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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Capital Nephrology Access Center, Llc
๐Ÿ”ช
Organization

Capital Nephrology Access Center, Llc

NPI: 1275060303
Sacramento, CA
5 years of data
Ambulatory Surgical Center
$4.9M
Total Payments
1.6K
Beneficiaries
2.1K
Services
2.5x
Markup Ratio

Peer Comparison

93th
percentile in specialty
This provider$4.9M
Specialty median$657.1K

๐Ÿ“‹ Key Findings

1Billed $4.9M over 5 years
22.5x markup ratio (above median)
393th percentile in Ambulatory Surgical Center by payments
4Payments surged 388% in 2020
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $4.9M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.

Medicare payments to this provider grew 1437% from 2019 to 2023.

63% of their billing comes from a single procedure code (36902 โ€” Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation).

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 388% in 2020

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2019$3.8K$1.3K2.93x$2.5K$84.3K5250
2020$4.6K$1.8K2.53x$2.8K$411.2K205193
2021$7.9K$3.1K2.51x$4.7K$1.7M727559
2022$6.3K$2.8K2.29x$3.6K$1.4M568429
2023$6.9K$3.1K2.23x$3.8K$1.3M554415

Top Procedures (8)

36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation
$3.1M
1.3K services$2.4K/svc2.61x markup
36905Excision 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
$1.1M
214 services$5.2K/svc2.24x markup
36903Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist
$171.4K
24 services$7.1K/svc2.46x markup
36906Removal or dissolving of blood clot in dialysis circuit, with balloon dilation of dialysis segment and placement of stent, accessed through skin, with imaging
$149.3K
13 services$11.5K/svc2.42x markup
36581Replacement of central venous catheter, tunneled without port or pump
$146.1K
87 services$1.7K/svc1.99x markup
36901Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation
$104.3K
178 services$586.09/svc2.49x markup
36558Insertion of central venous catheter for infusion, patient 5 years or older
$83.0K
60 services$1.4K/svc2.57x markup
36589Removal of central venous catheter for infusion
$68.7K
231 services$297.48/svc2.88x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation1.3K$3.1M$2.4K2.61x
36905Excision 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 interpretation214$1.1M$5.2K2.24x
36903Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist24$171.4K$7.1K2.46x
36906Removal or dissolving of blood clot in dialysis circuit, with balloon dilation of dialysis segment and placement of stent, accessed through skin, with imaging13$149.3K$11.5K2.42x
36581Replacement of central venous catheter, tunneled without port or pump87$146.1K$1.7K1.99x
36901Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation178$104.3K$586.092.49x
36558Insertion of central venous catheter for infusion, patient 5 years or older60$83.0K$1.4K2.57x
36589Removal of central venous catheter for infusion231$68.7K$297.482.88x

Markup Analysis

Charge-to-Payment Ratio

2.5x

This provider submits charges 2.5 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.5x means for every $100 Medicare pays, this provider initially charges $250. This is higher than the national average.

Location

Sacramento, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulatory Surgical Center providers in CA for peer comparison.

Capital Nephrology Access Center, Llc (you)
$4.9M
Specialty Surgical Center, Llc
$49.2M
Santa Rosa Surgery Center L P
$41.3M
Peninsula Eye Surgery Center Llc
$37.0M
Fort Sutter Surgery Center A California Limited Partnership
$33.6M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Specialty Surgical Center, LlcBeverly Hills, CA$49.2Mโœ“ Clear
Santa Rosa Surgery Center L PSanta Rosa, CA$41.3Mโœ“ Clear
Peninsula Eye Surgery Center LlcMountain View, CA$37.0Mโœ“ Clear
Fort Sutter Surgery Center A California Limited PartnershipSacramento, CA$33.6Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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