareAllowedCents":80314,"averageMedicarePaymentCents":61441,"averageMedicareStandardizedPaymentCents":63462,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15822","procedureLabel":"Upper-eyelid blepharoplasty","procedureDescription":"Upper-eyelid blepharoplasty","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":17,"serviceUnits":30,"beneficiaryDayServiceCount":17,"averageSubmittedChargeCents":349745,"averageMedicareAllowedCents":57470,"averageMedicarePaymentCents":45789,"averageMedicareStandardizedPaymentCents":49312,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1497959746","providerName":"Brett Davies","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":38,"serviceUnits":38,"beneficiaryDayServiceCount":38,"averageSubmittedChargeCents":220211,"averageMedicareAllowedCents":74042,"averageMedicarePaymentCents":58993,"averageMedicareStandardizedPaymentCents":61194,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":116,"serviceUnits":116,"beneficiaryDayServiceCount":116,"averageSubmittedChargeCents":157787,"averageMedicareAllowedCents":78621,"averageMedicarePaymentCents":61438,"averageMedicareStandardizedPaymentCents":62327,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":57,"serviceUnits":109,"beneficiaryDayServiceCount":57,"averageSubmittedChargeCents":411082,"averageMedicareAllowedCents":59167,"averageMedicarePaymentCents":47047,"averageMedicareStandardizedPaymentCents":52658,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1154777407","providerName":"Donovan Reed","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":31,"serviceUnits":31,"beneficiaryDayServiceCount":31,"averageSubmittedChargeCents":125806,"averageMedicareAllowedCents":77347,"averageMedicarePaymentCents":61045,"averageMedicareStandardizedPaymentCents":63223,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":15,"serviceUnits":15,"beneficiaryDayServiceCount":15,"averageSubmittedChargeCents":245280,"averageMedicareAllowedCents":72763,"averageMedicarePaymentCents":57357,"averageMedicareStandardizedPaymentCents":59520,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1710026596","providerName":"Jorge De La Chapa","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78248","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":15,"serviceUnits":15,"beneficiaryDayServiceCount":15,"averageSubmittedChargeCents":162000,"averageMedicareAllowedCents":80357,"averageMedicarePaymentCents":64323,"averageMedicareStandardizedPaymentCents":65197,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1770505984","providerName":"Manuel Lopez","entityType":"individual","providerType":"Otolaryngology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":19,"serviceUnits":19,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":161579,"averageMedicareAllowedCents":75600,"averageMedicarePaymentCents":59740,"averageMedicareStandardizedPaymentCents":63978,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1245572338","providerName":"Marie Somogyi","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":19,"serviceUnits":19,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":234947,"averageMedicareAllowedCents":74919,"averageMedicarePaymentCents":60292,"averageMedicareStandardizedPaymentCents":63767,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1972096568","providerName":"Nuvision Same Day Procedure Center Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":37,"serviceUnits":67,"beneficiaryDayServiceCount":37,"averageSubmittedChargeCents":170000,"averageMedicareAllowedCents":60662,"averageMedicarePaymentCents":48001,"averageMedicareStandardizedPaymentCents":51719,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1285685511","providerName":"Randy Mauffray","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78215","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":22,"serviceUnits":22,"beneficiaryDayServiceCount":22,"averageSubmittedChargeCents":163659,"averageMedicareAllowedCents":76695,"averageMedicarePaymentCents":60512,"averageMedicareStandardizedPaymentCents":61986,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":135,"serviceUnits":264,"beneficiaryDayServiceCount":135,"averageSubmittedChargeCents":557893,"averageMedicareAllowedCents":59245,"averageMedicarePaymentCents":47084,"averageMedicareStandardizedPaymentCents":50582,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":30,"serviceUnits":30,"beneficiaryDayServiceCount":30,"averageSubmittedChargeCents":140813,"averageMedicareAllowedCents":50376,"averageMedicarePaymentCents":39721,"averageMedicareStandardizedPaymentCents":40232,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":83,"serviceUnits":84,"beneficiaryDayServiceCount":84,"averageSubmittedChargeCents":143471,"averageMedicareAllowedCents":36495,"averageMedicarePaymentCents":29228,"averageMedicareStandardizedPaymentCents":29952,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1154777407","providerName":"Donovan Reed","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":21,"serviceUnits":21,"beneficiaryDayServiceCount":21,"averageSubmittedChargeCents":195238,"averageMedicareAllowedCents":47290,"averageMedicarePaymentCents":37678,"averageMedicareStandardizedPaymentCents":39035,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":91,"serviceUnits":178,"beneficiaryDayServiceCount":92,"averageSubmittedChargeCents":633593,"averageMedicareAllowedCents":51008,"averageMedicarePaymentCents":40641,"averageMedicareStandardizedPaymentCents":43769,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1497959746","providerName":"Brett Davies","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureDescription":"Ptosis repair using an internal approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":17,"serviceUnits":17,"beneficiaryDayServiceCount":17,"averageSubmittedChargeCents":200000,"averageMedicareAllowedCents":58849,"averageMedicarePaymentCents":45829,"averageMedicareStandardizedPaymentCents":47471,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1154777407","providerName":"Donovan Reed","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureDescription":"Ptosis repair using an internal approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":23,"serviceUnits":24,"beneficiaryDayServiceCount":24,"averageSubmittedChargeCents":131250,"averageMedicareAllowedCents":55551,"averageMedicarePaymentCents":44260,"averageMedicareStandardizedPaymentCents":45687,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1972096568","providerName":"Nuvision Same Day Procedure Center Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureDescription":"Ptosis repair using an internal approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":17,"serviceUnits":29,"beneficiaryDayServiceCount":17,"averageSubmittedChargeCents":173500,"averageMedicareAllowedCents":62624,"averageMedicarePaymentCents":49516,"averageMedicareStandardizedPaymentCents":53356,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":58,"serviceUnits":59,"beneficiaryDayServiceCount":59,"averageSubmittedChargeCents":154834,"averageMedicareAllowedCents":77820,"averageMedicarePaymentCents":60650,"averageMedicareStandardizedPaymentCents":61433,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":38,"serviceUnits":65,"beneficiaryDayServiceCount":38,"averageSubmittedChargeCents":456200,"averageMedicareAllowedCents":62240,"averageMedicarePaymentCents":48734,"averageMedicareStandardizedPaymentCents":52550,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":170,"serviceUnits":173,"beneficiaryDayServiceCount":173,"averageSubmittedChargeCents":164267,"averageMedicareAllowedCents":78231,"averageMedicarePaymentCents":61842,"averageMedicareStandardizedPaymentCents":63263,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1154777407","providerName":"Donovan Reed","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":11,"serviceUnits":11,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":167273,"averageMedicareAllowedCents":80677,"averageMedicarePaymentCents":64978,"averageMedicareStandardizedPaymentCents":71326,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":39,"serviceUnits":39,"beneficiaryDayServiceCount":39,"averageSubmittedChargeCents":283410,"averageMedicareAllowedCents":78744,"averageMedicarePaymentCents":62465,"averageMedicareStandardizedPaymentCents":64702,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1285685511","providerName":"Randy Mauffray","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78215","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":22,"serviceUnits":22,"beneficiaryDayServiceCount":22,"averageSubmittedChargeCents":154545,"averageMedicareAllowedCents":71021,"averageMedicarePaymentCents":56625,"averageMedicareStandardizedPaymentCents":60689,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1013177799","providerName":"Ricardo Sepulveda","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78213","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":11,"serviceUnits":11,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":204100,"averageMedicareAllowedCents":82022,"averageMedicarePaymentCents":62078,"averageMedicareStandardizedPaymentCents":64406,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":192,"serviceUnits":357,"beneficiaryDayServiceCount":195,"averageSubmittedChargeCents":238132,"averageMedicareAllowedCents":54921,"averageMedicarePaymentCents":43641,"averageMedicareStandardizedPaymentCents":49718,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2023,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67908","procedureLabel":"Ptosis repair using a conjunctival-Mueller muscle approach","procedureDescription":"Ptosis repair using a conjunctival-Mueller muscle approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":23,"serviceUnits":38,"beneficiaryDayServiceCount":23,"averageSubmittedChargeCents":517968,"averageMedicareAllowedCents":64476,"averageMedicarePaymentCents":50983,"averageMedicareStandardizedPaymentCents":55705,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15822","procedureLabel":"Upper-eyelid blepharoplasty","procedureDescription":"Upper-eyelid blepharoplasty","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":26,"serviceUnits":50,"beneficiaryDayServiceCount":26,"averageSubmittedChargeCents":318300,"averageMedicareAllowedCents":61675,"averageMedicarePaymentCents":48495,"averageMedicareStandardizedPaymentCents":52076,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1497959746","providerName":"Brett Davies","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":34,"serviceUnits":34,"beneficiaryDayServiceCount":34,"averageSubmittedChargeCents":220882,"averageMedicareAllowedCents":72410,"averageMedicarePaymentCents":56832,"averageMedicareStandardizedPaymentCents":60521,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1659558617","providerName":"Christina Bui","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78253","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":21,"serviceUnits":21,"beneficiaryDayServiceCount":21,"averageSubmittedChargeCents":444400,"averageMedicareAllowedCents":80578,"averageMedicarePaymentCents":63220,"averageMedicareStandardizedPaymentCents":64340,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":111,"serviceUnits":111,"beneficiaryDayServiceCount":111,"averageSubmittedChargeCents":157317,"averageMedicareAllowedCents":77739,"averageMedicarePaymentCents":61160,"averageMedicareStandardizedPaymentCents":63406,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":63,"serviceUnits":124,"beneficiaryDayServiceCount":63,"averageSubmittedChargeCents":382000,"averageMedicareAllowedCents":60151,"averageMedicarePaymentCents":47944,"averageMedicareStandardizedPaymentCents":52186,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":16,"serviceUnits":16,"beneficiaryDayServiceCount":16,"averageSubmittedChargeCents":254588,"averageMedicareAllowedCents":77897,"averageMedicarePaymentCents":60997,"averageMedicareStandardizedPaymentCents":63095,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1710026596","providerName":"Jorge De La Chapa","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78248","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":17,"serviceUnits":17,"beneficiaryDayServiceCount":17,"averageSubmittedChargeCents":314471,"averageMedicareAllowedCents":73882,"averageMedicarePaymentCents":58915,"averageMedicareStandardizedPaymentCents":61101,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1770505984","providerName":"Manuel