This provider's $10.0M in total Medicare payments ranks in the 99th percentile of Nephrology providers nationally.
Medicare payments to this provider grew 147% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 336% in 2016
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 | $835.38 | $196.84 | 4.24x | $638.54 | $316.7K | 3.4K | 1.6K |
| 2015 | $672.97 | $150.62 | 4.47x | $522.35 | $294.4K | 3.8K | 1.5K |
| 2016 | $1.2K | $316.12 | 3.86x | $903.32 | $1.3M | 6.3K | 3.1K |
| 2017 | $770.46 | $498.80 | 1.54x | $271.66 | $1.2M | 4.9K | 2.6K |
| 2018 | $723.23 | $523.03 | 1.38x | $200.20 | $1.5M | 5.4K | 3.0K |
| 2019 | $747.25 | $481.56 | 1.55x | $265.69 | $1.4M | 7.0K | 3.6K |
| 2020 | $695.72 | $479.14 | 1.45x | $216.58 | $1.3M | 6.6K | 3.5K |
| 2021 | $689.31 | $480.36 | 1.43x | $208.95 | $1.1M | 6.3K | 3.1K |
| 2022 | $635.85 | $420.56 | 1.51x | $215.29 | $919.4K | 6.1K | 3.0K |
| 2023 | $805.11 | $409.06 | 1.97x | $396.05 | $781.7K | 5.5K | 2.8K |
| 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 | 2.4K | $2.3M | $967.91 | 1.34x |
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 254 | $1.0M | $4.0K | 1.35x |
| 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 | 208 | $1.0M | $4.8K | 1.34x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 13.3K | $767.1K | $57.58 | 2.52x |
| 36215 | Insertion of catheter into chest or arm artery | 1.3K | $541.4K | $429.69 | 3.43x |
| 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 | 287 | $511.9K | $1.8K | 1.36x |
| 90935 | Hemodialysis procedure with one physician evaluation | 6.9K | $396.0K | $57.29 | 2.55x |
| 35476 | Balloon dilation of narrowed or blocked vein, accessed through the skin | 419 | $389.5K | $929.55 | 4.32x |
| 36907 | Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation | 701 | $376.5K | $537.03 | 1.33x |
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 1.5K | $362.8K | $244.13 | 2.54x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.0K | $217.1K | $107.13 | 2.46x |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 1.1K | $207.3K | $191.42 | 2.58x |
| 36581 | Replacement of central venous catheter | 330 | $186.4K | $564.91 | 1.74x |
| 36147 | Insertion of needle and/or catheter for dialysis | 526 | $174.3K | $331.38 | 3.77x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 46 | $144.6K | $3.1K | 3.89x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 1.0K | $133.5K | $127.98 | 1.62x |
| 36901 | Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation | 267 | $128.0K | $479.26 | 1.43x |
| 35475 | Balloon dilation of narrowed or blocked upper arm artery, accessed through the skin | 109 | $116.3K | $1.1K | 4.26x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 3.2K | $101.5K | $31.66 | 2.50x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.3K | $99.6K | $74.43 | 3.01x |
This provider submits charges 2.06 times higher than what Medicare actually pays.
A markup ratio of 2.06x means for every $100 Medicare pays, this provider initially charges $206. 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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