Official CMS history · 2013–2024
A public record of Medicare-covered eyelid procedures—not a patient cash price
Use this to understand covered-care activity and billing patterns around Austin. It does not tell you what cosmetic surgery costs, what one patient owed, or which clinician is “best.”
468
provider-service records across the available dataset
The records include reported service units, which are not unique surgeries or patients and can include separate professional and facility billing.
Medicare history
LiveHistorical covered-care activity and payment fields
Hospital rates
PipelineCurrent facility cash and insurer rates, when a hospital reports the code
Insurer rates
PilotCurrent negotiated covered-service rates from targeted TiC files
Your documents
PrivateThe only layer that can show your actual quote and later bill
Filter the public record
What Medicare recorded by year and procedure
Submitted charge is what the billing provider reported. Medicare allowed is the covered amount including applicable patient or third-party responsibility. Medicare payment is Medicare’s portion. None is a cosmetic cash quote.
18
Billing NPIs
People and organizations with a public row
44
Provider-procedure rows
One provider, code, setting, and year
2,302
Service units
Not unique patients or surgeries
Choose one procedure and billing role
Average submitted charge
A billed charge—not what Medicare or a patient necessarily paid
Choose one procedure and billing role
Average Medicare allowed
The covered amount before separating who paid which share
Choose one procedure and billing role
Average Medicare payment
Medicare’s reported portion of the allowed amount
| Billing provider | Procedure | Billing role | Service units | Submitted charge | Medicare allowed | Medicare payment |
|---|---|---|---|---|---|---|
Careos Surgicenter, Llc NPI 1750913109 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | ASC facility service CMS setting: facility | 483 | $7,702 | $583 | $460 |
Careos Surgicenter, Llc NPI 1750913109 · 2024 | 67903 Ptosis repair using an internal approach | ASC facility service CMS setting: facility | 175 | $6,197 | $664 | $519 |
Careos Surgicenter, Llc NPI 1750913109 · 2024 | 67900 Brow ptosis repair | ASC facility service CMS setting: facility | 173 | $5,682 | $640 | $503 |
North Austin Surgery Center, L.P. NPI 1699738112 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | ASC facility service CMS setting: facility | 113 | $3,298 | $624 | $496 |
Careos Surgicenter, Llc NPI 1750913109 · 2024 | 67904 Ptosis repair using an external approach | ASC facility service CMS setting: facility | 103 | $6,204 | $659 | $517 |
Vikram Durairaj NPI 1871683540 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | Professional service in a facility CMS setting: facility | 98 | $1,222 | $780 | $616 |
Stanley Saulny NPI 1538140108 · 2024 | 67904 Ptosis repair using an external approach | Professional service outside a facility CMS setting: non facility | 89 | $3,652 | $1,146 | $906 |
Irina Belinsky NPI 1073831087 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | Professional service in a facility CMS setting: facility | 63 | $1,248 | $801 | $636 |
Krista Stewart NPI 1295077444 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | Professional service in a facility CMS setting: facility | 59 | $2,616 | $760 | $602 |
Falconhead Surgery Center Llc NPI 1700400850 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | ASC facility service CMS setting: facility | 58 | $6,060 | $644 | $509 |
Sean Blaydon NPI 1730170622 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | Professional service in a facility CMS setting: facility | 49 | $1,247 | $795 | $628 |
Bailey Square Ambulatory Surgical Center, Ltd NPI 1417912098 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | ASC facility service CMS setting: facility | 48 | $3,277 | $572 | $447 |
Vikram Durairaj NPI 1871683540 · 2024 | 67903 Ptosis repair using an internal approach | Professional service in a facility CMS setting: facility | 48 | $1,279 | $562 | $447 |
Stanley Saulny NPI 1538140108 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | Professional service outside a facility CMS setting: non facility | 45 | $3,737 | $953 | $750 |
Monica Ray NPI 1306376462 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | Professional service in a facility CMS setting: facility | 44 | $1,328 | $797 | $629 |
Vikram Durairaj NPI 1871683540 · 2024 | 67900 Brow ptosis repair | Professional service in a facility CMS setting: facility | 43 | $1,837 | $404 | $313 |
Malena Amato NPI 1275611352 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | Professional service in a facility CMS setting: facility | 40 | $2,542 | $780 | $617 |