Lopez","entityType":"individual","providerType":"Otolaryngology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":20,"serviceUnits":20,"beneficiaryDayServiceCount":20,"averageSubmittedChargeCents":160000,"averageMedicareAllowedCents":79749,"averageMedicarePaymentCents":58726,"averageMedicareStandardizedPaymentCents":60749,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1245572338","providerName":"Marie Somogyi","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":37,"serviceUnits":37,"beneficiaryDayServiceCount":37,"averageSubmittedChargeCents":133378,"averageMedicareAllowedCents":81869,"averageMedicarePaymentCents":59557,"averageMedicareStandardizedPaymentCents":58346,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1972096568","providerName":"Nuvision Same Day Procedure Center Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":34,"serviceUnits":63,"beneficiaryDayServiceCount":34,"averageSubmittedChargeCents":170000,"averageMedicareAllowedCents":62412,"averageMedicarePaymentCents":49816,"averageMedicareStandardizedPaymentCents":53491,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1285685511","providerName":"Randy Mauffray","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78215","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":20,"serviceUnits":20,"beneficiaryDayServiceCount":20,"averageSubmittedChargeCents":277500,"averageMedicareAllowedCents":74306,"averageMedicarePaymentCents":58375,"averageMedicareStandardizedPaymentCents":60316,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1528075801","providerName":"Robert Green","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78205","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":11,"serviceUnits":11,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":121342,"averageMedicareAllowedCents":79354,"averageMedicarePaymentCents":63284,"averageMedicareStandardizedPaymentCents":65603,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":134,"serviceUnits":261,"beneficiaryDayServiceCount":135,"averageSubmittedChargeCents":837470,"averageMedicareAllowedCents":61498,"averageMedicarePaymentCents":48688,"averageMedicareStandardizedPaymentCents":52321,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":35,"serviceUnits":35,"beneficiaryDayServiceCount":35,"averageSubmittedChargeCents":144599,"averageMedicareAllowedCents":48910,"averageMedicarePaymentCents":38585,"averageMedicareStandardizedPaymentCents":39140,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":86,"serviceUnits":86,"beneficiaryDayServiceCount":86,"averageSubmittedChargeCents":144857,"averageMedicareAllowedCents":36666,"averageMedicarePaymentCents":29366,"averageMedicareStandardizedPaymentCents":30223,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":93,"serviceUnits":184,"beneficiaryDayServiceCount":93,"averageSubmittedChargeCents":1177600,"averageMedicareAllowedCents":50758,"averageMedicarePaymentCents":40411,"averageMedicareStandardizedPaymentCents":43416,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1497959746","providerName":"Brett Davies","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureDescription":"Ptosis repair using an internal approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":19,"serviceUnits":20,"beneficiaryDayServiceCount":20,"averageSubmittedChargeCents":200000,"averageMedicareAllowedCents":50495,"averageMedicarePaymentCents":40311,"averageMedicareStandardizedPaymentCents":41514,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1245572338","providerName":"Marie Somogyi","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureDescription":"Ptosis repair using an internal approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":15,"serviceUnits":15,"beneficiaryDayServiceCount":15,"averageSubmittedChargeCents":130667,"averageMedicareAllowedCents":69509,"averageMedicarePaymentCents":52693,"averageMedicareStandardizedPaymentCents":51288,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1972096568","providerName":"Nuvision Same Day Procedure Center Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureDescription":"Ptosis repair using an internal approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":19,"serviceUnits":33,"beneficiaryDayServiceCount":20,"averageSubmittedChargeCents":173500,"averageMedicareAllowedCents":59330,"averageMedicarePaymentCents":47366,"averageMedicareStandardizedPaymentCents":50807,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1497959746","providerName":"Brett Davies","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":11,"serviceUnits":12,"beneficiaryDayServiceCount":12,"averageSubmittedChargeCents":200000,"averageMedicareAllowedCents":75870,"averageMedicarePaymentCents":60589,"averageMedicareStandardizedPaymentCents":62294,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":45,"serviceUnits":48,"beneficiaryDayServiceCount":48,"averageSubmittedChargeCents":143260,"averageMedicareAllowedCents":69832,"averageMedicarePaymentCents":54397,"averageMedicareStandardizedPaymentCents":56724,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":52,"serviceUnits":94,"beneficiaryDayServiceCount":52,"averageSubmittedChargeCents":451347,"averageMedicareAllowedCents":58138,"averageMedicarePaymentCents":46012,"averageMedicareStandardizedPaymentCents":50403,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":180,"serviceUnits":181,"beneficiaryDayServiceCount":181,"averageSubmittedChargeCents":166213,"averageMedicareAllowedCents":80734,"averageMedicarePaymentCents":64192,"averageMedicareStandardizedPaymentCents":66569,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":33,"serviceUnits":33,"beneficiaryDayServiceCount":33,"averageSubmittedChargeCents":287091,"averageMedicareAllowedCents":79025,"averageMedicarePaymentCents":62633,"averageMedicareStandardizedPaymentCents":66487,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1972096568","providerName":"Nuvision Same Day Procedure Center Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":11,"serviceUnits":19,"beneficiaryDayServiceCount":12,"averageSubmittedChargeCents":173500,"averageMedicareAllowedCents":63151,"averageMedicarePaymentCents":50403,"averageMedicareStandardizedPaymentCents":54001,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1285685511","providerName":"Randy Mauffray","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78215","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":13,"serviceUnits":13,"beneficiaryDayServiceCount":13,"averageSubmittedChargeCents":277692,"averageMedicareAllowedCents":72256,"averageMedicarePaymentCents":55716,"averageMedicareStandardizedPaymentCents":57345,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1013177799","providerName":"Ricardo Sepulveda","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78213","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":15,"serviceUnits":15,"beneficiaryDayServiceCount":15,"averageSubmittedChargeCents":177020,"averageMedicareAllowedCents":80776,"averageMedicarePaymentCents":62674,"averageMedicareStandardizedPaymentCents":69234,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":175,"serviceUnits":319,"beneficiaryDayServiceCount":178,"averageSubmittedChargeCents":113621,"averageMedicareAllowedCents":46959,"averageMedicarePaymentCents":37206,"averageMedicareStandardizedPaymentCents":44066,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2022,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67908","procedureLabel":"Ptosis repair using a conjunctival-Mueller muscle approach","procedureDescription":"Ptosis repair using a conjunctival-Mueller muscle approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":14,"serviceUnits":25,"beneficiaryDayServiceCount":14,"averageSubmittedChargeCents":521400,"averageMedicareAllowedCents":46164,"averageMedicarePaymentCents":36818,"averageMedicareStandardizedPaymentCents":39692,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15822","procedureLabel":"Upper-eyelid blepharoplasty","procedureDescription":"Upper-eyelid blepharoplasty","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":22,"serviceUnits":41,"beneficiaryDayServiceCount":22,"averageSubmittedChargeCents":318300,"averageMedicareAllowedCents":58459,"averageMedicarePaymentCents":46923,"averageMedicareStandardizedPaymentCents":52004,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1497959746","providerName":"Brett Davies","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":41,"serviceUnits":41,"beneficiaryDayServiceCount":41,"averageSubmittedChargeCents":184878,"averageMedicareAllowedCents":76698,"averageMedicarePaymentCents":60473,"averageMedicareStandardizedPaymentCents":62210,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":93,"serviceUnits":93,"beneficiaryDayServiceCount":93,"averageSubmittedChargeCents":156354,"averageMedicareAllowedCents":78150,"averageMedicarePaymentCents":61737,"averageMedicareStandardizedPaymentCents":61979,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":46,"serviceUnits":87,"beneficiaryDayServiceCount":46,"averageSubmittedChargeCents":382000,"averageMedicareAllowedCents":58740,"averageMedicarePaymentCents":46744,"averageMedicareStandardizedPaymentCents":52242,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":12,"serviceUnits":12,"beneficiaryDayServiceCount":12,"averageSubmittedChargeCents":229950,"averageMedicareAllowedCents":65910,"averageMedicarePaymentCents":52658,"averageMedicareStandardizedPaymentCents":53514,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1710026596","providerName":"Jorge De La Chapa","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78248","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":12,"serviceUnits":12,"beneficiaryDayServiceCount":12,"averageSubmittedChargeCents":282500,"averageMedicareAllowedCents":75198,"averageMedicarePaymentCents":60451,"averageMedicareStandardizedPaymentCents":66914,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1992718373","providerName":"Joseph Kavanagh","entityType":"individual","providerType":"Ophthalmology","city":"Seguin","state":"TX","zip5":"78155","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":16,"serviceUnits":16,"beneficiaryDayServiceCount":16,"averageSubmittedChargeCents":444400,"averageMedicareAllowedCents":80489,"averageMedicarePaymentCents":64593,"averageMedicareStandardizedPaymentCents":64875,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1770505984","providerName":"Manuel Lopez","entityType":"individual","providerType":"Otolaryngology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":20,"serviceUnits":20,"beneficiaryDayServiceCount":20,"averageSubmittedChargeCents":160000,"averageMedicareAllowedCents":80433,"averageMedicarePaymentCents":63534,"averageMedicareStandardizedPaymentCents":64859,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1972096568","providerName":"Nuvision Same Day Procedure Center Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":26,"serviceUnits":42,"beneficiaryDayServiceCount":26,"averageSubmittedChargeCents":170000,"averageMedicareAllowedCents":64894,"averageMedicarePaymentCents":51448,"averageMedicareStandardizedPaymentCents":58600,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1285685511","providerName":"Randy Mauffray","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78215","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":19,"serviceUnits":19,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":300000,"averageMedicareAllowedCents":78188,"averageMedicarePaymentCents":62140,"averageMedicareStandardizedPaymentCents":65727,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":111,"serviceUnits":215,"beneficiaryDayServiceCount":111,"averageSubmittedChargeCents":837470,"averageMedicareAllowedCents":60775,"averageMedicarePaymentCents":48328,"averageMedicareStandardizedPaymentCents":51235,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":34,"serviceUnits":34,"beneficiaryDayServiceCount":34,"averageSubmittedChargeCents":144235,"averageMedicareAllowedCents":55546,"averageMedicarePaymentCents":44089,"averageMedicareStandardizedPaymentCents":44276,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":111,"serviceUnits":111,"beneficiaryDayServiceCount":111,"averageSubmittedChargeCents":146735,"averageMedicareAllowedCents":37728,"averageMedicarePaymentCents":30283,"averageMedicareStandardizedPaymentCents":30398,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":110,"serviceUnits":216,"beneficiaryDayServiceCount":110,"averageSubmittedChargeCents":1177600,"averageMedicareAllowedCents":53357,"averageMedicarePaymentCents":42686,"averageMedicareStandardizedPaymentCents":45233,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":56,"serviceUnits":56,"beneficiaryDayServiceCount":56,"averageSubmittedChargeCents":157533,"averageMedicareAllowedCents":78251,"averageMedicarePaymentCents":61945,"averageMedicareStandardizedPaymentCents":62896,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":42,"serviceUnits":70,"beneficiaryDayServiceCount":43,"averageSubmittedChargeCents":456200,"averageMedicareAllowedCents":59204,"averageMedicarePaymentCents":47132,"averageMedicareStandardizedPaymentCents":49936,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":208,"serviceUnits":211,"beneficiaryDayServiceCount":211,"averageSubmittedChargeCents":167872,"averageMedicareAllowedCents":83490,"averageMedicarePaymentCents":66709,"averageMedicareStandardizedPaymentCents":67491,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":22,"serviceUnits":22,"beneficiaryDayServiceCount":22,"averageSubmittedChargeCents":265559,"averageMedicareAllowedCents":78644,"averageMedicarePaymentCents":62915,"averageMedicareStandardizedPaymentCents":64088,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1285685511","providerName":"Randy Mauffray","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78215","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":12,"serviceUnits":12,"beneficiaryDayServiceCount":12,"averageSubmittedChargeCents":300833,"averageMedicareAllowedCents":80270,"averageMedicarePaymentCents":64410,"averageMedicareStandardizedPaymentCents":64622,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1013177799","providerName":"Ricardo Sepulveda","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78213","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":18,"serviceUnits":18,"beneficiaryDayServiceCount":18,"averageSubmittedChargeCents":177020,"averageMedicareAllowedCents":78385,"averageMedicarePaymentCents":63005,"averageMedicareStandardizedPaymentCents":72455,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":11,"serviceUnits":19,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":586065,"averageMedicareAllowedCents":58166,"averageMedicarePaymentCents":46533,"averageMedicareStandardizedPaymentCents":49309,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2021,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":207,"serviceUnits":390,"beneficiaryDayServiceCount":209,"averageSubmittedChargeCents":81058,"averageMedicareAllowedCents":46779,"averageMedicarePaymentCents":37280,"averageMedicareStandardizedPaymentCents":42757,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15822","procedureLabel":"Upper-eyelid blepharoplasty","procedureDescription":"Upper-eyelid blepharoplasty","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":41,"serviceUnits":76,"beneficiaryDayServiceCount":41,"averageSubmittedChargeCents":318300,"averageMedicareAllowedCents":53397,"averageMedicarePaymentCents":42308,"averageMedicareStandardizedPaymentCents":45256,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1497959746","providerName":"Brett Davies","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":31,"serviceUnits":31,"beneficiaryDayServiceCount":31,"averageSubmittedChargeCents":180484,"averageMedicareAllowedCents":77946,"averageMedicarePaymentCents":62153,"averageMedicareStandardizedPaymentCents":63681,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":80,"serviceUnits":80,"beneficiaryDayServiceCount":80,"averageSubmittedChargeCents":181861,"averageMedicareAllowedCents":77661,"averageMedicarePaymentCents":59761,"averageMedicareStandardizedPaymentCents":61877,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":36,"serviceUnits":67,"beneficiaryDayServiceCount":36,"averageSubmittedChargeCents":382000,"averageMedicareAllowedCents":53750,"averageMedicarePaymentCents":42450,"averageMedicareStandardizedPaymentCents":45591,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1710026596","providerName":"Jorge De La Chapa","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78248","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":14,"serviceUnits":14,"beneficiaryDayServiceCount":14,"averageSubmittedChargeCents":320000,"averageMedicareAllowedCents":81538,"averageMedicarePaymentCents":65372,"averageMedicareStandardizedPaymentCents":65954,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1770505984","providerName":"Manuel Lopez","entityType":"individual","providerType":"Otolaryngology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":14,"serviceUnits":14,"beneficiaryDayServiceCount":14,"averageSubmittedChargeCents":160000,"averageMedicareAllowedCents":80478,"averageMedicarePaymentCents":63357,"averageMedicareStandardizedPaymentCents":65018,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1972096568","providerName":"Nuvision Same Day Procedure Center Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":23,"serviceUnits":24,"beneficiaryDayServiceCount":24,"averageSubmittedChargeCents":170000,"averageMedicareAllowedCents":73615,"averageMedicarePaymentCents":58817,"averageMedicareStandardizedPaymentCents":89731,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1285685511","providerName":"Randy Mauffray","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78215","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":15,"serviceUnits":15,"beneficiaryDayServiceCount":15,"averageSubmittedChargeCents":260000,"averageMedicareAllowedCents":65020,"averageMedicarePaymentCents":52087,"averageMedicareStandardizedPaymentCents":52763,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1528075801","providerName":"Robert Green","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78205","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":12,"serviceUnits":12,"beneficiaryDayServiceCount":12,"averageSubmittedChargeCents":110693,"averageMedicareAllowedCents":76953,"averageMedicarePaymentCents":61577,"averageMedicareStandardizedPaymentCents":64122,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":93,"serviceUnits":182,"beneficiaryDayServiceCount":93,"averageSubmittedChargeCents":837470,"averageMedicareAllowedCents":51088,"averageMedicarePaymentCents":40377,"averageMedicareStandardizedPaymentCents":43087,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":31,"serviceUnits":31,"beneficiaryDayServiceCount":31,"averageSubmittedChargeCents":205355,"averageMedicareAllowedCents":46457,"averageMedicarePaymentCents":36261,"averageMedicareStandardizedPaymentCents":39273,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":121,"serviceUnits":122,"beneficiaryDayServiceCount":122,"averageSubmittedChargeCents":174430,"averageMedicareAllowedCents":38039,"averageMedicarePaymentCents":30432,"averageMedicareStandardizedPaymentCents":31329,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":97,"serviceUnits":191,"beneficiaryDayServiceCount":97,"averageSubmittedChargeCents":1166586,"averageMedicareAllowedCents":55534,"averageMedicarePaymentCents":44306,"averageMedicareStandardizedPaymentCents":47539,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":53,"serviceUnits":55,"beneficiaryDayServiceCount":55,"averageSubmittedChargeCents":180860,"averageMedicareAllowedCents":77155,"averageMedicarePaymentCents":60516,"averageMedicareStandardizedPaymentCents":61800,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":49,"serviceUnits":86,"beneficiaryDayServiceCount":49,"averageSubmittedChargeCents":456200,"averageMedicareAllowedCents":57641,"averageMedicarePaymentCents":46071,"averageMedicareStandardizedPaymentCents":49213,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1306804273","providerName":"Constance Fry","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":13,"serviceUnits":13,"beneficiaryDayServiceCount":13,"averageSubmittedChargeCents":338608,"averageMedicareAllowedCents":83732,"averageMedicarePaymentCents":67045,"averageMedicareStandardizedPaymentCents":67968,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":193,"serviceUnits":195,"beneficiaryDayServiceCount":195,"averageSubmittedChargeCents":194778,"averageMedicareAllowedCents":82775,"averageMedicarePaymentCents":65704,"averageMedicareStandardizedPaymentCents":67966,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1710026596","providerName":"Jorge De La Chapa","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78248","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":13,"serviceUnits":13,"beneficiaryDayServiceCount":13,"averageSubmittedChargeCents":270000,"averageMedicareAllowedCents":85964,"averageMedicarePaymentCents":68423,"averageMedicareStandardizedPaymentCents":69410,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1285685511","providerName":"Randy Mauffray","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78215","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":18,"serviceUnits":18,"beneficiaryDayServiceCount":18,"averageSubmittedChargeCents":310861,"averageMedicareAllowedCents":80537,"averageMedicarePaymentCents":63215,"averageMedicareStandardizedPaymentCents":63675,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":179,"serviceUnits":327,"beneficiaryDayServiceCount":182,"averageSubmittedChargeCents":97916,"averageMedicareAllowedCents":46559,"averageMedicarePaymentCents":36840,"averageMedicareStandardizedPaymentCents":41968,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2020,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67908","procedureLabel":"Ptosis repair using a conjunctival-Mueller muscle approach","procedureDescription":"Ptosis repair using a conjunctival-Mueller muscle approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":11,"serviceUnits":17,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":521400,"averageMedicareAllowedCents":62831,"averageMedicarePaymentCents":50127,"averageMedicareStandardizedPaymentCents":54037,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15822","procedureLabel":"Upper-eyelid blepharoplasty","procedureDescription":"Upper-eyelid blepharoplasty","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":30,"serviceUnits":59,"beneficiaryDayServiceCount":30,"averageSubmittedChargeCents":318300,"averageMedicareAllowedCents":52031,"averageMedicarePaymentCents":41456,"averageMedicareStandardizedPaymentCents":44532,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1497959746","providerName":"Brett Davies","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":35,"serviceUnits":35,"beneficiaryDayServiceCount":35,"averageSubmittedChargeCents":140336,"averageMedicareAllowedCents":61137,"averageMedicarePaymentCents":47137,"averageMedicareStandardizedPaymentCents":49160,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1497959746","providerName":"Brett Davies","entityType":"individual","providerType":"Ophthalmology","city":"Jbsa Lackland","state":"TX","zip5":"78236","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":15,"serviceUnits":15,"beneficiaryDayServiceCount":15,"averageSubmittedChargeCents":220000,"averageMedicareAllowedCents":86529,"averageMedicarePaymentCents":68787,"averageMedicareStandardizedPaymentCents":71829,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":135,"serviceUnits":135,"beneficiaryDayServiceCount":135,"averageSubmittedChargeCents":188439,"averageMedicareAllowedCents":74586,"averageMedicarePaymentCents":59473,"averageMedicareStandardizedPaymentCents":63700,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1447212121","providerName":"Christus Santa Rosa Outpatient Surgery - New Braunfels, Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"New Braunfels","state":"TX","zip5":"78130","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":20,"serviceUnits":38,"beneficiaryDayServiceCount":20,"averageSubmittedChargeCents":362355,"averageMedicareAllowedCents":43280,"averageMedicarePaymentCents":34402,"averageMedicareStandardizedPaymentCents":36848,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":40,"serviceUnits":76,"beneficiaryDayServiceCount":40,"averageSubmittedChargeCents":382000,"averageMedicareAllowedCents":52652,"averageMedicarePaymentCents":41803,"averageMedicareStandardizedPaymentCents":45698,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1306804273","providerName":"Constance Fry","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":20,"serviceUnits":20,"beneficiaryDayServiceCount":20,"averageSubmittedChargeCents":273520,"averageMedicareAllowedCents":43542,"averageMedicarePaymentCents":34821,"averageMedicareStandardizedPaymentCents":36154,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":14,"serviceUnits":14,"beneficiaryDayServiceCount":14,"averageSubmittedChargeCents":262800,"averageMedicareAllowedCents":79211,"averageMedicarePaymentCents":63111,"averageMedicareStandardizedPaymentCents":65734,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":14,"serviceUnits":14,"beneficiaryDayServiceCount":14,"averageSubmittedChargeCents":253414,"averageMedicareAllowedCents":77325,"averageMedicarePaymentCents":61608,"averageMedicareStandardizedPaymentCents":64169,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1710026596","providerName":"Jorge