This provider's $12.4M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 2509% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2476% 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 | $4.7K | $1.2K | 3.90x | $3.5K | $121.3K | 100 | 3 |
| 2020 | $7.8K | $1.7K | 4.54x | $6.1K | $3.1M | 1.8K | 14 |
| 2021 | $7.9K | $1.7K | 4.64x | $6.2K | $3.1M | 1.8K | 15 |
| 2022 | $8.3K | $1.8K | 4.69x | $6.5K | $2.9M | 1.6K | 13 |
| 2023 | $9.2K | $1.9K | 4.71x | $7.2K | $3.2M | 1.6K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 2.8K | $5.1M | $1.9K | 4.50x |
| 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 | 152 | $1.4M | $9.2K | 4.48x |
| 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 | 320 | $1.3M | $4.1K | 4.55x |
| 36903 | Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist | 214 | $1.2M | $5.5K | 4.58x |
| 36901 | Insertion of needle and/or tube into hemodialysis circuit with review by radiologist | 1.1K | $494.6K | $464.45 | 4.61x |
| 37248 | Balloon dilation of vein with review by radiologist, initial vein | 258 | $484.2K | $1.9K | 4.50x |
| 36581 | Replacement of tunneled central venous tube | 462 | $470.3K | $1.0K | 5.88x |
| 36821 | Relocation of arm vein with connection to arm artery for hemodialysis | 210 | $245.2K | $1.2K | 4.57x |
| 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 | 186 | $198.7K | $1.1K | 5.17x |
| 49418 | Insertion of abdominal tube using imaging guidance with review by radiologist | 152 | $194.5K | $1.3K | 4.52x |
| 36830 | Creation of artery-vein connection using tube graft for hemodialysis | 93 | $187.7K | $2.0K | 4.57x |
| 36558 | Insertion of tunneled central venous tube for infusion (5 years or older) | 164 | $183.1K | $1.1K | 4.75x |
| G2170 | Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue approximation using thermal resistance energy, and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization) when performed, and in | 21 | $169.0K | $8.0K | 4.45x |
| 36836 | Creation of opening between artery and vein in arm with single access to both blood vessels | 18 | $159.5K | $8.9K | 4.47x |
| 37607 | Tying or banding of surgically created artery-vein connection | 127 | $132.1K | $1.0K | 5.06x |
| 36595 | Mechanical removal of obstructive material from central venous tube | 200 | $125.5K | $627.49 | 8.91x |
| 36589 | Removal of tunneled central venous tube | 461 | $111.5K | $241.95 | 4.63x |
| 36832 | Revision of hemodialysis graft | 46 | $100.0K | $2.2K | 4.54x |
| 49422 | Removal of abdominal cavity tube | 61 | $72.1K | $1.2K | 4.62x |
| 36904 | 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 | 14 | $35.3K | $2.5K | 4.38x |
This provider submits charges 4.63 times higher than what Medicare actually pays.
A markup ratio of 4.63x means for every $100 Medicare pays, this provider initially charges $463. 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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