This provider's $5.7M in total Medicare payments ranks in the 98th 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 61% 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 | $2.7K | $823.72 | 3.28x | $1.9K | $1.2M | 3.1K | 2.2K |
| 2021 | $2.8K | $776.99 | 3.57x | $2.0K | $1.9M | 4.9K | 2.8K |
| 2022 | $2.7K | $758.58 | 3.55x | $1.9K | $1.5M | 4.0K | 2.2K |
| 2023 | $2.3K | $712.59 | 3.30x | $1.6K | $1.1M | 3.1K | 1.9K |
| 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 | 1.8K | $1.8M | $978.50 | 3.35x |
| 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 | 141 | $660.4K | $4.7K | 3.26x |
| 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 | 341 | $631.5K | $1.9K | 3.28x |
| 36215 | Insertion of catheter into chest or arm artery | 1.4K | $623.8K | $447.84 | 6.16x |
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 95 | $350.4K | $3.7K | 3.29x |
| 36901 | Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation | 646 | $330.8K | $512.12 | 3.61x |
| 36907 | Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation | 548 | $280.5K | $511.92 | 3.27x |
| 36909 | Permanent blockage of dialysis circuit, with imaging including radiological supervision and interpretation | 115 | $184.1K | $1.6K | 3.28x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 1.4K | $175.0K | $121.58 | 3.27x |
| 37246 | Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation | 92 | $116.9K | $1.3K | 3.92x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 2.5K | $101.2K | $39.80 | 3.28x |
| 37248 | Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation | 73 | $77.8K | $1.1K | 3.42x |
| 36581 | Replacement of central venous catheter | 140 | $61.2K | $437.35 | 4.68x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 86 | $52.2K | $606.81 | 3.60x |
| 36005 | Injection for x-ray imaging procedure on veins of arm or leg | 137 | $39.9K | $291.02 | 2.44x |
| J2997 | Injection, alteplase recombinant, 1 mg | 438 | $30.6K | $69.80 | 3.11x |
| 77001 | Fluoroscopic guidance for insertion, replacement or removal of central venous access device | 340 | $26.4K | $77.59 | 3.29x |
| 37249 | Balloon dilation of additional vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation | 63 | $24.0K | $380.62 | 3.21x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment, initial vessel | 26 | $22.8K | $878.26 | 3.37x |
| 36589 | Removal of central venous catheter for infusion | 235 | $21.9K | $93.17 | 4.56x |
This provider submits charges 3.67 times higher than what Medicare actually pays.
A markup ratio of 3.67x means for every $100 Medicare pays, this provider initially charges $367. 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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