De La Chapa","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78248","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":41,"serviceUnits":41,"beneficiaryDayServiceCount":41,"averageSubmittedChargeCents":327902,"averageMedicareAllowedCents":79816,"averageMedicarePaymentCents":63830,"averageMedicareStandardizedPaymentCents":65269,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1992718373","providerName":"Joseph Kavanagh","entityType":"individual","providerType":"Ophthalmology","city":"Seguin","state":"TX","zip5":"78155","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":25,"serviceUnits":25,"beneficiaryDayServiceCount":25,"averageSubmittedChargeCents":435512,"averageMedicareAllowedCents":76794,"averageMedicarePaymentCents":60639,"averageMedicareStandardizedPaymentCents":62963,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1770505984","providerName":"Manuel Lopez","entityType":"individual","providerType":"Otolaryngology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":27,"serviceUnits":27,"beneficiaryDayServiceCount":27,"averageSubmittedChargeCents":160000,"averageMedicareAllowedCents":78235,"averageMedicarePaymentCents":62247,"averageMedicareStandardizedPaymentCents":64838,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1285685511","providerName":"Randy Mauffray","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78215","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":23,"serviceUnits":23,"beneficiaryDayServiceCount":23,"averageSubmittedChargeCents":410870,"averageMedicareAllowedCents":79029,"averageMedicarePaymentCents":62809,"averageMedicareStandardizedPaymentCents":64435,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":26,"serviceUnits":54,"beneficiaryDayServiceCount":27,"averageSubmittedChargeCents":615023,"averageMedicareAllowedCents":48739,"averageMedicarePaymentCents":38286,"averageMedicareStandardizedPaymentCents":41168,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":178,"serviceUnits":346,"beneficiaryDayServiceCount":178,"averageSubmittedChargeCents":833199,"averageMedicareAllowedCents":49862,"averageMedicarePaymentCents":39346,"averageMedicareStandardizedPaymentCents":41932,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":53,"serviceUnits":53,"beneficiaryDayServiceCount":53,"averageSubmittedChargeCents":189279,"averageMedicareAllowedCents":42763,"averageMedicarePaymentCents":34113,"averageMedicareStandardizedPaymentCents":35990,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1447212121","providerName":"Christus Santa Rosa Outpatient Surgery - New Braunfels, Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"New Braunfels","state":"TX","zip5":"78130","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":12,"serviceUnits":24,"beneficiaryDayServiceCount":12,"averageSubmittedChargeCents":249165,"averageMedicareAllowedCents":55313,"averageMedicarePaymentCents":44071,"averageMedicareStandardizedPaymentCents":47070,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":164,"serviceUnits":164,"beneficiaryDayServiceCount":164,"averageSubmittedChargeCents":200346,"averageMedicareAllowedCents":38189,"averageMedicarePaymentCents":30460,"averageMedicareStandardizedPaymentCents":32043,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":169,"serviceUnits":330,"beneficiaryDayServiceCount":169,"averageSubmittedChargeCents":1177600,"averageMedicareAllowedCents":53862,"averageMedicarePaymentCents":42840,"averageMedicareStandardizedPaymentCents":46026,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureDescription":"Ptosis repair using an internal approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":12,"serviceUnits":12,"beneficiaryDayServiceCount":12,"averageSubmittedChargeCents":224000,"averageMedicareAllowedCents":41023,"averageMedicarePaymentCents":32685,"averageMedicareStandardizedPaymentCents":33969,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureDescription":"Ptosis repair using an internal approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":13,"serviceUnits":13,"beneficiaryDayServiceCount":13,"averageSubmittedChargeCents":246154,"averageMedicareAllowedCents":41474,"averageMedicarePaymentCents":33044,"averageMedicareStandardizedPaymentCents":34342,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":81,"serviceUnits":86,"beneficiaryDayServiceCount":86,"averageSubmittedChargeCents":206133,"averageMedicareAllowedCents":78042,"averageMedicarePaymentCents":62292,"averageMedicareStandardizedPaymentCents":66285,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":28,"serviceUnits":50,"beneficiaryDayServiceCount":29,"averageSubmittedChargeCents":456200,"averageMedicareAllowedCents":55313,"averageMedicarePaymentCents":44071,"averageMedicareStandardizedPaymentCents":47343,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1306804273","providerName":"Constance Fry","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":19,"serviceUnits":19,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":301484,"averageMedicareAllowedCents":79982,"averageMedicarePaymentCents":63502,"averageMedicareStandardizedPaymentCents":66120,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":305,"serviceUnits":310,"beneficiaryDayServiceCount":310,"averageSubmittedChargeCents":223706,"averageMedicareAllowedCents":82722,"averageMedicarePaymentCents":65509,"averageMedicareStandardizedPaymentCents":68850,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":11,"serviceUnits":11,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":272736,"averageMedicareAllowedCents":79024,"averageMedicarePaymentCents":62963,"averageMedicareStandardizedPaymentCents":65461,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":19,"serviceUnits":19,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":282558,"averageMedicareAllowedCents":80827,"averageMedicarePaymentCents":64399,"averageMedicareStandardizedPaymentCents":66954,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1710026596","providerName":"Jorge De La Chapa","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78248","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":18,"serviceUnits":20,"beneficiaryDayServiceCount":20,"averageSubmittedChargeCents":248570,"averageMedicareAllowedCents":78193,"averageMedicarePaymentCents":61897,"averageMedicareStandardizedPaymentCents":66240,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1972570117","providerName":"Methodist Medical Center Asc Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":20,"serviceUnits":39,"beneficiaryDayServiceCount":20,"averageSubmittedChargeCents":743192,"averageMedicareAllowedCents":55788,"averageMedicarePaymentCents":44324,"averageMedicareStandardizedPaymentCents":47624,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":290,"serviceUnits":556,"beneficiaryDayServiceCount":299,"averageSubmittedChargeCents":81819,"averageMedicareAllowedCents":46464,"averageMedicarePaymentCents":36791,"averageMedicareStandardizedPaymentCents":40532,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1972641751","providerName":"Tomy Starck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78256","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":11,"serviceUnits":11,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":149091,"averageMedicareAllowedCents":87067,"averageMedicarePaymentCents":68898,"averageMedicareStandardizedPaymentCents":71516,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2019,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67908","procedureLabel":"Ptosis repair using a conjunctival-Mueller muscle approach","procedureDescription":"Ptosis repair using a conjunctival-Mueller muscle approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":11,"serviceUnits":19,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":521400,"averageMedicareAllowedCents":56299,"averageMedicarePaymentCents":44080,"averageMedicareStandardizedPaymentCents":47410,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15822","procedureLabel":"Upper-eyelid blepharoplasty","procedureDescription":"Upper-eyelid blepharoplasty","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":19,"serviceUnits":38,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":615023,"averageMedicareAllowedCents":55846,"averageMedicarePaymentCents":44496,"averageMedicareStandardizedPaymentCents":48041,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":114,"serviceUnits":114,"beneficiaryDayServiceCount":114,"averageSubmittedChargeCents":329990,"averageMedicareAllowedCents":71486,"averageMedicarePaymentCents":56767,"averageMedicareStandardizedPaymentCents":62005,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1447212121","providerName":"Christus Santa Rosa Outpatient Surgery - New Braunfels, Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"New Braunfels","state":"TX","zip5":"78130","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":28,"serviceUnits":55,"beneficiaryDayServiceCount":28,"averageSubmittedChargeCents":362355,"averageMedicareAllowedCents":56202,"averageMedicarePaymentCents":43914,"averageMedicareStandardizedPaymentCents":47481,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":15,"serviceUnits":29,"beneficiaryDayServiceCount":15,"averageSubmittedChargeCents":382000,"averageMedicareAllowedCents":53484,"averageMedicarePaymentCents":41813,"averageMedicareStandardizedPaymentCents":44910,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1306804273","providerName":"Constance Fry","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":21,"serviceUnits":21,"beneficiaryDayServiceCount":21,"averageSubmittedChargeCents":221238,"averageMedicareAllowedCents":37838,"averageMedicarePaymentCents":30147,"averageMedicareStandardizedPaymentCents":40726,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":13,"serviceUnits":13,"beneficiaryDayServiceCount":13,"averageSubmittedChargeCents":262800,"averageMedicareAllowedCents":73724,"averageMedicarePaymentCents":57822,"averageMedicareStandardizedPaymentCents":61214,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1710026596","providerName":"Jorge De La Chapa","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78248","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":15,"serviceUnits":15,"beneficiaryDayServiceCount":15,"averageSubmittedChargeCents":237962,"averageMedicareAllowedCents":67824,"averageMedicarePaymentCents":54039,"averageMedicareStandardizedPaymentCents":55410,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1992718373","providerName":"Joseph Kavanagh","entityType":"individual","providerType":"Ophthalmology","city":"Seguin","state":"TX","zip5":"78155","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":14,"serviceUnits":14,"beneficiaryDayServiceCount":14,"averageSubmittedChargeCents":444400,"averageMedicareAllowedCents":74928,"averageMedicarePaymentCents":59966,"averageMedicareStandardizedPaymentCents":66964,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1770505984","providerName":"Manuel Lopez","entityType":"individual","providerType":"Otolaryngology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":33,"serviceUnits":33,"beneficiaryDayServiceCount":33,"averageSubmittedChargeCents":158788,"averageMedicareAllowedCents":76324,"averageMedicarePaymentCents":59619,"averageMedicareStandardizedPaymentCents":63936,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1972570117","providerName":"Methodist Medical Center Asc Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":21,"serviceUnits":42,"beneficiaryDayServiceCount":21,"averageSubmittedChargeCents":546821,"averageMedicareAllowedCents":55846,"averageMedicarePaymentCents":44496,"averageMedicareStandardizedPaymentCents":47872,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":49,"serviceUnits":100,"beneficiaryDayServiceCount":50,"averageSubmittedChargeCents":615023,"averageMedicareAllowedCents":54703,"averageMedicarePaymentCents":43548,"averageMedicareStandardizedPaymentCents":47310,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":158,"serviceUnits":288,"beneficiaryDayServiceCount":158,"averageSubmittedChargeCents":837470,"averageMedicareAllowedCents":57403,"averageMedicarePaymentCents":45427,"averageMedicareStandardizedPaymentCents":48890,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1972641751","providerName":"Tomy