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    OpenPayerNPI Medicare & MedicaidHealthqare Services Asc LLC
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    Healthqare Services Asc LLC — Billing Profile & Reimbursement Data

    NPI 1336649714 · Arlington, VA · Ambulatory Surgical Clinic/Center

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    Healthqare Services Asc LLC is a ambulatory surgical clinic/center provider located in Arlington, Virginia. This profile covers 15 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)

    FieldValue
    Entity TypeOrganization
    OrganizationHealthqare Services Asc LLC
    Address1005 N Glebe Rd Ste 200
    CityArlington
    StateVA
    ZIP22201
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedFebruary 13, 2018

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

    Payer SourceTotal Paid
    Medicare$3.9M
    Medicaid$649.8K

    Key Findings

    HEALTHQARE SERVICES ASC LLC presents as an ambulatory surgical clinic heavily focused on dialysis access interventions: its top Medicare revenue codes are 36902, 36905, and 36906 which are all dialysis circuit angiography, angioplasty, thrombectomy, and stent placement procedures, indicating the facility primarily provides endovascular dialysis circuit maintenance and salvage services. This operational focus is reinforced by other frequent codes (C7513, 36581, 36558) tied to dialysis circuit imaging and central venous access management.

    Medicare revenue is materially larger than Medicaid for this entity: lifetime Medicare revenue is $3.9M versus Medicaid revenue of $649.8K, indicating Medicare is the dominant payer by scale for this provider and that commercial/Medicare populations likely form the core clinical volume. The provider is not effectively single-payer given both payers appear, but Medicare drives the majority of lifetime payments.

    Revenue concentration is high on both payers but especially pronounced by payer-specific measures: the precomputed top 3 Medicare codes account for 76.1% of the provider’s total Medicare revenue, concentrating Medicare dollars in a narrow set of dialysis-related endovascular procedures. Medicaid revenue is even more concentrated, with the top 3 Medicaid codes accounting for 97.4% of Medicaid revenue, showing that a very small group of procedure types (notably 36902 and 36581) generate almost all Medicaid receipts.

    The provider shows national-level outlier volumes on several Medicare codes, signaling a significant competitive position for specific dialysis procedures: it ranks #1 nationally for 36905 and is in the 100th percentile, is #3 nationally for 36902 and 36906 (100th and 99th percentiles respectively), and is #5 nationally on 36581 (99th percentile). These rank/percentile placements suggest the clinic is a major, exceptionally high-volume national performer for thrombectomy and related dialysis circuit interventions.

    Medicaid competitiveness is more localized: although 36902 accounts for 85.0% of this provider’s Medicaid revenue and ranks #5 of 11 providers in-state (60th percentile), other Medicaid high-revenue codes such as 36581 and C7513 rank #1 in-state among very small peer groups, indicating dominance for certain services within Virginia but within a narrow in-state competitive set. In short, the provider is a leading in-state supplier for some Medicaid-coded services but not uniformly across all high-volume Medicaid codes.

    Several codes are flagged as statistical outliers or notably above typical national volume on Medicare, and that pattern is visible in the data: labels provided include “extreme outlier” for 36902, 36905, 36581, 36558, and J2997; and “notably above typical national volume” for 36906 and C7513. These descriptors combined with top ranks indicate the provider’s service mix and scale are unusually concentrated in high-acuity dialysis access procedures relative to national peers.

    The claim-level averages and claim counts show differing reimbursement intensity across the top Medicare services: high average paid/claim values accompany some lower-claim but high-revenue items (e.g., 36906 at $8612 avg paid/claim and 70 claims), while other high-volume items combine many claims with lower average payments (e.g., 36902 at $1825 avg paid/claim and 748 claims). This pattern implies the provider balances frequent angioplasty/diagnostic work with less frequent but higher-paid device or stent procedures.

    Tenure is established but not long-standing: the NPI was enumerated on 2018-02-13 (about 8 years ago), so the clinic has built its billing profile and apparent specialization within a relatively recent operational window, suggesting any recent expansion in dialysis access services would be reflected in this dataset.

    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.

    15 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…750$1,830$1.4M
    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…210$4,680$967.9K
    36906Under 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…70$8,610$602.8K
    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…380$960$363.3K
    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…30$5,460$174.8K
    36581This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction.110$1,390$151K
    36558The 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,…60$1,060$60.4K
    J2997Injection, alteplase recombinant, 1 mg530$70$37.1K
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…30$1,150$32.1K
    C7514Dialysis 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…30$1,040$30K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    C7513110230$950$213.1K
    3690611030$4,950$158.4K
    3690512030$2,190$105.1K
    3690216030$860$71.8K
    3690321020$3,000$69.1K
    36475173030$820$39.5K
    C751411030$1,040$30K
    3724641020$1,100$28.5K
    3658122020$580$22.6K
    3690183020$290$12.4K

    Showing 1–10 of 15

    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.

    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…2,150$260$551.8K
    36581This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction.120$420$49.2K
    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…350$90$31.2K
    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…60$270$14.8K
    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…30$50$1.4K
    36589In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump.10$40$620

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Virginia median

    6 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…5101,810$210$328.7K
    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…310530$120$51.7K
    36581This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction.11070$430$28.7K
    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…110190$90$16.2K
    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…11040$240$8.8K
    36589In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump.51020$230$7.8K

    Nearby Providers

    Other providers in the same ZIP code as Healthqare Services Asc LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arlington County Government Department Of Managment & FinanceVAAmbulance$1.3M$1.5M
    Isabelle LeVAHematology & Oncology Physician$1M$0
    Patricia RodriguezVAHematology & Oncology Physician$989.1K$0
    John FeigertVAHematology & Oncology Physician$925.9K$0
    Robert ChristieVAHematology & Oncology Physician$885.7K$0
    Keeran SampatVAHematology & Oncology Physician$848.7K$0
    Raymond VlacancichVACardiovascular Disease Physician$644.3K$0
    Antonio ParenteVACardiovascular Disease Physician$317.1K$0
    Thomas RaggioVAVascular & Interventional Radiology Physician$245.8K$0
    Christopher McmanusVAInternal Medicine Physician$102.1K$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. Virginia Distribution
    Healthqare Services Asc LLC — 8 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Healthqare Services Asc LLC — 3 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia