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    OpenPayerNPI Medicare & MedicaidCapital Nephrology Access Center, LLC
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    Capital Nephrology Access Center, LLC — Billing Profile & Reimbursement Data

    NPI 1275060303 · Sacramento, CA · Ambulatory Surgical Clinic/Center

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    Capital Nephrology Access Center, LLC is a ambulatory surgical clinic/center provider located in Sacramento, California. This profile covers 6 Medicare and 2 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)

    FieldValue
    Entity TypeOrganization
    OrganizationCapital Nephrology Access Center, LLC
    Address1111 Exposition Blvd, Ste 300
    CitySacramento
    StateCA
    ZIP95815
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMay 19, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.3M
    Medicaid$4.3K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36902The 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…380$2,460$923.8K
    36905Under 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$6,150$215.2K
    36903The 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…10$7,240$79.7K
    36581This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction.20$1,790$30.4K
    36901The 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…50$600$27.6K
    36589In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump.70$290$20.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36903333020$3,600$129.4K
    36905155020$2,380$83.3K
    36902818030$1,010$72.6K
    36581253020$680$19K
    36901157020$350$12.7K
    365891116020$140$3.8K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36902The 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…30$140$4.2K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…30$1$100

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36902The 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…3760130$420$263.5K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…460570180$30$22.6K

    Nearby Providers

    Other providers in the same ZIP code as Capital Nephrology Access Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Health And Life Organization, Inc.CAFederally Qualified Health Center (FQHC)$0$38.2M
    Premier Healthcare Services, LLCCAHome Health Agency$0$28.5M
    Health And Life Organization, IncCAGeneral Practice Dentistry$0$23.9M
    Sacramento Surgery Center Associates, L PCAAmbulatory Surgical Clinic/Center$3.3M$0
    Nicholas DzeboloCAInterventional Cardiology Physician$2.2M$170
    Glenda AgustinCAInternal Medicine Physician$1.3M$6.7K
    Andrew HolzCAVascular & Interventional Radiology Physician$1.2M$0
    Michael FazioCAMOHS-Micrographic Surgery Physician$1.1M$0
    An YenCAProcedural Dermatology Physician$526.3K$477.2K
    Raja SivamaniCADermatology Physician$555.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Capital Nephrology Access Center, LLC — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Capital Nephrology Access Center, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California