This provider's $22.7M 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.
Notable: Payments increased 62% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $2.6K | $577.87 | 4.45x | $2.0K | $2.1M | 3.6K | 2.4K |
| 2015 | $2.9K | $648.70 | 4.49x | $2.3K | $1.9M | 3.2K | 2.1K |
| 2016 | $2.2K | $500.92 | 4.49x | $1.7K | $2.0M | 3.7K | 2.5K |
| 2017 | $3.0K | $710.78 | 4.26x | $2.3K | $1.7M | 3.6K | 2.6K |
| 2018 | $3.0K | $744.41 | 4.04x | $2.3K | $1.8M | 3.4K | 2.5K |
| 2019 | $3.8K | $966.46 | 3.97x | $2.9K | $2.9M | 4.9K | 3.4K |
| 2020 | $3.7K | $966.05 | 3.86x | $2.8K | $3.4M | 5.4K | 3.8K |
| 2021 | $4.1K | $1.0K | 3.93x | $3.1K | $3.0M | 4.1K | 3.1K |
| 2022 | $3.6K | $912.88 | 3.92x | $2.7K | $2.4M | 2.8K | 2.2K |
| 2023 | $3.5K | $879.10 | 4.03x | $2.7K | $1.7M | 2.2K | 1.7K |
| 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 | 3.8K | $4.5M | $1.2K | 3.84x |
| 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 | 1.3K | $2.9M | $2.3K | 3.82x |
| 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 | 449 | $2.7M | $6.1K | 3.81x |
| 35476 | Balloon dilation of narrowed or blocked vein, accessed through the skin | 1.9K | $2.1M | $1.1K | 4.59x |
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 295 | $1.4M | $4.8K | 3.83x |
| 36907 | Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation | 1.9K | $1.3M | $649.83 | 3.79x |
| 36215 | Insertion of catheter into chest or arm artery | 2.1K | $1.1M | $533.56 | 7.37x |
| 36147 | Insertion of needle and/or catheter for dialysis | 2.5K | $1.0M | $420.06 | 7.19x |
| 36870 | Catheter removal of blood clot from dialysis graft, accessed through the skin | 562 | $873.4K | $1.6K | 4.29x |
| 36581 | Replacement of central venous catheter | 1.1K | $778.3K | $689.39 | 4.15x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 163 | $632.8K | $3.9K | 3.90x |
| 36901 | Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation | 958 | $587.5K | $613.23 | 4.01x |
| 35475 | Balloon dilation of narrowed or blocked upper arm artery, accessed through the skin | 240 | $312.0K | $1.3K | 4.35x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 2.2K | $307.7K | $138.86 | 4.48x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 385 | $264.5K | $686.97 | 4.20x |
| 75978 | Radiological supervision and interpretation of balloon dilation of narrowed vein | 1.9K | $239.5K | $129.44 | 4.99x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 4.5K | $219.6K | $48.47 | 3.81x |
| 36908 | Insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 115 | $191.9K | $1.7K | 3.74x |
| 36904 | 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 | 106 | $183.4K | $1.7K | 3.92x |
| 36589 | Removal of central venous catheter for infusion | 1.2K | $165.4K | $133.30 | 4.35x |
This provider submits charges 4.31 times higher than what Medicare actually pays.
A markup ratio of 4.31x means for every $100 Medicare pays, this provider initially charges $431. 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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