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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Renal Associates, P.A.
๐Ÿ”ช
Organization

Renal Associates, P.A.

NPI: 1881125870
San Antonio, TX
6 years of data
Ambulatory Surgical Center
$19.9M
Total Payments
9.1K
Beneficiaries
12.1K
Services
4.53x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$19.9M
Specialty median$657.1K

๐Ÿ“‹ Key Findings

1Billed $19.9M over 6 years
24.53x markup ratio (above median)
398th percentile in Ambulatory Surgical Center by payments
4Payments surged 51% in 2019
520 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $19.9M in total Medicare payments ranks in the 98th 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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 51% in 2019

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2018$7.0K$1.5K4.59x$5.5K$2.7M1.9K1.5K
2019$8.9K$1.9K4.72x$7.0K$4.1M2.8K2.0K
2020$11.0K$2.4K4.55x$8.6K$4.6M2.6K1.9K
2021$10.4K$2.3K4.57x$8.1K$3.1M1.8K1.4K
2022$10.7K$2.3K4.62x$8.4K$2.6M1.5K1.2K
2023$11.1K$2.4K4.68x$8.7K$2.7M1.5K1.2K

Top Procedures (20)

36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretationโš  4.5x markup
$9.2M
5.8K services$1.6K/svc4.50x markup
36903Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretationโš  4.5x markup
$2.5M
584 services$4.4K/svc4.45x markup
36905Excision 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 interpretationโš  4.5x markup
$1.9M
557 services$3.4K/svc4.47x markup
36906Excision 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 interpretationโš  4.5x markup
$1.6M
221 services$7.4K/svc4.45x markup
G2170Percutaneous 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 inโš  4.4x markup
$1.0M
170 services$6.1K/svc4.42x markup
36901Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretationโš  4.7x markup
$646.7K
1.9K services$339.63/svc4.68x markup
C9754Creation of arteriovenous fistula, percutaneous; direct, any site, including all imaging and radiologic supervision and interpretation, when performed and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolizatiโš  4.5x markup
$434.7K
83 services$5.2K/svc4.45x markup
36836Creation of opening between artery and vein in arm with single access to both blood vesselsโš  4.5x markup
$376.6K
50 services$7.5K/svc4.47x markup
49418Insertion of abdominal catheter through the skin using imaging guidance including radiological supervision and interpretationโš  4.5x markup
$359.1K
352 services$1.0K/svc4.49x markup
36581Replacement of central venous catheterโš  5.1x markup
$318.2K
323 services$985.09/svc5.09x markup
36832Revision of dialysis graft, open procedureโš  4.5x markup
$310.8K
180 services$1.7K/svc4.49x markup
36558Insertion of central venous catheter for infusion, patient 5 years or olderโš  4.8x markup
$266.5K
289 services$922.04/svc4.77x markup
49422Removal of abdominal cavity catheterโš  4.5x markup
$202.4K
205 services$987.51/svc4.45x markup
C7513Dialysis 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 aโš  5.1x markup
$188.3K
205 services$918.61/svc5.11x markup
36589Removal of central venous catheter for infusionโš  4.6x markup
$180.9K
840 services$215.39/svc4.57x markup
37607Tying or banding of a passage between an artery and veinโš  5.5x markup
$99.4K
123 services$808.30/svc5.49x markup
37248Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretationโš  4.9x markup
$86.4K
59 services$1.5K/svc4.92x markup
37187Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance, initialโš  4.4x markup
$53.1K
11 services$4.8K/svc4.39x markup
36595Mechanical removal of obstructive material from central venous catheterโš  11.0x markup
$46.6K
111 services$420.08/svc11.02x markup
37241Occlusion of vein with review by radiologistโš  5.1x markup
$44.7K
12 services$3.7K/svc5.14x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation5.8K$9.2M$1.6K4.50x
36903Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation584$2.5M$4.4K4.45x
36905Excision 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 interpretation557$1.9M$3.4K4.47x
36906Excision 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 interpretation221$1.6M$7.4K4.45x
G2170Percutaneous 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 in170$1.0M$6.1K4.42x
36901Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation1.9K$646.7K$339.634.68x
C9754Creation of arteriovenous fistula, percutaneous; direct, any site, including all imaging and radiologic supervision and interpretation, when performed and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolizati83$434.7K$5.2K4.45x
36836Creation of opening between artery and vein in arm with single access to both blood vessels50$376.6K$7.5K4.47x
49418Insertion of abdominal catheter through the skin using imaging guidance including radiological supervision and interpretation352$359.1K$1.0K4.49x
36581Replacement of central venous catheter323$318.2K$985.095.09x
36832Revision of dialysis graft, open procedure180$310.8K$1.7K4.49x
36558Insertion of central venous catheter for infusion, patient 5 years or older289$266.5K$922.044.77x
49422Removal of abdominal cavity catheter205$202.4K$987.514.45x
C7513Dialysis 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 a205$188.3K$918.615.11x
36589Removal of central venous catheter for infusion840$180.9K$215.394.57x
37607Tying or banding of a passage between an artery and vein123$99.4K$808.305.49x
37248Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation59$86.4K$1.5K4.92x
37187Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance, initial11$53.1K$4.8K4.39x
36595Mechanical removal of obstructive material from central venous catheter111$46.6K$420.0811.02x
37241Occlusion of vein with review by radiologist12$44.7K$3.7K5.14x

Markup Analysis

Charge-to-Payment Ratio

4.53x

This provider submits charges 4.53 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.53x means for every $100 Medicare pays, this provider initially charges $453. This is higher than the national average.

Location

San Antonio, TX

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulatory Surgical Center providers in TX for peer comparison.

Renal Associates, P.A. (you)
$19.9M
Ophthalmology Surgery Center Of Dallas, Llc
$76.6M
Round Rock Surgery Center Llc
$56.6M
Amarillo Cataract And Eye Surgery
$33.3M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Ophthalmology Surgery Center Of Dallas, LlcDallas, TX$76.6Mโœ“ Clear
Round Rock Surgery Center LlcRound Rock, TX$56.6Mโœ“ Clear
Amarillo Cataract And Eye SurgeryAmarillo, TX$33.3Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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