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NPI 1275199978 · Raleigh, NC · Ambulatory Surgical Clinic/Center
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Rac Surgery Center LLC is a ambulatory surgical clinic/center provider located in Raleigh, North Carolina. This profile covers 15 Medicare and 5 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 | Rac Surgery Center LLC |
| Address | 3031 New Bern Ave Ste 200 |
| City | Raleigh |
| State | NC |
| ZIP | 27610 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 17, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.4M |
| Medicaid | $525K |
RAC SURGERY CENTER LLC is operating as an ambulatory surgical clinic/center that is heavily focused on dialysis circuit endovascular procedures and tunneled central venous access management. The Medicare top codes (36902, 36903, 36906, 36905 and related dialysis angioplasty/stent codes) and Medicaid top codes mirror this service mix, indicating the facility primarily performs image‑guided dialysis circuit angiography, angioplasty, stent placement, and thrombectomy procedures rather than general ambulatory surgery services.
Medicare revenue for this provider totals $2.4M while Medicaid revenue is $525K, so Medicare represents the much larger single-payer contribution to lifetime revenue. The two payers are both active, but the scale of Medicare billing is several times larger than Medicaid, meaning payer mix is Medicare‑dominant for lifetime revenue.
Revenue concentration is high for both payers: precomputed metrics show the top three Medicare codes account for 66.1% of total Medicare revenue and the top three Medicaid codes account for 99.8% of total Medicaid revenue. This indicates that a very small set of dialysis circuit interventions (particularly angioplasty and stent placement codes) drive the overwhelming majority of billed revenue to each program.
On Medicare, code 36902 is the single largest revenue driver ($740.5K; 31.2% of Medicare revenue) and is an extreme outlier nationally—ranking #25 of 1666 providers (99th percentile). That ranking and designation indicate RAC SURGERY CENTER bills substantially more for 36902 than typical peers, suggesting a specialized high-volume focus on dialysis access angioplasty in the outpatient setting.
Also on Medicare, 36903 and 36906 are material contributors ($510.3K and $320.9K respectively) and include the provider among the top national performers for stent placement (36903 ranks #8 of 289, 98th percentile, described as notably above typical national volume) and thrombectomy with stent (36906 ranks #29 of 155, 81st percentile). These relative standings reinforce that the center is a regional/national-level high-volume provider for complex dialysis circuit endovascular work.
On Medicaid, 36902 and 36903 again dominate: 36902 accounts for $403.7K (77.0% of Medicaid revenue) while 36903 contributes $101.2K (19.3%); together they essentially comprise the provider’s entire Medicaid revenue base. In-state ranking shows 36903 is the top biller for that code among five providers (100th percentile) and 36902 ranks #4 of 13 (75th percentile), so the center is a leading Medicaid provider in North Carolina for these dialysis circuit interventions.
Several additional procedure codes further indicate procedural breadth within vascular access care: Medicare claims for 36581 (tunneled CVA catheter replacement) and 36589 (tunneled CVA removal) are high in national rank (36581 at 96th percentile, 36589 an extreme outlier at 99th percentile), implying frequent tunneled catheter turnover and device management services accompanying the angiographic interventions.
The provider’s NPI was enumerated on 2019-05-17 (approximately 7 years ago), so the center has a relatively recent but multi-year operational history. That tenure, combined with concentrated high-volume billing for a narrow set of dialysis access procedures, suggests a mature niche practice in vascular access care rather than a diversified ambulatory surgery portfolio.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 430 | $1,730 | $740.5K |
| 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… | 100 | $5,210 | $510.3K |
| 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… | 40 | $8,440 | $320.9K |
| 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… | 70 | $4,500 | $292.2K |
| 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… | 160 | $920 | $147.6K |
| 37248 | Using an open incision or a percutaneous (small incision in the skin) approach, the provider places a balloon–tipped catheter into the lumen (interior) of a vein (except for the dialysis circuit) and… | 60 | $1,730 | $110.8K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 80 | $910 | $74K |
| C7530 | 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… | 10 | $3,490 | $48.9K |
| 37246 | Using an open incision or a percutaneous (small incision in the skin) approach, the provider places a balloon–tipped catheter into the lumen (interior) of an artery. He expands the balloon as many… | 20 | $2,040 | $34.7K |
| 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 | $950 | $25.8K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C7513 | 2 | 10 | 170 | $910 | $158.9K |
| 36906 | 2 | 10 | 30 | $4,720 | $136.8K |
| 36903 | 1 | 10 | 20 | $3,050 | $116K |
| 36905 | 1 | 10 | 30 | $2,730 | $87.3K |
| 36902 | 1 | 60 | 40 | $760 | $51.7K |
| C7530 | 1 | 10 | 10 | $3,490 | $48.9K |
| 37248 | 1 | 10 | 30 | $1,000 | $32K |
| 37246 | 2 | 10 | 20 | $1,500 | $27K |
| 36581 | 1 | 20 | 20 | $500 | $13.1K |
| 36901 | 9 | 30 | 20 | $320 | $13K |
Showing 1–10 of 15
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.
5 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… | 2,280 | $180 | $403.7K |
| 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… | 230 | $440 | $101.2K |
| 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… | 390 | $50 | $18.1K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 20 | $40 | $740 |
| 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… | 20 | $20 | $530 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
5 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… | 4 | 10 | 1,100 | $140 | $233.9K |
| 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 | 140 | $630 | $78.3K |
| 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 | 360 | $50 | $18.4K |
| 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… | 5 | 10 | 350 | $50 | $16.2K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 2 | 10 | 20 | $70 | $2K |
Other providers in the same ZIP code as Rac Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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