This provider's $8.3M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 116% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $10.1K | $2.2K | 4.51x | $7.9K | $1.1M | 616 | 524 |
| 2020 | $10.4K | $2.3K | 4.47x | $8.1K | $2.5M | 1.2K | 1.0K |
| 2021 | $10.7K | $2.4K | 4.44x | $8.3K | $1.7M | 873 | 710 |
| 2022 | $11.5K | $2.6K | 4.50x | $9.0K | $1.5M | 741 | 588 |
| 2023 | $9.9K | $2.2K | 4.56x | $7.7K | $1.5M | 792 | 651 |
| 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 | 1.7K | $2.6M | $1.5K | 4.49x |
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 522 | $2.4M | $4.5K | 4.48x |
| 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 | 187 | $1.4M | $7.4K | 4.47x |
| 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 | 324 | $1.1M | $3.3K | 4.47x |
| 36581 | Replacement of central venous catheter | 287 | $321.5K | $1.1K | 4.51x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 251 | $235.8K | $939.42 | 4.57x |
| 36901 | Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation | 526 | $198.3K | $377.06 | 4.65x |
| 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 | 101 | $78.1K | $772.98 | 5.84x |
| 36589 | Removal of central venous catheter for infusion | 304 | $63.4K | $208.68 | 4.51x |
| 36832 | Revision of hemodialysis graft | 12 | $21.4K | $1.8K | 4.62x |
| J2997 | Injection, alteplase recombinant, 1 mg | 14 | $971.50 | $69.39 | 4.45x |
This provider submits charges 4.5 times higher than what Medicare actually pays.
A markup ratio of 4.5x means for every $100 Medicare pays, this provider initially charges $450. 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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