This provider's $18.2M in total Medicare payments ranks in the 99th percentile of Nephrology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $1.9K | $434.03 | 4.46x | $1.5K | $1.8M | 4.7K | 2.9K |
| 2015 | $2.1K | $458.42 | 4.51x | $1.6K | $1.8M | 4.9K | 2.7K |
| 2016 | $2.1K | $455.82 | 4.57x | $1.6K | $1.7M | 4.6K | 2.5K |
| 2017 | $1.4K | $712.30 | 2.02x | $726.89 | $1.8M | 4.5K | 2.5K |
| 2018 | $1.1K | $651.93 | 1.72x | $466.79 | $2.0M | 4.9K | 2.6K |
| 2019 | $1.2K | $721.05 | 1.70x | $505.98 | $2.1M | 4.9K | 2.7K |
| 2020 | $1.3K | $703.61 | 1.78x | $551.44 | $2.4M | 5.5K | 2.9K |
| 2021 | $1.3K | $717.41 | 1.85x | $608.58 | $1.9M | 4.3K | 2.3K |
| 2022 | $1.4K | $765.73 | 1.88x | $676.77 | $1.5M | 3.5K | 1.9K |
| 2023 | $1.4K | $777.78 | 1.85x | $660.62 | $1.3M | 3.1K | 1.6K |
| 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 | 5.7K | $5.5M | $969.72 | 1.63x |
| 36907 | Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation | 3.7K | $2.0M | $533.03 | 1.72x |
| 35476 | Balloon dilation of narrowed or blocked vein, accessed through the skin | 2.0K | $1.8M | $905.94 | 4.67x |
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 432 | $1.7M | $3.9K | 1.79x |
| 36215 | Insertion of catheter into chest or arm artery | 3.0K | $1.3M | $426.33 | 4.80x |
| 35475 | Balloon dilation of narrowed or blocked upper arm artery, accessed through the skin | 849 | $946.5K | $1.1K | 4.16x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 916 | $834.9K | $911.48 | 1.70x |
| 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 | 170 | $814.2K | $4.8K | 1.82x |
| 36147 | Insertion of needle and/or catheter for dialysis | 2.5K | $808.7K | $329.52 | 7.49x |
| 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 | 249 | $448.7K | $1.8K | 1.65x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 127 | $402.2K | $3.2K | 3.76x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 6.2K | $245.8K | $39.47 | 3.51x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 1.7K | $214.5K | $128.01 | 2.84x |
| 75978 | Radiological supervision and interpretation of balloon dilation of narrowed vein | 2.0K | $209.5K | $105.70 | 5.24x |
| 36870 | Catheter removal of blood clot from dialysis graft, accessed through the skin | 134 | $161.8K | $1.2K | 4.42x |
| 75791 | Radiological supervision and interpretation of imaging of artery-vein dialysis shunt | 441 | $108.6K | $246.16 | 3.92x |
| 36901 | Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation | 228 | $101.8K | $446.41 | 1.75x |
| 37253 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 671 | $101.3K | $150.92 | 1.64x |
| 75962 | Radiological supervision and interpretation of balloon dilation of narrowed artery | 849 | $91.6K | $107.91 | 5.20x |
| 36581 | Replacement of central venous catheter | 132 | $72.2K | $547.09 | 2.77x |
This provider submits charges 2.8 times higher than what Medicare actually pays.
A markup ratio of 2.8x means for every $100 Medicare pays, this provider initially charges $280. 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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