This provider's $6.9M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
79% of their billing comes from a single procedure code (36902 — 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.
Notable: Payments increased 51% 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 |
|---|---|---|---|---|---|---|---|
| 2019 | $7.7K | $1.6K | 4.74x | $6.1K | $1.3M | 908 | 512 |
| 2020 | $6.9K | $1.5K | 4.62x | $5.4K | $1.9M | 1.3K | 684 |
| 2021 | $7.0K | $1.5K | 4.68x | $5.5K | $1.5M | 1.0K | 620 |
| 2022 | $6.0K | $1.3K | 4.54x | $4.7K | $1.2M | 792 | 474 |
| 2023 | $4.7K | $989.51 | 4.75x | $3.7K | $1.0M | 718 | 435 |
| 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 | 3.4K | $5.4M | $1.6K | 4.50x |
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 74 | $350.8K | $4.7K | 4.45x |
| 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 | 61 | $205.6K | $3.4K | 4.50x |
| 36581 | Replacement of central venous catheter | 176 | $202.4K | $1.1K | 4.73x |
| 36821 | Relocation of arm vein with connection to arm artery, open procedure | 131 | $135.6K | $1.0K | 4.49x |
| 36901 | Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation | 291 | $115.0K | $395.12 | 4.73x |
| 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 | 102 | $85.0K | $832.87 | 5.91x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 77 | $78.9K | $1.0K | 4.62x |
| 49418 | Insertion of abdominal catheter through the skin using imaging guidance including radiological supervision and interpretation | 63 | $69.1K | $1.1K | 4.59x |
| 37246 | Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation | 43 | $65.0K | $1.5K | 4.59x |
| 36589 | Removal of central venous catheter for infusion | 260 | $57.4K | $220.64 | 4.57x |
| 37607 | Tying or banding of a passage between an artery and vein | 46 | $40.0K | $870.62 | 5.32x |
| 36830 | Connection of tube graft to vein and artery for dialysis | 14 | $25.7K | $1.8K | 4.40x |
| 36818 | Relocation of arm vein with connection to arm artery, open procedure | 13 | $22.8K | $1.8K | 4.44x |
| 36595 | Mechanical removal of obstructive material from central venous catheter | 30 | $20.0K | $665.97 | 8.84x |
| 49422 | Removal of abdominal cavity tube | 13 | $14.0K | $1.1K | 4.42x |
This provider submits charges 4.55 times higher than what Medicare actually pays.
A markup ratio of 4.55x means for every $100 Medicare pays, this provider initially charges $455. 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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