Starck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78256","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":34,"serviceUnits":34,"beneficiaryDayServiceCount":34,"averageSubmittedChargeCents":90100,"averageMedicareAllowedCents":73523,"averageMedicarePaymentCents":57636,"averageMedicareStandardizedPaymentCents":61825,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":77,"serviceUnits":77,"beneficiaryDayServiceCount":77,"averageSubmittedChargeCents":314486,"averageMedicareAllowedCents":38533,"averageMedicarePaymentCents":30477,"averageMedicareStandardizedPaymentCents":32990,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1447212121","providerName":"Christus Santa Rosa Outpatient Surgery - New Braunfels, Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"New Braunfels","state":"TX","zip5":"78130","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":22,"serviceUnits":39,"beneficiaryDayServiceCount":22,"averageSubmittedChargeCents":249165,"averageMedicareAllowedCents":39675,"averageMedicarePaymentCents":31611,"averageMedicareStandardizedPaymentCents":34130,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":172,"serviceUnits":173,"beneficiaryDayServiceCount":173,"averageSubmittedChargeCents":292231,"averageMedicareAllowedCents":36050,"averageMedicarePaymentCents":28664,"averageMedicareStandardizedPaymentCents":31435,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":11,"serviceUnits":11,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":307364,"averageMedicareAllowedCents":49014,"averageMedicarePaymentCents":38972,"averageMedicareStandardizedPaymentCents":43290,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":198,"serviceUnits":391,"beneficiaryDayServiceCount":199,"averageSubmittedChargeCents":1177600,"averageMedicareAllowedCents":49467,"averageMedicarePaymentCents":39413,"averageMedicareStandardizedPaymentCents":42398,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1972641751","providerName":"Tomy Starck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78256","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":15,"serviceUnits":15,"beneficiaryDayServiceCount":15,"averageSubmittedChargeCents":114667,"averageMedicareAllowedCents":45566,"averageMedicarePaymentCents":36304,"averageMedicareStandardizedPaymentCents":38793,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78231","procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureDescription":"Ptosis repair using an internal approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":14,"serviceUnits":14,"beneficiaryDayServiceCount":14,"averageSubmittedChargeCents":237714,"averageMedicareAllowedCents":39479,"averageMedicarePaymentCents":31455,"averageMedicareStandardizedPaymentCents":33242,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":104,"serviceUnits":110,"beneficiaryDayServiceCount":110,"averageSubmittedChargeCents":256422,"averageMedicareAllowedCents":77532,"averageMedicarePaymentCents":61200,"averageMedicareStandardizedPaymentCents":65455,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":19,"serviceUnits":35,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":456200,"averageMedicareAllowedCents":53686,"averageMedicarePaymentCents":42627,"averageMedicareStandardizedPaymentCents":45902,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1306804273","providerName":"Constance Fry","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":24,"serviceUnits":24,"beneficiaryDayServiceCount":24,"averageSubmittedChargeCents":249183,"averageMedicareAllowedCents":63847,"averageMedicarePaymentCents":49970,"averageMedicareStandardizedPaymentCents":66636,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":296,"serviceUnits":303,"beneficiaryDayServiceCount":303,"averageSubmittedChargeCents":265118,"averageMedicareAllowedCents":77793,"averageMedicarePaymentCents":61776,"averageMedicareStandardizedPaymentCents":68290,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":19,"serviceUnits":19,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":249768,"averageMedicareAllowedCents":81252,"averageMedicarePaymentCents":64826,"averageMedicareStandardizedPaymentCents":76569,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":16,"serviceUnits":28,"beneficiaryDayServiceCount":16,"averageSubmittedChargeCents":586065,"averageMedicareAllowedCents":51592,"averageMedicarePaymentCents":41163,"averageMedicareStandardizedPaymentCents":44253,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2018,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":326,"serviceUnits":624,"beneficiaryDayServiceCount":340,"averageSubmittedChargeCents":82221,"averageMedicareAllowedCents":46712,"averageMedicarePaymentCents":36866,"averageMedicareStandardizedPaymentCents":40609,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15822","procedureLabel":"Upper-eyelid blepharoplasty","procedureDescription":"Upper-eyelid blepharoplasty","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":57,"serviceUnits":110,"beneficiaryDayServiceCount":57,"averageSubmittedChargeCents":615023,"averageMedicareAllowedCents":49763,"averageMedicarePaymentCents":39632,"averageMedicareStandardizedPaymentCents":42586,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":93,"serviceUnits":93,"beneficiaryDayServiceCount":93,"averageSubmittedChargeCents":350652,"averageMedicareAllowedCents":73172,"averageMedicarePaymentCents":57529,"averageMedicareStandardizedPaymentCents":62697,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1447212121","providerName":"Christus Santa Rosa Outpatient Surgery - New Braunfels, Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"New Braunfels","state":"TX","zip5":"78130","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":29,"serviceUnits":55,"beneficiaryDayServiceCount":29,"averageSubmittedChargeCents":362355,"averageMedicareAllowedCents":49448,"averageMedicarePaymentCents":39088,"averageMedicareStandardizedPaymentCents":42023,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1154369114","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":14,"serviceUnits":28,"beneficiaryDayServiceCount":14,"averageSubmittedChargeCents":382000,"averageMedicareAllowedCents":45411,"averageMedicarePaymentCents":35945,"averageMedicareStandardizedPaymentCents":38675,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1306804273","providerName":"Constance Fry","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":17,"serviceUnits":17,"beneficiaryDayServiceCount":17,"averageSubmittedChargeCents":252529,"averageMedicareAllowedCents":38351,"averageMedicarePaymentCents":30556,"averageMedicareStandardizedPaymentCents":34521,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":14,"serviceUnits":14,"beneficiaryDayServiceCount":14,"averageSubmittedChargeCents":262800,"averageMedicareAllowedCents":75889,"averageMedicarePaymentCents":60464,"averageMedicareStandardizedPaymentCents":65206,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":11,"serviceUnits":11,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":250855,"averageMedicareAllowedCents":73521,"averageMedicarePaymentCents":57252,"averageMedicareStandardizedPaymentCents":59950,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1992718373","providerName":"Joseph Kavanagh","entityType":"individual","providerType":"Ophthalmology","city":"Seguin","state":"TX","zip5":"78155","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":23,"serviceUnits":23,"beneficiaryDayServiceCount":23,"averageSubmittedChargeCents":444400,"averageMedicareAllowedCents":78237,"averageMedicarePaymentCents":62305,"averageMedicareStandardizedPaymentCents":65177,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1861527483","providerName":"Lisa Marten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":11,"serviceUnits":11,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":185000,"averageMedicareAllowedCents":84306,"averageMedicarePaymentCents":66395,"averageMedicareStandardizedPaymentCents":71872,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1770505984","providerName":"Manuel Lopez","entityType":"individual","providerType":"Otolaryngology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":28,"serviceUnits":28,"beneficiaryDayServiceCount":28,"averageSubmittedChargeCents":128657,"averageMedicareAllowedCents":75976,"averageMedicarePaymentCents":60111,"averageMedicareStandardizedPaymentCents":65268,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1972570117","providerName":"Methodist Medical Center Asc Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":50,"serviceUnits":100,"beneficiaryDayServiceCount":50,"averageSubmittedChargeCents":519414,"averageMedicareAllowedCents":52621,"averageMedicarePaymentCents":41887,"averageMedicareStandardizedPaymentCents":44749,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":127,"serviceUnits":250,"beneficiaryDayServiceCount":128,"averageSubmittedChargeCents":837470,"averageMedicareAllowedCents":43231,"averageMedicarePaymentCents":34215,"averageMedicareStandardizedPaymentCents":36814,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1871915041","providerName":"Surgical Eye Center Of San Antonio","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"Live Oak","state":"TX","zip5":"78233","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":11,"serviceUnits":22,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":497000,"averageMedicareAllowedCents":51382,"averageMedicarePaymentCents":40275,"averageMedicareStandardizedPaymentCents":43364,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1972641751","providerName":"Tomy Starck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78256","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":42,"serviceUnits":42,"beneficiaryDayServiceCount":42,"averageSubmittedChargeCents":90100,"averageMedicareAllowedCents":74592,"averageMedicarePaymentCents":58148,"averageMedicareStandardizedPaymentCents":63405,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1134235500","providerName":"William Walton","entityType":"individual","providerType":"Ophthalmology","city":"Live Oak","state":"TX","zip5":"78233","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":11,"serviceUnits":11,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":248182,"averageMedicareAllowedCents":73494,"averageMedicarePaymentCents":58556,"averageMedicareStandardizedPaymentCents":61254,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":89,"serviceUnits":89,"beneficiaryDayServiceCount":89,"averageSubmittedChargeCents":312933,"averageMedicareAllowedCents":37907,"averageMedicarePaymentCents":30078,"averageMedicareStandardizedPaymentCents":32938,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":192,"serviceUnits":193,"beneficiaryDayServiceCount":193,"averageSubmittedChargeCents":321979,"averageMedicareAllowedCents":35662,"averageMedicarePaymentCents":28240,"averageMedicareStandardizedPaymentCents":30981,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":203,"serviceUnits":401,"beneficiaryDayServiceCount":203,"averageSubmittedChargeCents":1177600,"averageMedicareAllowedCents":50890,"averageMedicarePaymentCents":40546,"averageMedicareStandardizedPaymentCents":43608,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67903","procedureLabel":"Ptosis repair using an internal approach","procedureDescription":"Ptosis repair using an internal approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":16,"serviceUnits":16,"beneficiaryDayServiceCount":16,"averageSubmittedChargeCents":193750,"averageMedicareAllowedCents":47180,"averageMedicarePaymentCents":37590,"averageMedicareStandardizedPaymentCents":40443,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":122,"serviceUnits":130,"beneficiaryDayServiceCount":130,"averageSubmittedChargeCents":261236,"averageMedicareAllowedCents":73971,"averageMedicarePaymentCents":58693,"averageMedicareStandardizedPaymentCents":63798,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1447212121","providerName":"Christus Santa Rosa Outpatient Surgery - New Braunfels, Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"New