This provider's $6.1M in total Medicare payments ranks in the 98th 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.
Notable: Payments increased 502% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $1.3K | $363.23 | 3.62x | $952.34 | $928.2K | 3.3K | 2.3K |
| 2015 | $1.4K | $381.98 | 3.70x | $1.0K | $789.3K | 2.9K | 2.1K |
| 2016 | $1.4K | $381.55 | 3.64x | $1.0K | $684.2K | 2.7K | 1.9K |
| 2017 | $1.4K | $429.19 | 3.26x | $969.99 | $598.3K | 2.6K | 1.6K |
| 2018 | $1.5K | $460.62 | 3.28x | $1.0K | $625.9K | 2.3K | 1.8K |
| 2019 | $1.6K | $464.45 | 3.36x | $1.1K | $648.8K | 2.3K | 1.7K |
| 2020 | $1.0K | $316.04 | 3.31x | $728.53 | $530.3K | 2.3K | 1.5K |
| 2021 | $598.48 | $189.22 | 3.16x | $409.26 | $234.9K | 1.5K | 962 |
| 2022 | $617.36 | $191.29 | 3.23x | $426.07 | $156.2K | 1.0K | 735 |
| 2023 | $2.2K | $779.10 | 2.85x | $1.4K | $940.4K | 2.3K | 1.2K |
| 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 | 1.5K | $1.2M | $828.56 | 3.16x |
| 35476 | Balloon dilation of narrowed or blocked vein, accessed through the skin | 783 | $765.9K | $978.13 | 3.49x |
| 36147 | Insertion of needle and/or catheter for dialysis | 1.1K | $395.7K | $362.39 | 5.51x |
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 1.7K | $385.2K | $226.61 | 3.00x |
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 109 | $371.2K | $3.4K | 2.87x |
| 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 | 195 | $313.0K | $1.6K | 3.14x |
| 36215 | Insertion of catheter into chest or arm artery | 578 | $245.9K | $425.39 | 5.64x |
| 36907 | Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation | 442 | $211.5K | $478.44 | 3.05x |
| 35475 | Balloon dilation of narrowed or blocked upper arm artery, accessed through the skin | 214 | $200.2K | $935.33 | 4.00x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.6K | $195.5K | $54.92 | 2.52x |
| 36870 | Catheter removal of blood clot from dialysis graft, accessed through the skin | 160 | $190.8K | $1.2K | 3.66x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 60 | $183.6K | $3.1K | 3.20x |
| 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 | 41 | $176.1K | $4.3K | 2.90x |
| 36901 | Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation | 372 | $156.2K | $419.94 | 3.34x |
| 37248 | Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation | 141 | $150.5K | $1.1K | 3.00x |
| 36581 | Replacement of central venous catheter | 305 | $116.1K | $380.62 | 4.64x |
| 90935 | Hemodialysis procedure with one physician evaluation | 1.5K | $82.0K | $55.71 | 3.14x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 669 | $80.7K | $120.58 | 3.15x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 518 | $78.9K | $152.28 | 2.69x |
| 75978 | Radiological supervision and interpretation of balloon dilation of narrowed vein | 765 | $77.7K | $101.63 | 3.26x |
This provider submits charges 3.44 times higher than what Medicare actually pays.
A markup ratio of 3.44x means for every $100 Medicare pays, this provider initially charges $344. 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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