This provider's $20.5M in total Medicare payments ranks in the 99th 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 52% in 2017
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 | $1.7K | $580.59 | 2.90x | $1.1K | $2.8M | 9.8K | 3.5K |
| 2015 | $1.8K | $533.43 | 3.33x | $1.2K | $2.8M | 10.4K | 4.3K |
| 2016 | $1.2K | $369.28 | 3.13x | $787.27 | $2.3M | 8.0K | 3.9K |
| 2017 | $2.2K | $972.13 | 2.22x | $1.2K | $3.5M | 8.7K | 4.2K |
| 2018 | $1.7K | $597.49 | 2.84x | $1.1K | $2.4M | 7.4K | 3.8K |
| 2019 | $1.7K | $594.70 | 2.92x | $1.1K | $2.3M | 7.3K | 3.7K |
| 2020 | $1.5K | $520.59 | 2.90x | $988.14 | $2.0M | 6.7K | 4.3K |
| 2021 | $1.7K | $619.45 | 2.72x | $1.1K | $1.0M | 3.0K | 2.1K |
| 2022 | $1.5K | $433.58 | 3.38x | $1.0K | $892.7K | 2.8K | 1.5K |
| 2023 | $2.4K | $684.23 | 3.56x | $1.8K | $612.6K | 1.6K | 1.1K |
| 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 | 3.2K | $3.2M | $1.0K | 2.49x |
| 35476 | Balloon dilation of narrowed or blocked vein, accessed through the skin | 2.9K | $2.4M | $813.40 | 3.63x |
| 36907 | Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation | 3.3K | $2.0M | $602.36 | 2.43x |
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 295 | $1.3M | $4.5K | 2.52x |
| 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 | 588 | $1.2M | $2.0K | 2.39x |
| 36215 | Insertion of catheter into chest or arm artery | 2.5K | $1.1M | $446.53 | 5.07x |
| 36147 | Insertion of needle and/or catheter for dialysis | 2.9K | $928.5K | $321.18 | 5.37x |
| 37246 | Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation | 690 | $824.2K | $1.2K | 3.64x |
| 37241 | Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance | 222 | $803.4K | $3.6K | 2.51x |
| 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 | 134 | $752.3K | $5.6K | 2.43x |
| 35475 | Balloon dilation of narrowed or blocked upper arm artery, accessed through the skin | 701 | $628.9K | $897.15 | 3.56x |
| 36870 | Catheter removal of blood clot from dialysis graft, accessed through the skin | 467 | $614.1K | $1.3K | 3.33x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 187 | $608.1K | $3.3K | 2.52x |
| 36909 | Permanent blockage of dialysis circuit, with imaging including radiological supervision and interpretation | 293 | $492.2K | $1.7K | 2.37x |
| 37248 | Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation | 453 | $449.1K | $991.28 | 3.07x |
| 75978 | Radiological supervision and interpretation of balloon dilation of narrowed vein | 2.9K | $308.6K | $107.42 | 2.76x |
| 37187 | Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance | 192 | $294.9K | $1.5K | 2.80x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 211 | $236.1K | $1.1K | 2.50x |
| 36148 | Insertion of needle and/or catheter into an artery-vein dialysis shunt or graft | 1.1K | $226.6K | $201.28 | 2.67x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 4.5K | $193.9K | $43.47 | 2.41x |
This provider submits charges 3.09 times higher than what Medicare actually pays.
A markup ratio of 3.09x means for every $100 Medicare pays, this provider initially charges $309. 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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