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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. Dallas Nephrology Associates
๐Ÿ”ช
Organization

Dallas Nephrology Associates

NPI: 1497797005
Plano, TX
6 years of data
Ambulatory Surgical Center
$14.0M
Total Payments
5.4K
Beneficiaries
7.6K
Services
3.44x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$14.0M
Specialty median$657.1K

๐Ÿ“‹ Key Findings

1Billed $14.0M over 6 years
23.44x markup ratio (above median)
398th percentile in Ambulatory Surgical Center by payments
4Payments surged 57% in 2019
59 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $14.0M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

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 57% in 2019

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
2018$5.2K$1.5K3.45x$3.7K$1.8M888690
2019$6.9K$2.1K3.19x$4.7K$2.8M1.7K1.2K
2020$4.9K$1.6K3.00x$3.3K$3.2M1.9K1.3K
2021$5.9K$2.0K2.86x$3.8K$2.2M1.3K935
2022$5.9K$2.3K2.51x$3.5K$2.0M1.0K715
2023$5.7K$2.2K2.63x$3.5K$2.0M940681

Top Procedures (15)

36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretationโš  4.0x markup
$5.0M
3.0K services$1.7K/svc3.99x 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 interpretationโš  3.4x markup
$4.9M
1.4K services$3.5K/svc3.38x markup
36906Excision 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
$2.1M
275 services$7.8K/svc2.38x markup
36581Replacement of central venous catheterโš  4.2x markup
$700.3K
622 services$1.1K/svc4.15x markup
36558Insertion of central venous catheter for infusion, patient 5 years or olderโš  3.3x markup
$273.3K
279 services$979.56/svc3.31x markup
36901Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation
$231.2K
609 services$379.58/svc2.19x markup
G2170Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue approximation using thermal resistance energy, and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization) when performed, and in
$209.9K
34 services$6.2K/svc2.43x markup
36903Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation
$155.9K
32 services$4.9K/svc2.43x markup
C9754Creation of arteriovenous fistula, percutaneous; direct, any site, including all imaging and radiologic supervision and interpretation, when performed and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolizatiโš  3.7x markup
$130.6K
32 services$4.1K/svc3.68x markup
36595Mechanical removal of obstructive material from central venous catheter
$106.5K
190 services$560.56/svc2.61x markup
36589Removal of central venous catheter for infusionโš  3.6x markup
$87.6K
383 services$228.76/svc3.65x markup
C9755Creation of arteriovenous fistula, percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, when perforโš  3.9x markup
$53.8K
14 services$3.8K/svc3.90x markup
J2997Injection, alteplase recombinant, 1 mg
$44.4K
644 services$68.94/svc2.54x markup
93985Ultrasound scan of blood flow in extremity on one side for preoperative assessment of blood vessel for dialysis accessโš  4.0x markup
$14.1K
162 services$87.25/svc3.99x markup
G0365Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)โš  4.0x markup
$1.8K
40 services$44.19/svc3.96x 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 interpretation3.0K$5.0M$1.7K3.99x
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 interpretation1.4K$4.9M$3.5K3.38x
36906Excision 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 interpretation275$2.1M$7.8K2.38x
36581Replacement of central venous catheter622$700.3K$1.1K4.15x
36558Insertion of central venous catheter for infusion, patient 5 years or older279$273.3K$979.563.31x
36901Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation609$231.2K$379.582.19x
G2170Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue approximation using thermal resistance energy, and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization) when performed, and in34$209.9K$6.2K2.43x
36903Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation32$155.9K$4.9K2.43x
C9754Creation of arteriovenous fistula, percutaneous; direct, any site, including all imaging and radiologic supervision and interpretation, when performed and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolizati32$130.6K$4.1K3.68x
36595Mechanical removal of obstructive material from central venous catheter190$106.5K$560.562.61x
36589Removal of central venous catheter for infusion383$87.6K$228.763.65x
C9755Creation of arteriovenous fistula, percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, when perfor14$53.8K$3.8K3.90x
J2997Injection, alteplase recombinant, 1 mg644$44.4K$68.942.54x
93985Ultrasound scan of blood flow in extremity on one side for preoperative assessment of blood vessel for dialysis access162$14.1K$87.253.99x
G0365Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)40$1.8K$44.193.96x

Markup Analysis

Charge-to-Payment Ratio

3.44x

This provider submits charges 3.44 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.44x means for every $100 Medicare pays, this provider initially charges $344. This is higher than the national average.

Location

Plano, TX

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 TX for peer comparison.

Dallas Nephrology Associates (you)
$14.0M
Ophthalmology Surgery Center Of Dallas, Llc
$76.6M
Round Rock Surgery Center Llc
$56.6M
Amarillo Cataract And Eye Surgery
$33.3M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Ophthalmology Surgery Center Of Dallas, LlcDallas, TX$76.6Mโœ“ Clear
Round Rock Surgery Center LlcRound Rock, TX$56.6Mโœ“ Clear
Amarillo Cataract And Eye SurgeryAmarillo, TX$33.3Mโœ“ 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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