North Austin Surgery Center, L.P. NPI 1699738112 · 2024 | 67903 Ptosis repair using an internal approach | ASC facility service CMS setting: facility | 37 | $9,349 | $704 | $561 |
Karen Brown NPI 1285130856 · 2024 | 67903 Ptosis repair using an internal approach | Professional service in a facility CMS setting: facility | 35 | $2,863 | $537 | $422 |
Sean Blaydon NPI 1730170622 · 2024 | 67904 Ptosis repair using an external approach | Professional service in a facility CMS setting: facility | 33 | $1,444 | $821 | $656 |
South Austin Surgery Center Ltd NPI 1386609964 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | ASC facility service CMS setting: facility | 32 | $2,444 | $534 | $423 |
Tanuj Nakra NPI 1366464653 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | Professional service in a facility CMS setting: facility | 31 | $1,297 | $718 | $573 |
Monica Ray NPI 1306376462 · 2024 | 67903 Ptosis repair using an internal approach | Professional service in a facility CMS setting: facility | 27 | $1,270 | $620 | $494 |
South Austin Surgery Center Ltd NPI 1386609964 · 2024 | 67900 Brow ptosis repair | ASC facility service CMS setting: facility | 24 | $9,835 | $640 | $510 |
North Austin Surgery Center, L.P. NPI 1699738112 · 2024 | 67908 Ptosis repair using a conjunctival-Mueller muscle approach | ASC facility service CMS setting: facility | 24 | $9,516 | $601 | $479 |
North Austin Surgery Center, L.P. NPI 1699738112 · 2024 | 67904 Ptosis repair using an external approach | ASC facility service CMS setting: facility | 23 | $8,623 | $647 | $514 |
Irina Belinsky NPI 1073831087 · 2024 | 67903 Ptosis repair using an internal approach | Professional service in a facility CMS setting: facility | 22 | $1,273 | $626 | $499 |
Karen Brown NPI 1285130856 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | Professional service in a facility CMS setting: facility | 21 | $2,290 | $698 | $556 |
Natalie Stanciu NPI 1952502130 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | Professional service outside a facility CMS setting: non facility | 21 | $4,790 | $911 | $709 |
Richard Allen NPI 1104827351 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | Professional service in a facility CMS setting: facility | 21 | $1,238 | $701 | $558 |
Krista Stewart NPI 1295077444 · 2024 | 67900 Brow ptosis repair | Professional service in a facility CMS setting: facility | 21 | $2,843 | $423 | $337 |
Krista Stewart NPI 1295077444 · 2024 | 67904 Ptosis repair using an external approach | Professional service in a facility CMS setting: facility | 21 | $3,107 | $798 | $634 |
Tanuj Nakra NPI 1366464653 · 2024 | 67900 Brow ptosis repair | Professional service in a facility CMS setting: facility | 19 | $1,842 | $566 | $436 |
Karen Brown NPI 1285130856 · 2024 | 67900 Brow ptosis repair | Professional service in a facility CMS setting: facility | 18 | $4,667 | $459 | $366 |
Malena Amato NPI 1275611352 · 2024 | 67904 Ptosis repair using an external approach | Professional service in a facility CMS setting: facility | 18 | $2,384 | $754 | $590 |
Monica Ray NPI 1306376462 · 2024 | 67900 Brow ptosis repair | Professional service in a facility CMS setting: facility | 17 | $2,235 | $419 | $334 |
Sean Paul NPI 1063733137 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | Professional service in a facility CMS setting: facility | 16 | $2,879 | $809 | $645 |
Malena Amato NPI 1275611352 · 2024 | 67900 Brow ptosis repair | Professional service in a facility CMS setting: facility | 15 | $2,304 | $393 | $313 |
Richard Allen NPI 1104827351 · 2024 | 67900 Brow ptosis repair | Professional service in a facility CMS setting: facility | 15 | $2,000 | $432 | $344 |
Krista Stewart NPI 1295077444 · 2024 | 67903 Ptosis repair using an internal approach | Professional service in a facility CMS setting: facility | 15 | $2,522 | $642 | $505 |
Corina Stancey NPI 1366445165 · 2024 | 15823 Upper-eyelid blepharoplasty with excess skin removal | Professional service in a facility CMS setting: facility | 12 | $4,792 | $848 | $669 |
Richard Allen NPI 1104827351 · 2024 | 67903 Ptosis repair using an internal approach | Professional service in a facility CMS setting: facility | 11 | $1,082 | $491 | $374 |
Tanuj Nakra NPI 1366464653 · 2024 | 67903 Ptosis repair using an internal approach | Professional service in a facility CMS setting: facility | 11 | $1,209 | $487 | $370 |
Irina Belinsky NPI 1073831087 · 2024 | 67904 Ptosis repair using an external approach | Professional service in a facility CMS setting: facility | 11 | $1,295 | $809 | $646 |
Official CMS · July 2026
National Medicare ASC facility benchmark
This is the national Medicare facility-payment benchmark for an ambulatory surgery center—not an Austin cash price and not a total surgery price. It excludes the surgeon professional fee, anesthesia professional fee, testing, prescriptions, and other separately billed care.
