⚠️ This provider averages 203 services per working day — physically unusual for an individual practitioner
Based on 508.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $45.3M in total Medicare payments ranks in the 99th percentile of Nephrology providers nationally.
Averaging 203 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 51% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 58% in 2016
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 | $117.68 | $69.68 | 1.69x | $48.00 | $3.0M | 43.1K | 20 |
| 2015 | $87.05 | $65.39 | 1.33x | $21.66 | $3.2M | 48.6K | 21 |
| 2016 | $68.52 | $52.13 | 1.31x | $16.39 | $5.0M | 96.3K | 18 |
| 2017 | $68.01 | $50.57 | 1.34x | $17.44 | $4.3M | 84.6K | 18 |
| 2018 | $69.93 | $52.75 | 1.33x | $17.18 | $4.3M | 80.7K | 17 |
| 2019 | $133.75 | $95.20 | 1.40x | $38.55 | $4.8M | 50.0K | 26 |
| 2020 | $244.36 | $183.56 | 1.33x | $60.80 | $5.7M | 31.1K | 20 |
| 2021 | $247.62 | $194.92 | 1.27x | $52.70 | $5.5M | 28.3K | 23 |
| 2022 | $264.12 | $203.81 | 1.30x | $60.31 | $5.0M | 24.6K | 19 |
| 2023 | $416.82 | $215.15 | 1.94x | $201.67 | $4.5M | 21.1K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery of leg, initial vessel | 1.1K | $9.8M | $9.3K | 1.40x |
| 37225 | Removal of plaque in arteries of leg | 942 | $5.0M | $5.3K | 1.52x |
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 976 | $4.8M | $4.9K | 1.32x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 1.2K | $4.3M | $3.7K | 1.37x |
| 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 | 1.4K | $3.0M | $2.1K | 1.33x |
| 35476 | Balloon dilation of narrowed or blocked vein, accessed through the skin | 2.5K | $2.4M | $993.16 | 1.42x |
| 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 | 338 | $2.0M | $6.0K | 1.30x |
| 36902 | Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation | 1.4K | $1.5M | $1.1K | 1.33x |
| 36870 | Catheter removal of blood clot from dialysis graft, accessed through the skin | 1.1K | $1.5M | $1.4K | 1.37x |
| 37252 | Ultrasound evaluation of blood vessel with review by radiologist, initial vessel | 1.4K | $1.4M | $1.0K | 1.37x |
| 36147 | Insertion of needle and/or catheter for dialysis | 2.4K | $905.3K | $373.47 | 1.40x |
| 36247 | Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch | 1.2K | $815.5K | $702.42 | 1.57x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 56 | $786.9K | $14.1K | 1.34x |
| 36245 | Insertion of tube into abdominal, pelvic, or leg artery, each first order branch | 1.2K | $725.8K | $610.96 | 1.57x |
| 37246 | Balloon dilation of artery with review by radiologist, initial artery | 730 | $655.7K | $898.15 | 1.71x |
| 36246 | Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch | 1.2K | $456.3K | $394.06 | 1.63x |
| 36215 | Insertion of catheter into chest or arm artery | 864 | $417.9K | $483.63 | 1.43x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 6.6K | $412.3K | $62.38 | 1.48x |
| 36907 | Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation | 627 | $407.0K | $649.10 | 1.32x |
| 36011 | Insertion of catheter into vein | 1.1K | $397.0K | $372.06 | 1.46x |
This provider submits charges 1.41 times higher than what Medicare actually pays.
A markup ratio of 1.41x means for every $100 Medicare pays, this provider initially charges $141. This is lower 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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