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NPI 1023542339 · Baton Rouge, LA · Ambulatory Surgical Clinic/Center
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Baton Rouge Vascular Access Asc LLC is a ambulatory surgical clinic/center provider located in Baton Rouge, Louisiana. This profile covers 11 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Baton Rouge Vascular Access Asc LLC |
| Address | 505 E Airport Ave |
| City | Baton Rouge |
| State | LA |
| ZIP | 70806 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 13, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.5M |
| Medicaid | $331.4K |
Business profile and service lines: The provider’s taxonomy (Ambulatory Surgical Clinic/Center) and its dominant CPT/HCPCS mix indicate a focused outpatient vascular-access practice that performs diagnostic angiography, transluminal balloon angioplasty, stent placement, and thrombectomy for dialysis circuits. High-frequency codes such as 36902, 36903, 36905 and 36906, together with tunneled catheter placement/removal codes (36581, 36589), are consistent with a specialty ASC that manages both access maintenance and endovascular interventions for dialysis patients.
Medicare revenue concentration: Medicare activity is highly concentrated in endovascular dialysis access procedures—precomputed top-3 Medicare codes account for 71.0% of the provider’s total Medicare revenue. The three leading Medicare codes are 36902 ($446.5K, 29.9%), 36903 ($417.5K, 27.9%), and 36906 ($196.9K, 13.2%), which together drive the majority of the $1.5M in Medicare revenue on file.
Medicaid revenue concentration and code concentration risk: Medicaid billing is extremely concentrated—precomputed top-3 Medicaid codes account for 97.2% of this provider’s total Medicaid revenue. The Medicaid profile is dominated by 36902 ($290.2K, 87.5%), with 36903 ($20.8K, 6.3%) and 36901 ($11.3K, 3.4%) making up almost all of the $331.4K in Medicaid revenue, indicating reliance on a single procedure type for Medicaid payor volume.
Payer mix and scale: Medicare revenue ($1.5M) substantially exceeds Medicaid revenue ($331.4K), so the provider’s overall revenue base is weighted toward Medicare. This scale difference suggests operations and capacity are likely optimized for Medicare patient volumes and reimbursement patterns rather than Medicaid.
National competitive standing on Medicare codes: The practice is a high-volume national participant for key interventional codes—36903 ranks #10 of 289 providers nationally (97th percentile) and 36902 ranks #87 of 1666 (95th percentile), both described as "notably above typical national volume." Other Medicare codes such as 36906 and 36905 are in more typical national volume bands (36906 at the 58th percentile described as typical), indicating the provider is a national outlier for stent placement and angioplasty but more average on complex thrombectomy mixes.
State-level competitive standing on Medicaid codes: For Medicaid in-state comparisons the provider is dominant for dialysis angiography/angioplasty work—36902 ranks #1 of 14 providers in-state (100th percentile) and 36901 ranks #1 of 4 providers in-state (100th percentile), both described as notably above or typical at the state level. The in-state ranks indicate this ASC is a primary Medicaid provider for dialysis access imaging/angioplasty services in Louisiana.
Payer rate profile and procedure-level revenue characteristics: Medicare shows materially higher average paid per claim on complex interventional codes (for example, 36903 average paid/claim $4744 and 36906 average paid/claim $7874) while Medicaid average paid/claim for the same primary code 36902 is $147 versus Medicare average paid/claim $1606 for 36902. This spread highlights significant payer reimbursement differences between Medicare and Medicaid for the same procedure types and indicates the provider’s revenue mix depends on both case complexity and payer.
Operational tenure and data-reporting note: The NPI was enumerated on 2017-04-13 (~9 years ago), indicating several years of operating history in this service line. One Medicaid reporting anomaly to flag is C7513 showing 46 claims with $0 avg paid/claim and $0 revenue (ranked #1 of 1 in-state), which may reflect a payment reporting artifact or a code-mapping/denial pattern worth reviewing in claims-level records.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36902 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize… | 280 | $1,610 | $446.5K |
| 36903 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize… | 90 | $4,740 | $417.5K |
| 36906 | Under fluoroscopic guidance (live X–rays which can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special… | 30 | $7,870 | $196.8K |
| 36905 | Under fluoroscopic guidance (live X–rays that can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special… | 40 | $4,140 | $182K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 60 | $1,290 | $78.5K |
| 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… | 100 | $770 | $78.1K |
| 36558 | The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,… | 30 | $960 | $31.7K |
| 36901 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects intravenous contrast material to visualize and record images of… | 70 | $380 | $27.7K |
| 36832 | In this procedure, the provider surgically opens an autogenous or nonautogenous arteriovenous fistula and revises the connection between the artery and the vein often located in the upper arm or… | 10 | $1,790 | $21.4K |
| 36589 | In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump. | 60 | $200 | $12.9K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36902 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize… | 1,970 | $150 | $290.2K |
| 36903 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize… | 50 | $420 | $20.8K |
| 36901 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects intravenous contrast material to visualize and record images of… | 200 | $60 | $11.3K |
| 36905 | Under fluoroscopic guidance (live X–rays that can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special… | 10 | $550 | $7.7K |
| 36589 | In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump. | 40 | $50 | $1.7K |
| 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… | 50 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 36902 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize… | 1 | 10 | 80 | $130 | $40K |
| 36903 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize… | 1 | 10 | 50 | $420 | $20.8K |
| 36905 | Under fluoroscopic guidance (live X–rays that can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special… | 2 | 10 | 50 | $240 | $11.7K |
| 36901 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects intravenous contrast material to visualize and record images of… | 1 | 10 | 80 | $50 | $4.7K |
| 36589 | In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump. | 1 | 10 | 40 | $50 | $1.7K |
| 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… | 1 | 10 | 50 | $0 | $0 |
Other providers in the same ZIP code as Baton Rouge Vascular Access Asc LLC, ranked by combined Medicare and Medicaid revenue.
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