This provider's $11.1M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 184% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 111% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $8.9K | $2.0K | 4.46x | $6.9K | $1.4M | 684 | 9 |
| 2021 | $8.3K | $1.8K | 4.61x | $6.5K | $2.9M | 1.6K | 12 |
| 2022 | $9.0K | $1.9K | 4.65x | $7.1K | $3.0M | 1.5K | 11 |
| 2023 | $7.5K | $1.6K | 4.68x | $5.9K | $3.9M | 2.4K | 14 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 2.7K | $4.8M | $1.8K | 4.49x |
| 36905 | Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube | 582 | $2.4M | $4.1K | 4.48x |
| 36906 | Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist | 178 | $1.5M | $8.5K | 4.53x |
| 36903 | Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist | 142 | $738.5K | $5.2K | 4.47x |
| 36581 | Replacement of tunneled central venous tube | 408 | $500.6K | $1.2K | 4.74x |
| C7513 | Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis a | 378 | $363.3K | $961.09 | 5.36x |
| 36558 | Insertion of tunneled central venous tube for infusion (5 years or older) | 184 | $194.5K | $1.1K | 4.69x |
| 36901 | Insertion of needle and/or tube into hemodialysis circuit with review by radiologist | 348 | $147.6K | $424.02 | 4.67x |
| 36595 | Mechanical removal of obstructive material from central venous tube | 232 | $96.5K | $415.81 | 12.80x |
| 37246 | Balloon dilation of artery with review by radiologist, initial artery | 52 | $78.0K | $1.5K | 6.39x |
| 36589 | Removal of tunneled central venous tube | 303 | $67.3K | $221.99 | 4.61x |
| 37248 | Balloon dilation of vein with review by radiologist, initial vein | 34 | $59.2K | $1.7K | 4.43x |
| J2997 | Injection, alteplase recombinant, 1 mg | 530 | $36.9K | $69.58 | 4.44x |
| 36475 | Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 28 | $32.2K | $1.1K | 4.49x |
| C7514 | Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis a | 29 | $30.0K | $1.0K | 4.98x |
| 37607 | Tying or banding of a passage between an artery and vein | 12 | $11.0K | $916.97 | 5.28x |
| 36471 | Injection of chemical agent into multiple incompetent veins of leg | 40 | $2.6K | $65.30 | 7.78x |
This provider submits charges 4.63 times higher than what Medicare actually pays.
A markup ratio of 4.63x means for every $100 Medicare pays, this provider initially charges $463. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Ambulatory Surgical Center providers in VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Roanoke Valley Center For Sight Llc | Salem, VA | $57.7M | ✓ Clear |
| Stony Point Surgery Center, L.L.C | Richmond, VA | $45.5M | ✓ Clear |
| Virginia Eye Institute Inc | Richmond, VA | $40.0M | ✓ Clear |
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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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