This provider's $7.2M in total Medicare payments ranks in the 95th 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.
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 | $8.7K | $2.2K | 3.94x | $6.5K | $1.9M | 1.2K | 897 |
| 2021 | $8.1K | $2.1K | 3.92x | $6.0K | $1.6M | 1.1K | 781 |
| 2022 | $8.7K | $2.4K | 3.65x | $6.3K | $1.9M | 1.1K | 780 |
| 2023 | $10.0K | $2.6K | 3.76x | $7.3K | $1.7M | 906 | 684 |
| 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 | 1.6K | $3.0M | $1.9K | 3.80x |
| 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 | 263 | $1.1M | $4.2K | 3.45x |
| 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 | 81 | $724.5K | $8.9K | 3.86x |
| 37248 | Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation | 360 | $673.7K | $1.9K | 3.87x |
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 118 | $665.5K | $5.6K | 3.76x |
| 36581 | Replacement of central venous catheter | 485 | $418.0K | $861.84 | 5.37x |
| 36901 | Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation | 439 | $209.2K | $476.64 | 3.95x |
| 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 | 139 | $171.5K | $1.2K | 4.68x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 105 | $121.2K | $1.2K | 3.91x |
| 36589 | Removal of central venous catheter for infusion | 411 | $99.3K | $241.61 | 4.28x |
| 49418 | Insertion of abdominal tube using imaging guidance with review by radiologist | 16 | $18.9K | $1.2K | 1.77x |
| 93986 | Ultrasound scan of blood flow in extremity on both sides of body for preoperative assessment of blood vessel for dialysis access | 206 | $9.6K | $46.38 | 4.01x |
| 93985 | Ultrasound scan of blood flow in extremity on both sides of body for preoperative assessment of blood vessel for dialysis access | 32 | $3.1K | $95.86 | 4.07x |
| J2997 | Injection, alteplase recombinant, 1 mg | 37 | $2.6K | $69.91 | 3.00x |
This provider submits charges 3.88 times higher than what Medicare actually pays.
A markup ratio of 3.88x means for every $100 Medicare pays, this provider initially charges $388. 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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