This provider's $10.0M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 312% from 2018 to 2023.
68% of their billing comes from a single procedure code (36902 — Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 616% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2018 | $6.4K | $1.4K | 4.44x | $4.9K | $346.2K | 209 | 207 |
| 2019 | $7.2K | $1.5K | 4.71x | $5.7K | $2.5M | 1.7K | 862 |
| 2020 | $9.6K | $2.1K | 4.57x | $7.5K | $2.6M | 1.7K | 886 |
| 2021 | $7.9K | $1.7K | 4.66x | $6.2K | $1.8M | 1.3K | 652 |
| 2022 | $12.1K | $2.6K | 4.59x | $9.5K | $1.5M | 938 | 580 |
| 2023 | $10.8K | $2.3K | 4.63x | $8.5K | $1.4M | 838 | 542 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36902 | Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation | 4.2K | $6.8M | $1.6K | 4.50x |
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 216 | $1.0M | $4.7K | 4.45x |
| 36905 | Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation | 166 | $597.9K | $3.6K | 4.48x |
| 36901 | Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation | 996 | $401.8K | $403.42 | 4.63x |
| 36906 | Excision of blood clot and/or infusion to dissolve blood clot and balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation | 43 | $353.8K | $8.2K | 4.49x |
| 36581 | Replacement of central venous catheter | 253 | $300.1K | $1.2K | 4.59x |
| C7513 | Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis a | 173 | $166.2K | $960.49 | 5.20x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 109 | $108.8K | $998.09 | 4.66x |
| 36589 | Removal of central venous catheter for infusion | 346 | $78.5K | $226.93 | 4.53x |
| 36595 | Mechanical removal of obstructive material from central venous catheter | 121 | $75.1K | $620.29 | 8.87x |
| 37246 | Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation | 42 | $63.0K | $1.5K | 4.63x |
| 37248 | Balloon dilation of vein with review by radiologist, initial vein | 19 | $34.3K | $1.8K | 4.46x |
| 37607 | Tying or banding of a passage between an artery and vein | 19 | $19.0K | $1.0K | 4.52x |
| J2997 | Injection, alteplase recombinant, 1 mg | 16 | $1.1K | $69.31 | 4.46x |
This provider submits charges 4.55 times higher than what Medicare actually pays.
A markup ratio of 4.55x means for every $100 Medicare pays, this provider initially charges $455. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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