Braunfels","state":"TX","zip5":"78130","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":13,"serviceUnits":20,"beneficiaryDayServiceCount":13,"averageSubmittedChargeCents":414015,"averageMedicareAllowedCents":59806,"averageMedicarePaymentCents":47651,"averageMedicareStandardizedPaymentCents":51248,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1154369114","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":26,"serviceUnits":50,"beneficiaryDayServiceCount":26,"averageSubmittedChargeCents":456200,"averageMedicareAllowedCents":52312,"averageMedicarePaymentCents":41589,"averageMedicareStandardizedPaymentCents":45389,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":26,"serviceUnits":45,"beneficiaryDayServiceCount":26,"averageSubmittedChargeCents":456200,"averageMedicareAllowedCents":50535,"averageMedicarePaymentCents":39954,"averageMedicareStandardizedPaymentCents":47337,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1306804273","providerName":"Constance Fry","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":20,"serviceUnits":21,"beneficiaryDayServiceCount":21,"averageSubmittedChargeCents":283171,"averageMedicareAllowedCents":73765,"averageMedicarePaymentCents":58772,"averageMedicareStandardizedPaymentCents":62490,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":355,"serviceUnits":361,"beneficiaryDayServiceCount":361,"averageSubmittedChargeCents":283043,"averageMedicareAllowedCents":79479,"averageMedicarePaymentCents":62504,"averageMedicareStandardizedPaymentCents":68154,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":18,"serviceUnits":18,"beneficiaryDayServiceCount":18,"averageSubmittedChargeCents":197733,"averageMedicareAllowedCents":72808,"averageMedicarePaymentCents":57406,"averageMedicareStandardizedPaymentCents":62767,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":13,"serviceUnits":14,"beneficiaryDayServiceCount":14,"averageSubmittedChargeCents":281964,"averageMedicareAllowedCents":77514,"averageMedicarePaymentCents":61759,"averageMedicareStandardizedPaymentCents":66467,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1316270069","providerName":"Jordan Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":18,"serviceUnits":18,"beneficiaryDayServiceCount":18,"averageSubmittedChargeCents":302817,"averageMedicareAllowedCents":80594,"averageMedicarePaymentCents":63585,"averageMedicareStandardizedPaymentCents":70451,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":13,"serviceUnits":23,"beneficiaryDayServiceCount":13,"averageSubmittedChargeCents":586065,"averageMedicareAllowedCents":52006,"averageMedicarePaymentCents":41436,"averageMedicareStandardizedPaymentCents":44090,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2017,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":361,"serviceUnits":694,"beneficiaryDayServiceCount":375,"averageSubmittedChargeCents":136118,"averageMedicareAllowedCents":46781,"averageMedicarePaymentCents":37072,"averageMedicareStandardizedPaymentCents":40162,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":152,"serviceUnits":152,"beneficiaryDayServiceCount":152,"averageSubmittedChargeCents":342332,"averageMedicareAllowedCents":72150,"averageMedicarePaymentCents":57482,"averageMedicareStandardizedPaymentCents":62609,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1154369114","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":32,"serviceUnits":64,"beneficiaryDayServiceCount":32,"averageSubmittedChargeCents":382000,"averageMedicareAllowedCents":54346,"averageMedicarePaymentCents":42798,"averageMedicareStandardizedPaymentCents":46390,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":28,"serviceUnits":55,"beneficiaryDayServiceCount":28,"averageSubmittedChargeCents":382000,"averageMedicareAllowedCents":52230,"averageMedicarePaymentCents":41456,"averageMedicareStandardizedPaymentCents":46215,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1770894776","providerName":"Clinton Duncan","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":12,"serviceUnits":12,"beneficiaryDayServiceCount":12,"averageSubmittedChargeCents":200000,"averageMedicareAllowedCents":73659,"averageMedicarePaymentCents":58112,"averageMedicareStandardizedPaymentCents":63416,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":55,"serviceUnits":55,"beneficiaryDayServiceCount":55,"averageSubmittedChargeCents":350084,"averageMedicareAllowedCents":71876,"averageMedicarePaymentCents":56953,"averageMedicareStandardizedPaymentCents":62337,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":49,"serviceUnits":49,"beneficiaryDayServiceCount":49,"averageSubmittedChargeCents":260416,"averageMedicareAllowedCents":75601,"averageMedicarePaymentCents":59152,"averageMedicareStandardizedPaymentCents":63838,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1992718373","providerName":"Joseph Kavanagh","entityType":"individual","providerType":"Ophthalmology","city":"Seguin","state":"TX","zip5":"78155","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":15,"serviceUnits":15,"beneficiaryDayServiceCount":15,"averageSubmittedChargeCents":385147,"averageMedicareAllowedCents":75931,"averageMedicarePaymentCents":60498,"averageMedicareStandardizedPaymentCents":63566,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1770505984","providerName":"Manuel Lopez","entityType":"individual","providerType":"Otolaryngology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":15,"serviceUnits":15,"beneficiaryDayServiceCount":15,"averageSubmittedChargeCents":161427,"averageMedicareAllowedCents":83855,"averageMedicarePaymentCents":65544,"averageMedicareStandardizedPaymentCents":69524,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1972570117","providerName":"Methodist Medical Center Asc Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":20,"serviceUnits":40,"beneficiaryDayServiceCount":20,"averageSubmittedChargeCents":484150,"averageMedicareAllowedCents":54336,"averageMedicarePaymentCents":43292,"averageMedicareStandardizedPaymentCents":46400,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1033348180","providerName":"Rehan Ahmed","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":17,"serviceUnits":17,"beneficiaryDayServiceCount":17,"averageSubmittedChargeCents":202941,"averageMedicareAllowedCents":75711,"averageMedicarePaymentCents":60323,"averageMedicareStandardizedPaymentCents":61825,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1033348180","providerName":"Rehan Ahmed","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":14,"serviceUnits":14,"beneficiaryDayServiceCount":14,"averageSubmittedChargeCents":252857,"averageMedicareAllowedCents":86076,"averageMedicarePaymentCents":67655,"averageMedicareStandardizedPaymentCents":68884,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":190,"serviceUnits":371,"beneficiaryDayServiceCount":190,"averageSubmittedChargeCents":828803,"averageMedicareAllowedCents":53915,"averageMedicarePaymentCents":42536,"averageMedicareStandardizedPaymentCents":45921,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1972641751","providerName":"Tomy Starck","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78256","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":22,"serviceUnits":22,"beneficiaryDayServiceCount":22,"averageSubmittedChargeCents":98291,"averageMedicareAllowedCents":76105,"averageMedicarePaymentCents":60637,"averageMedicareStandardizedPaymentCents":65012,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":114,"serviceUnits":114,"beneficiaryDayServiceCount":114,"averageSubmittedChargeCents":312096,"averageMedicareAllowedCents":39038,"averageMedicarePaymentCents":31119,"averageMedicareStandardizedPaymentCents":33134,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":216,"serviceUnits":216,"beneficiaryDayServiceCount":216,"averageSubmittedChargeCents":312342,"averageMedicareAllowedCents":35227,"averageMedicarePaymentCents":28067,"averageMedicareStandardizedPaymentCents":30704,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":273,"serviceUnits":534,"beneficiaryDayServiceCount":273,"averageSubmittedChargeCents":1177600,"averageMedicareAllowedCents":36515,"averageMedicarePaymentCents":29085,"averageMedicareStandardizedPaymentCents":31307,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":59,"serviceUnits":61,"beneficiaryDayServiceCount":61,"averageSubmittedChargeCents":252839,"averageMedicareAllowedCents":73450,"averageMedicarePaymentCents":58358,"averageMedicareStandardizedPaymentCents":62365,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1154369114","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":26,"serviceUnits":49,"beneficiaryDayServiceCount":26,"averageSubmittedChargeCents":456200,"averageMedicareAllowedCents":49915,"averageMedicarePaymentCents":39601,"averageMedicareStandardizedPaymentCents":42457,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":23,"serviceUnits":41,"beneficiaryDayServiceCount":23,"averageSubmittedChargeCents":456200,"averageMedicareAllowedCents":46495,"averageMedicarePaymentCents":36890,"averageMedicareStandardizedPaymentCents":39551,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1306804273","providerName":"Constance Fry","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":13,"serviceUnits":13,"beneficiaryDayServiceCount":13,"averageSubmittedChargeCents":333577,"averageMedicareAllowedCents":83167,"averageMedicarePaymentCents":66263,"averageMedicareStandardizedPaymentCents":69457,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":310,"serviceUnits":314,"beneficiaryDayServiceCount":314,"averageSubmittedChargeCents":280542,"averageMedicareAllowedCents":77770,"averageMedicarePaymentCents":61806,"averageMedicareStandardizedPaymentCents":67933,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":18,"serviceUnits":19,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":218547,"averageMedicareAllowedCents":76531,"averageMedicarePaymentCents":60655,"averageMedicareStandardizedPaymentCents":69253,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":38,"serviceUnits":39,"beneficiaryDayServiceCount":39,"averageSubmittedChargeCents":287133,"averageMedicareAllowedCents":82502,"averageMedicarePaymentCents":65021,"averageMedicareStandardizedPaymentCents":68162,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":284,"serviceUnits":538,"beneficiaryDayServiceCount":291,"averageSubmittedChargeCents":880970,"averageMedicareAllowedCents":50077,"averageMedicarePaymentCents":39618,"averageMedicareStandardizedPaymentCents":42483,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2016,"npi":"1154369114","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67908","procedureLabel":"Ptosis repair using a conjunctival-Mueller muscle approach","procedureDescription":"Ptosis repair using a conjunctival-Mueller muscle approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":12,"serviceUnits":21,"beneficiaryDayServiceCount":12,"averageSubmittedChargeCents":521400,"averageMedicareAllowedCents":46254,"averageMedicarePaymentCents":36223,"averageMedicareStandardizedPaymentCents":38869,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15822","procedureLabel":"Upper-eyelid blepharoplasty","procedureDescription":"Upper-eyelid blepharoplasty","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":22,"serviceUnits":43,"beneficiaryDayServiceCount":22,"averageSubmittedChargeCents":615023,"averageMedicareAllowedCents":50148,"averageMedicarePaymentCents":40002,"averageMedicareStandardizedPaymentCents":43074,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":125,"serviceUnits":126,"beneficiaryDayServiceCount":126,"averageSubmittedChargeCents":339429,"averageMedicareAllowedCents":71245,"averageMedicarePaymentCents":56731,"averageMedicareStandardizedPaymentCents":42719,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1154369114","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":32,"serviceUnits":61,"beneficiaryDayServiceCount":32,"averageSubmittedChargeCents":382000,"averageMedicareAllowedCents":46506,"averageMedicarePaymentCents":36722,"averageMedicareStandardizedPaymentCents":40664,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1346228426","providerName":"Courtney Ridner","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":16,"serviceUnits":16,"beneficiaryDayServiceCount":16,"averageSubmittedChargeCents":120000,"averageMedicareAllowedCents":83055,"averageMedicarePaymentCents":66174,"averageMedicareStandardizedPaymentCents":48371,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":75,"serviceUnits":75,"beneficiaryDayServiceCount":75,"averageSubmittedChargeCents":343003,"averageMedicareAllowedCents":72126,"averageMedicarePaymentCents":57358,"averageMedicareStandardizedPaymentCents":41953,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":38,"serviceUnits":38,"beneficiaryDayServiceCount":38,"averageSubmittedChargeCents":235789,"averageMedicareAllowedCents":71395,"averageMedicarePaymentCents":56875,"averageMedicareStandardizedPaymentCents":43074,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1992718373","providerName":"Joseph