This provider's $8.4M 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 8802% in 2020
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 | $1.2K | $408.06 | 3.01x | $821.06 | $1.5M | 5.0K | 2.9K |
| 2015 | $1.3K | $421.25 | 3.11x | $890.45 | $1.3M | 4.4K | 2.6K |
| 2016 | $1.6K | $485.24 | 3.32x | $1.1K | $1.1M | 3.5K | 2.1K |
| 2017 | $2.7K | $803.13 | 3.39x | $1.9K | $1.0M | 3.6K | 2.3K |
| 2018 | $2.2K | $787.06 | 2.84x | $1.4K | $935.6K | 2.1K | 1.6K |
| 2019 | $2.9K | $117.53 | 24.34x | $2.7K | $1.3K | 11 | 11 |
| 2020 | $460.08 | $180.88 | 2.54x | $279.20 | $115.1K | 688 | 595 |
| 2021 | $1.2K | $436.39 | 2.70x | $741.44 | $484.4K | 1.7K | 1.3K |
| 2022 | $2.1K | $618.37 | 3.40x | $1.5K | $985.1K | 3.1K | 1.7K |
| 2023 | $2.4K | $648.00 | 3.72x | $1.8K | $893.8K | 2.9K | 1.6K |
| 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 | 2.0K | $1.8M | $871.07 | 3.07x |
| 35476 | Balloon dilation of narrowed or blocked vein, accessed through the skin | 1.2K | $1.1M | $876.07 | 3.19x |
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 203 | $689.6K | $3.4K | 3.07x |
| 36147 | Insertion of needle and/or catheter for dialysis | 2.0K | $684.0K | $336.62 | 4.85x |
| 35475 | Balloon dilation of narrowed or blocked upper arm artery, accessed through the skin | 629 | $657.3K | $1.0K | 2.92x |
| 36215 | Insertion of catheter into chest or arm artery | 1.5K | $637.5K | $438.15 | 5.05x |
| 36907 | Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation | 1.1K | $510.6K | $483.51 | 3.11x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 149 | $446.0K | $3.0K | 2.89x |
| 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 | 76 | $337.2K | $4.4K | 3.22x |
| 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 | 164 | $295.3K | $1.8K | 2.91x |
| 36870 | Catheter removal of blood clot from dialysis graft, accessed through the skin | 159 | $174.1K | $1.1K | 3.26x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 1.3K | $153.1K | $114.50 | 2.83x |
| 36581 | Replacement of central venous catheter | 283 | $121.6K | $429.79 | 3.15x |
| 75978 | Radiological supervision and interpretation of balloon dilation of narrowed vein | 1.2K | $109.4K | $88.80 | 3.03x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 2.7K | $99.6K | $36.82 | 2.93x |
| 36901 | Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation | 231 | $97.4K | $421.48 | 3.16x |
| 37246 | Balloon dilation of artery with review by radiologist, initial artery | 81 | $97.1K | $1.2K | 3.88x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 156 | $79.3K | $508.58 | 2.44x |
| 37248 | Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation | 80 | $65.7K | $821.65 | 4.12x |
| 37187 | Removal and dissolving of blood clot from vein using fluoroscopic guidance, initial treatment | 44 | $59.8K | $1.4K | 3.31x |
This provider submits charges 3.38 times higher than what Medicare actually pays.
A markup ratio of 3.38x means for every $100 Medicare pays, this provider initially charges $338. 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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