This provider's $12.9M 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 103% in 2016
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 | $2.2K | $566.48 | 3.81x | $1.6K | $2.1M | 9.1K | 6.3K |
| 2015 | $1.1K | $265.08 | 4.00x | $796.14 | $846.9K | 4.5K | 3.6K |
| 2016 | $1.2K | $324.57 | 3.77x | $898.78 | $1.7M | 8.8K | 5.9K |
| 2017 | $1.8K | $438.08 | 4.00x | $1.3K | $1.2M | 6.9K | 4.8K |
| 2018 | $1.9K | $476.66 | 3.89x | $1.4K | $1.2M | 5.6K | 4.1K |
| 2019 | $2.0K | $502.46 | 4.00x | $1.5K | $2.0M | 8.6K | 6.2K |
| 2020 | $2.0K | $504.08 | 4.01x | $1.5K | $1.4M | 5.8K | 4.4K |
| 2021 | $2.2K | $566.08 | 3.93x | $1.7K | $570.4K | 2.1K | 1.7K |
| 2022 | $2.0K | $481.80 | 4.22x | $1.6K | $773.5K | 3.3K | 2.5K |
| 2023 | $2.6K | $604.59 | 4.36x | $2.0K | $1.1M | 4.4K | 3.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 673 | $2.6M | $3.8K | 4.13x |
| 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 | 243 | $1.1M | $4.7K | 4.08x |
| 36902 | Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation | 964 | $886.2K | $919.30 | 3.77x |
| 36215 | Insertion of catheter into chest or arm artery | 1.7K | $780.3K | $471.48 | 5.94x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 246 | $736.7K | $3.0K | 3.50x |
| 35476 | Balloon dilation of narrowed or blocked vein, accessed through the skin | 668 | $568.0K | $850.29 | 3.79x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 489 | $548.7K | $1.1K | 3.81x |
| 36147 | Insertion of needle and/or catheter for dialysis | 1.0K | $375.6K | $364.28 | 4.40x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 261 | $354.1K | $1.4K | 4.15x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 44 | $317.6K | $7.2K | 3.23x |
| 36909 | Permanent blockage of dialysis circuit, with imaging including radiological supervision and interpretation | 214 | $309.0K | $1.4K | 3.84x |
| 35475 | Balloon dilation of narrowed or blocked upper arm artery, accessed through the skin | 328 | $280.6K | $855.39 | 4.24x |
| 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 | 159 | $274.4K | $1.7K | 3.75x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 2.0K | $245.9K | $120.59 | 3.28x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 724 | $244.7K | $337.94 | 4.75x |
| 36870 | Catheter removal of blood clot from dialysis graft, accessed through the skin | 220 | $237.9K | $1.1K | 3.60x |
| 36901 | Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation | 623 | $234.8K | $376.96 | 4.33x |
| 36581 | Replacement of central venous catheter | 376 | $171.6K | $456.42 | 4.12x |
| 96374 | Injection of drug or substance into a vein for therapy, diagnosis, or prevention | 4.7K | $164.2K | $35.12 | 3.54x |
| 36216 | Insertion of catheter into chest or arm artery | 301 | $144.5K | $480.04 | 5.63x |
This provider submits charges 4.09 times higher than what Medicare actually pays.
A markup ratio of 4.09x means for every $100 Medicare pays, this provider initially charges $409. 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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