Kavanagh","entityType":"individual","providerType":"Ophthalmology","city":"Seguin","state":"TX","zip5":"78155","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":19,"serviceUnits":20,"beneficiaryDayServiceCount":20,"averageSubmittedChargeCents":222200,"averageMedicareAllowedCents":72958,"averageMedicarePaymentCents":58129,"averageMedicareStandardizedPaymentCents":43413,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1770505984","providerName":"Manuel Lopez","entityType":"individual","providerType":"Otolaryngology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":24,"serviceUnits":24,"beneficiaryDayServiceCount":24,"averageSubmittedChargeCents":267675,"averageMedicareAllowedCents":81856,"averageMedicarePaymentCents":65297,"averageMedicareStandardizedPaymentCents":49388,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1033348180","providerName":"Rehan Ahmed","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":24,"serviceUnits":24,"beneficiaryDayServiceCount":24,"averageSubmittedChargeCents":190000,"averageMedicareAllowedCents":72037,"averageMedicarePaymentCents":57330,"averageMedicareStandardizedPaymentCents":41926,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1033348180","providerName":"Rehan Ahmed","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":24,"serviceUnits":25,"beneficiaryDayServiceCount":25,"averageSubmittedChargeCents":250400,"averageMedicareAllowedCents":83432,"averageMedicarePaymentCents":66869,"averageMedicareStandardizedPaymentCents":47887,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":206,"serviceUnits":403,"beneficiaryDayServiceCount":207,"averageSubmittedChargeCents":837470,"averageMedicareAllowedCents":41640,"averageMedicarePaymentCents":32943,"averageMedicareStandardizedPaymentCents":34963,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":62,"serviceUnits":62,"beneficiaryDayServiceCount":62,"averageSubmittedChargeCents":306419,"averageMedicareAllowedCents":35721,"averageMedicarePaymentCents":28483,"averageMedicareStandardizedPaymentCents":21526,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":167,"serviceUnits":167,"beneficiaryDayServiceCount":167,"averageSubmittedChargeCents":318492,"averageMedicareAllowedCents":36926,"averageMedicarePaymentCents":29432,"averageMedicareStandardizedPaymentCents":21117,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":217,"serviceUnits":430,"beneficiaryDayServiceCount":219,"averageSubmittedChargeCents":1177600,"averageMedicareAllowedCents":55160,"averageMedicarePaymentCents":43949,"averageMedicareStandardizedPaymentCents":46624,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":56,"serviceUnits":58,"beneficiaryDayServiceCount":58,"averageSubmittedChargeCents":235234,"averageMedicareAllowedCents":75590,"averageMedicarePaymentCents":60226,"averageMedicareStandardizedPaymentCents":46407,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1154369114","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":16,"serviceUnits":29,"beneficiaryDayServiceCount":16,"averageSubmittedChargeCents":456200,"averageMedicareAllowedCents":56862,"averageMedicarePaymentCents":44749,"averageMedicareStandardizedPaymentCents":49998,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1306804273","providerName":"Constance Fry","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":11,"serviceUnits":11,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":346691,"averageMedicareAllowedCents":80196,"averageMedicarePaymentCents":62831,"averageMedicareStandardizedPaymentCents":46591,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":191,"serviceUnits":192,"beneficiaryDayServiceCount":192,"averageSubmittedChargeCents":280380,"averageMedicareAllowedCents":79708,"averageMedicarePaymentCents":63525,"averageMedicareStandardizedPaymentCents":46738,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":18,"serviceUnits":19,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":156105,"averageMedicareAllowedCents":56462,"averageMedicarePaymentCents":43753,"averageMedicareStandardizedPaymentCents":45372,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":26,"serviceUnits":26,"beneficiaryDayServiceCount":26,"averageSubmittedChargeCents":225000,"averageMedicareAllowedCents":79008,"averageMedicarePaymentCents":62666,"averageMedicareStandardizedPaymentCents":47360,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1033348180","providerName":"Rehan Ahmed","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":16,"serviceUnits":16,"beneficiaryDayServiceCount":16,"averageSubmittedChargeCents":270000,"averageMedicareAllowedCents":74513,"averageMedicarePaymentCents":59617,"averageMedicareStandardizedPaymentCents":48383,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2015,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":231,"serviceUnits":448,"beneficiaryDayServiceCount":238,"averageSubmittedChargeCents":880970,"averageMedicareAllowedCents":50858,"averageMedicarePaymentCents":40318,"averageMedicareStandardizedPaymentCents":42784,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15822","procedureLabel":"Upper-eyelid blepharoplasty","procedureDescription":"Upper-eyelid blepharoplasty","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":51,"serviceUnits":100,"beneficiaryDayServiceCount":51,"averageSubmittedChargeCents":615023,"averageMedicareAllowedCents":47002,"averageMedicarePaymentCents":37476,"averageMedicareStandardizedPaymentCents":40234,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":94,"serviceUnits":94,"beneficiaryDayServiceCount":94,"averageSubmittedChargeCents":286257,"averageMedicareAllowedCents":79462,"averageMedicarePaymentCents":63187,"averageMedicareStandardizedPaymentCents":45066,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":13,"serviceUnits":13,"beneficiaryDayServiceCount":13,"averageSubmittedChargeCents":260446,"averageMedicareAllowedCents":72734,"averageMedicarePaymentCents":57951,"averageMedicareStandardizedPaymentCents":42324,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1154369114","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":14,"serviceUnits":26,"beneficiaryDayServiceCount":14,"averageSubmittedChargeCents":382000,"averageMedicareAllowedCents":50147,"averageMedicarePaymentCents":39955,"averageMedicareStandardizedPaymentCents":44825,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":25,"serviceUnits":48,"beneficiaryDayServiceCount":26,"averageSubmittedChargeCents":382000,"averageMedicareAllowedCents":46986,"averageMedicarePaymentCents":37389,"averageMedicareStandardizedPaymentCents":39544,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":97,"serviceUnits":97,"beneficiaryDayServiceCount":97,"averageSubmittedChargeCents":282911,"averageMedicareAllowedCents":74519,"averageMedicarePaymentCents":59310,"averageMedicareStandardizedPaymentCents":42098,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":21,"serviceUnits":21,"beneficiaryDayServiceCount":21,"averageSubmittedChargeCents":313971,"averageMedicareAllowedCents":48547,"averageMedicarePaymentCents":38512,"averageMedicareStandardizedPaymentCents":29609,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":30,"serviceUnits":30,"beneficiaryDayServiceCount":30,"averageSubmittedChargeCents":244333,"averageMedicareAllowedCents":79054,"averageMedicarePaymentCents":62238,"averageMedicareStandardizedPaymentCents":44525,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1992718373","providerName":"Joseph Kavanagh","entityType":"individual","providerType":"Ophthalmology","city":"Seguin","state":"TX","zip5":"78155","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":18,"serviceUnits":18,"beneficiaryDayServiceCount":18,"averageSubmittedChargeCents":246889,"averageMedicareAllowedCents":80314,"averageMedicarePaymentCents":63990,"averageMedicareStandardizedPaymentCents":45189,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1770505984","providerName":"Manuel Lopez","entityType":"individual","providerType":"Otolaryngology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":17,"serviceUnits":17,"beneficiaryDayServiceCount":17,"averageSubmittedChargeCents":303988,"averageMedicareAllowedCents":77178,"averageMedicarePaymentCents":60803,"averageMedicareStandardizedPaymentCents":43182,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1972570117","providerName":"Methodist Medical Center Asc Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":19,"serviceUnits":38,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":407721,"averageMedicareAllowedCents":51931,"averageMedicarePaymentCents":41376,"averageMedicareStandardizedPaymentCents":43758,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1659369601","providerName":"Nader Iskander","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":15,"serviceUnits":15,"beneficiaryDayServiceCount":15,"averageSubmittedChargeCents":348000,"averageMedicareAllowedCents":77637,"averageMedicarePaymentCents":61857,"averageMedicareStandardizedPaymentCents":43683,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1922075167","providerName":"North Central Methodist Asc, Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":12,"serviceUnits":24,"beneficiaryDayServiceCount":12,"averageSubmittedChargeCents":403475,"averageMedicareAllowedCents":51419,"averageMedicarePaymentCents":39504,"averageMedicareStandardizedPaymentCents":41861,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1164476933","providerName":"Novamed Surgery Center Of San Antonio Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":12,"serviceUnits":24,"beneficiaryDayServiceCount":12,"averageSubmittedChargeCents":290442,"averageMedicareAllowedCents":52878,"averageMedicarePaymentCents":41154,"averageMedicareStandardizedPaymentCents":43579,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1033348180","providerName":"Rehan Ahmed","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":48,"serviceUnits":48,"beneficiaryDayServiceCount":48,"averageSubmittedChargeCents":130000,"averageMedicareAllowedCents":78252,"averageMedicarePaymentCents":61923,"averageMedicareStandardizedPaymentCents":44975,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1033348180","providerName":"Rehan Ahmed","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":20,"serviceUnits":20,"beneficiaryDayServiceCount":20,"averageSubmittedChargeCents":156000,"averageMedicareAllowedCents":81270,"averageMedicarePaymentCents":64166,"averageMedicareStandardizedPaymentCents":49443,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":15,"serviceUnits":30,"beneficiaryDayServiceCount":15,"averageSubmittedChargeCents":615023,"averageMedicareAllowedCents":50509,"averageMedicarePaymentCents":40243,"averageMedicareStandardizedPaymentCents":42560,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":247,"serviceUnits":269,"beneficiaryDayServiceCount":247,"averageSubmittedChargeCents":212258,"averageMedicareAllowedCents":43501,"averageMedicarePaymentCents":34212,"averageMedicareStandardizedPaymentCents":36289,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":30,"serviceUnits":30,"beneficiaryDayServiceCount":30,"averageSubmittedChargeCents":236133,"averageMedicareAllowedCents":43452,"averageMedicarePaymentCents":34620,"averageMedicareStandardizedPaymentCents":26031,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":11,"serviceUnits":21,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":521400,"averageMedicareAllowedCents":77819,"averageMedicarePaymentCents":61445,"averageMedicareStandardizedPaymentCents":65015,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":153,"serviceUnits":153,"beneficiaryDayServiceCount":153,"averageSubmittedChargeCents":260314,"averageMedicareAllowedCents":37685,"averageMedicarePaymentCents":30025,"averageMedicareStandardizedPaymentCents":21382,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":20,"serviceUnits":20,"beneficiaryDayServiceCount":20,"averageSubmittedChargeCents":313950,"averageMedicareAllowedCents":79518,"averageMedicarePaymentCents":63355,"averageMedicareStandardizedPaymentCents":45782,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":14,"serviceUnits":26,"beneficiaryDayServiceCount":14,"averageSubmittedChargeCents":779003,"averageMedicareAllowedCents":78556,"averageMedicarePaymentCents":62590,"averageMedicareStandardizedPaymentCents":66194,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":203,"serviceUnits":224