| Code | Procedure family | Payment rule | National facility benchmark |
|---|---|---|---|
| 15820 | Lower-eyelid blepharoplasty | Indicator A2 · multiple-procedure discounting applies | $1,129 |
| 15821 | Lower-eyelid blepharoplasty with extensive fat-pad work | Indicator A2 · multiple-procedure discounting applies | $1,129 |
| 15822 | Upper-eyelid blepharoplasty | Indicator A2 · multiple-procedure discounting applies | $1,129 |
| 15823 | Upper-eyelid blepharoplasty with excess skin removal | Indicator A2 · multiple-procedure discounting applies | $1,129 |
| 67900 | Brow ptosis repair | Indicator A2 · multiple-procedure discounting applies | $1,088 |
| 67901 | Ptosis repair using a frontalis suspension technique | Indicator A2 · multiple-procedure discounting applies | $1,088 |
| 67902 | Ptosis repair using a frontalis suspension with fascial sling | Indicator A2 · multiple-procedure discounting applies | $1,736 |
| 67903 | Ptosis repair using an internal approach | Indicator A2 · multiple-procedure discounting applies | $1,088 |
| 67904 | Ptosis repair using an external approach | Indicator A2 · multiple-procedure discounting applies | $1,088 |
| 67906 | Ptosis repair using a superior rectus technique with fascial sling | Indicator A2 · multiple-procedure discounting applies | $1,736 |
| 67908 | Ptosis repair using a conjunctival-Mueller muscle approach | Indicator A2 · multiple-procedure discounting applies | $1,088 |
Hospital machine-readable files
4 Austin sources mapped · 0 publishable rows extractedCurrent hospital rates are a facility component, not an all-in surgery quote.
Hospitals publish gross charges, discounted-cash prices, and payer-specific rates for services they provide. The hospital file may omit an independent surgeon, anesthesia group, testing, prescriptions, and follow-up. SurgeryViz therefore publishes each extracted hospital amount with its billing class and limitation flags instead of adding it to a cosmetic average.
Pilot status: Download retry required. A zero here means we have not cleared the publication gate; it does not mean the procedure is free or unavailable.
Insurer Transparency-in-Coverage files
2 source targets · 0 publishable Austin matchesNegotiated rates can fill the ASC and physician gap—but only for covered care.
The targeted pipeline filters by relevant CPT and known Austin NPI rather than ingesting national files wholesale. A negotiated rate is not your out-of-pocket responsibility and does not price a non-covered cosmetic procedure.
Pilot status: Pilot complete: no exact matches. The small BCBSTX plan file produced no exact Austin NPI matches; the 2.19 GB statewide file remains a durable-compute job, not evidence of zero rates.
Turn public context into an answer about your case
Have a written quote, Good Faith Estimate, EOB, or final bill?
Add it through the private, tracker-free episode flow. That is how SurgeryViz can connect what one patient was quoted to what each provider or facility eventually billed.
CMS public-use files aggregate Original Medicare fee-for-service claims. SurgeryViz preserves CMS suppression and interpretation limitations, performs no quality ranking, and does not infer unreported low-volume activity.