OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Renal Focus Asc Llc
๐Ÿ”ช
Organization

Renal Focus Asc Llc

NPI: 1003575218
Plainview, NY
2 years of data
Ambulatory Surgical Center
$5.1M
Total Payments
30
Beneficiaries
2.6K
Services
4.64x
Markup Ratio

Peer Comparison

94th
percentile in specialty
This provider$5.1M
Specialty median$657.1K

๐Ÿ“‹ Key Findings

1Billed $5.1M over 2 years
24.64x markup ratio (above median)
394th percentile in Ambulatory Surgical Center by payments
4Payments surged 365% in 2023
520 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $5.1M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.

Medicare payments to this provider grew 365% from 2022 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 365% in 2023

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2022$10.1K$2.4K4.20x$7.7K$906.9K37610
2023$9.1K$1.9K4.74x$7.2K$4.2M2.2K20

Top Procedures (20)

36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologistโš  4.5x markup
$1.8M
884 services$2.0K/svc4.46x markup
36906Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologistโš  4.3x markup
$723.7K
72 services$10.1K/svc4.35x markup
36903Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologistโš  4.4x markup
$596.4K
99 services$6.0K/svc4.39x markup
36905Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tubeโš  4.4x markup
$525.0K
101 services$5.2K/svc4.44x markup
C7513Dialysis 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 aโš  5.5x markup
$384.7K
366 services$1.1K/svc5.54x markup
36581Replacement of tunneled central venous tubeโš  5.0x markup
$359.6K
242 services$1.5K/svc4.97x markup
37248Balloon dilation of vein with review by radiologist, initial veinโš  4.5x markup
$101.3K
49 services$2.1K/svc4.54x markup
36832Revision of hemodialysis graftโš  4.5x markup
$96.2K
41 services$2.3K/svc4.54x markup
37607Tying or banding of surgically created artery-vein connectionโš  4.7x markup
$70.0K
58 services$1.2K/svc4.67x markup
36558Insertion of tunneled central venous tube for infusion (5 years or older)โš  4.8x markup
$53.6K
46 services$1.2K/svc4.82x markup
36820Relocation of forearm vein with connection to arm artery for hemodialysisโš  4.7x markup
$52.6K
23 services$2.3K/svc4.66x markup
36821Relocation of arm vein with connection to arm artery for hemodialysisโš  4.6x markup
$49.8K
39 services$1.3K/svc4.57x markup
37246Balloon dilation of artery with review by radiologist, initial arteryโš  4.7x markup
$49.4K
19 services$2.6K/svc4.71x markup
C7530Dialysis 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 aโš  4.5x markup
$49.3K
12 services$4.1K/svc4.50x markup
C7515Dialysis 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 aโš  5.9x markup
$47.6K
48 services$992.29/svc5.87x markup
36830Creation of artery-vein connection using tube graft for hemodialysisโš  4.5x markup
$43.0K
18 services$2.4K/svc4.46x markup
36901Insertion of needle and/or tube into hemodialysis circuit with review by radiologistโš  6.2x markup
$31.6K
86 services$367.15/svc6.21x markup
C7514Dialysis 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 aโš  4.7x markup
$29.8K
24 services$1.2K/svc4.70x markup
36589Removal of tunneled central venous tubeโš  4.5x markup
$25.9K
100 services$258.85/svc4.53x markup
36595Mechanical removal of obstructive material from central venous tubeโš  16.8x markup
$21.3K
119 services$179.08/svc16.79x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist884$1.8M$2.0K4.46x
36906Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist72$723.7K$10.1K4.35x
36903Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist99$596.4K$6.0K4.39x
36905Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube101$525.0K$5.2K4.44x
C7513Dialysis 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 a366$384.7K$1.1K5.54x
36581Replacement of tunneled central venous tube242$359.6K$1.5K4.97x
37248Balloon dilation of vein with review by radiologist, initial vein49$101.3K$2.1K4.54x
36832Revision of hemodialysis graft41$96.2K$2.3K4.54x
37607Tying or banding of surgically created artery-vein connection58$70.0K$1.2K4.67x
36558Insertion of tunneled central venous tube for infusion (5 years or older)46$53.6K$1.2K4.82x
36820Relocation of forearm vein with connection to arm artery for hemodialysis23$52.6K$2.3K4.66x
36821Relocation of arm vein with connection to arm artery for hemodialysis39$49.8K$1.3K4.57x
37246Balloon dilation of artery with review by radiologist, initial artery19$49.4K$2.6K4.71x
C7530Dialysis 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 a12$49.3K$4.1K4.50x
C7515Dialysis 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 a48$47.6K$992.295.87x
36830Creation of artery-vein connection using tube graft for hemodialysis18$43.0K$2.4K4.46x
36901Insertion of needle and/or tube into hemodialysis circuit with review by radiologist86$31.6K$367.156.21x
C7514Dialysis 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 a24$29.8K$1.2K4.70x
36589Removal of tunneled central venous tube100$25.9K$258.854.53x
36595Mechanical removal of obstructive material from central venous tube119$21.3K$179.0816.79x

Markup Analysis

Charge-to-Payment Ratio

4.64x

This provider submits charges 4.64 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.64x means for every $100 Medicare pays, this provider initially charges $464. This is higher than the national average.

Location

Plainview, NY

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulatory Surgical Center providers in NY for peer comparison.

Renal Focus Asc Llc (you)
$5.1M
Island Eye Surgicenter Llc
$69.9M
Long Island Ambulatory Surgery Center, Llc
$41.6M
Syracuse Asc, Llc
$38.3M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Island Eye Surgicenter LlcWestbury, NY$69.9Mโœ“ Clear
Long Island Ambulatory Surgery Center, LlcBrentwood, NY$41.6Mโœ“ Clear
Syracuse Asc, LlcLiverpool, NY$38.3Mโœ“ Clear

Related

Browse
โ† Back to Provider Directory
State
All providers in NY โ†’
Specialty
All Ambulatory Surgical Center providers โ†’
Tool
Compare this provider โ†’
Analysis
Fraud Watchlist โ†’
Search
Search all providers โ†’

Share This Provider

Share this provider's Medicare payment information

Share:

Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data