,"beneficiaryDayServiceCount":204,"averageSubmittedChargeCents":348114,"averageMedicareAllowedCents":97344,"averageMedicarePaymentCents":77164,"averageMedicareStandardizedPaymentCents":80862,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":46,"serviceUnits":48,"beneficiaryDayServiceCount":48,"averageSubmittedChargeCents":188465,"averageMedicareAllowedCents":72748,"averageMedicarePaymentCents":57399,"averageMedicareStandardizedPaymentCents":46962,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1154369114","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":19,"serviceUnits":36,"beneficiaryDayServiceCount":19,"averageSubmittedChargeCents":456200,"averageMedicareAllowedCents":52561,"averageMedicarePaymentCents":42042,"averageMedicareStandardizedPaymentCents":46879,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":24,"serviceUnits":48,"beneficiaryDayServiceCount":27,"averageSubmittedChargeCents":456200,"averageMedicareAllowedCents":54347,"averageMedicarePaymentCents":42985,"averageMedicareStandardizedPaymentCents":45478,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":151,"serviceUnits":152,"beneficiaryDayServiceCount":152,"averageSubmittedChargeCents":227368,"averageMedicareAllowedCents":86699,"averageMedicarePaymentCents":68923,"averageMedicareStandardizedPaymentCents":49427,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":28,"serviceUnits":29,"beneficiaryDayServiceCount":29,"averageSubmittedChargeCents":214779,"averageMedicareAllowedCents":79875,"averageMedicarePaymentCents":63269,"averageMedicareStandardizedPaymentCents":56200,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":36,"serviceUnits":38,"beneficiaryDayServiceCount":38,"averageSubmittedChargeCents":236579,"averageMedicareAllowedCents":86816,"averageMedicarePaymentCents":68803,"averageMedicareStandardizedPaymentCents":49546,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1033348180","providerName":"Rehan Ahmed","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":28,"serviceUnits":28,"beneficiaryDayServiceCount":28,"averageSubmittedChargeCents":220000,"averageMedicareAllowedCents":86724,"averageMedicarePaymentCents":69097,"averageMedicareStandardizedPaymentCents":49907,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1033348180","providerName":"Rehan Ahmed","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":13,"serviceUnits":14,"beneficiaryDayServiceCount":14,"averageSubmittedChargeCents":220000,"averageMedicareAllowedCents":77413,"averageMedicarePaymentCents":61707,"averageMedicareStandardizedPaymentCents":57930,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":27,"serviceUnits":52,"beneficiaryDayServiceCount":27,"averageSubmittedChargeCents":586065,"averageMedicareAllowedCents":53743,"averageMedicarePaymentCents":42820,"averageMedicareStandardizedPaymentCents":45285,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":196,"serviceUnits":220,"beneficiaryDayServiceCount":199,"averageSubmittedChargeCents":274478,"averageMedicareAllowedCents":50840,"averageMedicarePaymentCents":40206,"averageMedicareStandardizedPaymentCents":42470,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2014,"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67908","procedureLabel":"Ptosis repair using a conjunctival-Mueller muscle approach","procedureDescription":"Ptosis repair using a conjunctival-Mueller muscle approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":13,"serviceUnits":13,"beneficiaryDayServiceCount":13,"averageSubmittedChargeCents":147692,"averageMedicareAllowedCents":47007,"averageMedicarePaymentCents":36892,"averageMedicareStandardizedPaymentCents":32191,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15822","procedureLabel":"Upper-eyelid blepharoplasty","procedureDescription":"Upper-eyelid blepharoplasty","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":22,"serviceUnits":44,"beneficiaryDayServiceCount":22,"averageSubmittedChargeCents":615023,"averageMedicareAllowedCents":57587,"averageMedicarePaymentCents":45918,"averageMedicareStandardizedPaymentCents":49299,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":54,"serviceUnits":54,"beneficiaryDayServiceCount":54,"averageSubmittedChargeCents":323400,"averageMedicareAllowedCents":71570,"averageMedicarePaymentCents":57144,"averageMedicareStandardizedPaymentCents":42466,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1154369114","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":34,"serviceUnits":66,"beneficiaryDayServiceCount":34,"averageSubmittedChargeCents":382000,"averageMedicareAllowedCents":59892,"averageMedicarePaymentCents":47702,"averageMedicareStandardizedPaymentCents":51319,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":26,"serviceUnits":49,"beneficiaryDayServiceCount":26,"averageSubmittedChargeCents":382000,"averageMedicareAllowedCents":57413,"averageMedicarePaymentCents":45605,"averageMedicareStandardizedPaymentCents":50666,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":62,"serviceUnits":62,"beneficiaryDayServiceCount":62,"averageSubmittedChargeCents":350652,"averageMedicareAllowedCents":71847,"averageMedicarePaymentCents":57370,"averageMedicareStandardizedPaymentCents":41369,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":49,"serviceUnits":49,"beneficiaryDayServiceCount":49,"averageSubmittedChargeCents":235918,"averageMedicareAllowedCents":77278,"averageMedicarePaymentCents":61383,"averageMedicareStandardizedPaymentCents":44713,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1992718373","providerName":"Joseph Kavanagh","entityType":"individual","providerType":"Ophthalmology","city":"Seguin","state":"TX","zip5":"78155","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":16,"serviceUnits":16,"beneficiaryDayServiceCount":16,"averageSubmittedChargeCents":305525,"averageMedicareAllowedCents":79570,"averageMedicarePaymentCents":63397,"averageMedicareStandardizedPaymentCents":45890,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1770505984","providerName":"Manuel Lopez","entityType":"individual","providerType":"Otolaryngology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":22,"serviceUnits":22,"beneficiaryDayServiceCount":22,"averageSubmittedChargeCents":362936,"averageMedicareAllowedCents":79982,"averageMedicarePaymentCents":63809,"averageMedicareStandardizedPaymentCents":46981,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1164476933","providerName":"Novamed Surgery Center Of San Antonio Lp","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":13,"serviceUnits":26,"beneficiaryDayServiceCount":13,"averageSubmittedChargeCents":228100,"averageMedicareAllowedCents":59503,"averageMedicarePaymentCents":47017,"averageMedicareStandardizedPaymentCents":50388,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1033348180","providerName":"Rehan Ahmed","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":11,"serviceUnits":11,"beneficiaryDayServiceCount":11,"averageSubmittedChargeCents":141818,"averageMedicareAllowedCents":75052,"averageMedicarePaymentCents":59798,"averageMedicareStandardizedPaymentCents":48845,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":17,"serviceUnits":33,"beneficiaryDayServiceCount":17,"averageSubmittedChargeCents":615023,"averageMedicareAllowedCents":46881,"averageMedicarePaymentCents":37399,"averageMedicareStandardizedPaymentCents":40056,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"15823","procedureLabel":"Upper-eyelid blepharoplasty with excess skin removal","procedureDescription":"Upper-eyelid blepharoplasty with excess skin removal","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":282,"serviceUnits":503,"beneficiaryDayServiceCount":282,"averageSubmittedChargeCents":89257,"averageMedicareAllowedCents":48625,"averageMedicarePaymentCents":38661,"averageMedicareStandardizedPaymentCents":42012,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":14,"serviceUnits":14,"beneficiaryDayServiceCount":14,"averageSubmittedChargeCents":253000,"averageMedicareAllowedCents":36439,"averageMedicarePaymentCents":29073,"averageMedicareStandardizedPaymentCents":25746,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":64,"serviceUnits":64,"beneficiaryDayServiceCount":64,"averageSubmittedChargeCents":314453,"averageMedicareAllowedCents":37347,"averageMedicarePaymentCents":29816,"averageMedicareStandardizedPaymentCents":22616,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1235241688","providerName":"San Antonio Asc L.P.","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":18,"serviceUnits":34,"beneficiaryDayServiceCount":18,"averageSubmittedChargeCents":779003,"averageMedicareAllowedCents":72525,"averageMedicarePaymentCents":57946,"averageMedicareStandardizedPaymentCents":66104,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67900","procedureLabel":"Brow ptosis repair","procedureDescription":"Brow ptosis repair","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":180,"serviceUnits":318,"beneficiaryDayServiceCount":181,"averageSubmittedChargeCents":113160,"averageMedicareAllowedCents":78098,"averageMedicarePaymentCents":61979,"averageMedicareStandardizedPaymentCents":66654,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1316905839","providerName":"Christopher Debacker","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":29,"serviceUnits":29,"beneficiaryDayServiceCount":29,"averageSubmittedChargeCents":209666,"averageMedicareAllowedCents":71048,"averageMedicarePaymentCents":56382,"averageMedicareStandardizedPaymentCents":49050,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1154369114","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":21,"serviceUnits":38,"beneficiaryDayServiceCount":21,"averageSubmittedChargeCents":456200,"averageMedicareAllowedCents":54789,"averageMedicarePaymentCents":43077,"averageMedicareStandardizedPaymentCents":46244,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1164448486","providerName":"Christus Santa Rosa Pasc-San Antonio Llc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78258","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":13,"serviceUnits":21,"beneficiaryDayServiceCount":13,"averageSubmittedChargeCents":456200,"averageMedicareAllowedCents":41454,"averageMedicarePaymentCents":33149,"averageMedicareStandardizedPaymentCents":38380,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":37,"serviceUnits":37,"beneficiaryDayServiceCount":37,"averageSubmittedChargeCents":244495,"averageMedicareAllowedCents":74169,"averageMedicarePaymentCents":59155,"averageMedicareStandardizedPaymentCents":47324,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1548319601","providerName":"David Holck","entityType":"individual","providerType":"Ophthalmology","city":"Lackland Afb","state":"TX","zip5":"78236","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"non_facility","claimRole":"professional_service_non_facility","beneficiaryCount":21,"serviceUnits":24,"beneficiaryDayServiceCount":24,"averageSubmittedChargeCents":154479,"averageMedicareAllowedCents":71783,"averageMedicarePaymentCents":56665,"averageMedicareStandardizedPaymentCents":60422,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1508829227","providerName":"Donald Hollsten","entityType":"individual","providerType":"Ophthalmology","city":"San Antonio","state":"TX","zip5":"78229","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"professional_service_in_facility_setting","beneficiaryCount":31,"serviceUnits":31,"beneficiaryDayServiceCount":31,"averageSubmittedChargeCents":224516,"averageMedicareAllowedCents":79805,"averageMedicarePaymentCents":63628,"averageMedicareStandardizedPaymentCents":56300,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"},{"year":2013,"npi":"1306162920","providerName":"South Texas Ambulatory Surgery Center, Pllc","entityType":"organization","providerType":"Ambulatory Surgical Center","city":"San Antonio","state":"TX","zip5":"78240","procedureCode":"67904","procedureLabel":"Ptosis repair using an external approach","procedureDescription":"Ptosis repair using an external approach","placeOfService":"facility","claimRole":"asc_facility_service","beneficiaryCount":131,"serviceUnits":218,"beneficiaryDayServiceCount":133,"averageSubmittedChargeCents":81725,"averageMedicareAllowedCents":44558,"averageMedicarePaymentCents":35340,"averageMedicareStandardizedPaymentCents":38443,"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"}],"marketId":"san-antonio","marketDisplayName":"San Antonio-New Braunfels, TX","geographyVersion":"census-zcta-county-2020__cbsa-delineation-2023-07-provisional"}