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NPI 1346469731 · Phoenix, AZ · Ambulatory Surgical Clinic/Center
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Akdhc Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Phoenix, Arizona. This profile covers 15 Medicare and 13 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 | Akdhc Surgery Center, LLC |
| Address | 3333 E Camelback Rd Ste 180 |
| City | Phoenix |
| State | AZ |
| ZIP | 85018 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 24, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $18.4M |
| Medicare | $3.6M |
Specialty and service mix: AKDHC SURGERY CENTER, LLC (Ambulatory Surgical Clinic/Center) bills heavily for endovascular and dialysis-access interventions, with the top billed CPTs centered on angiography, thrombectomy, stent placement, and AV fistula creation (examples include 36902, 36905, 36903, 36821). The code descriptions and the facility taxonomy are consistent with an outpatient vascular access/interventional suite focused on maintenance and creation of hemodialysis access rather than broad multispecialty surgical services.
Medicaid-dominant payer mix: This provider reports $18.4M in total Medicaid revenue versus $3.6M in total Medicare revenue, indicating Medicaid is the primary revenue source by scale. The Medicaid revenue pool is roughly five times larger than the Medicare pool on the reported totals, so payer-specific contracting and state reimbursement policy will materially affect overall volume and margins.
Revenue concentration by code (Medicare): The provider's top three Medicare codes (including 36902, 36905, and 36903) account for 70.9% of its total Medicare revenue, signaling high concentration in a narrow set of interventional dialysis procedures. That concentration suggests operational dependence on a small number of high-value interventional CPTs and potential vulnerability to coding- or reimbursement-level changes for those codes.
Revenue concentration by code (Medicaid): On the Medicaid side, the top three codes (36902, 36905, 36821) are even more dominant, accounting for 87.2% of total Medicaid revenue, with 36902 alone representing $11.3M (61.4% of Medicaid revenue). This extreme concentration implies the facility’s Medicaid business is overwhelmingly driven by repeatable dialysis-access imaging and intervention services.
National and state competitive standing — Medicare: Several Medicare code volumes place the center among the highest-volume national performers for dialysis-access interventions: 36902 ranks #2 of 1666 providers nationally (100th percentile; extreme outlier), 36901 ranks #3 of 783 (100th percentile; extreme outlier), and 36821 ranks #1 of 575 (100th percentile; extreme outlier). These positions indicate the center is a major national outlier in selected dialysis-access procedures on Medicare claims.
State competitive standing — Medicaid: In-state Medicaid rankings similarly show dominance for core procedures: 36902 ranks #1 of 11 providers in-state (100th percentile; notably above typical state volume), 36821 ranks #1 of 5 in-state (100th percentile; notably above typical state volume), and 36581 ranks #1 of 3 in-state (100th percentile; typical, unremarkable volume). For 36905 and 36903 the data show the provider is the only listed in-state biller (rank #1 of 1) where peer comparison is not available, indicating it may be the primary local source for those interventions.
Statistical outliers and typical volumes: Several individual codes are explicitly labeled as extreme outliers or notably above typical volume (e.g., 36902 as an extreme outlier nationally on Medicare; 36821 and 36901 also extreme outliers nationally). Other codes such as 36906, 36832, and 37607 are described as typical or unremarkable volumes, indicating a mix of dominant high-volume services alongside a broader set of routine AV access procedures.
Tenure and operational implication: The NPI has been enumerated since 2007-04-24 (~19 years ago), which indicates long-standing operation in Phoenix, AZ; combined with concentrated, high-volume billing for dialysis-access interventions, this suggests an established specialty center with entrenched referral patterns for hemodialysis vascular care. Given the concentrated revenue base and dominant state/national ranks for core codes, changes in local dialysis networks or reimbursement policy would likely have outsized effects on this center’s activity and revenues.
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… | 1,000 | $1,760 | $1.8M |
| 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… | 100 | $4,530 | $448.3K |
| 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… | 70 | $5,010 | $370.7K |
| 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 | $8,710 | $304.8K |
| 36821 | The provider creates an arteriovenous (AV) anastomosis by connecting a vein to an artery in any site to provide better vascular access in a patient with kidney failure who will receive hemodialysis… | 180 | $1,080 | $199.1K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 70 | $1,420 | $102.2K |
| 36830 | In this procedure, the provider surgically creates an arteriovenous fistula, a connection between an artery and a vein using a nonautogenous graft. This service is done to allow for hemodialysis… | 50 | $1,900 | $100.4K |
| 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… | 210 | $420 | $86.5K |
| 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… | 40 | $2,050 | $83.8K |
| 36589 | In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump. | 230 | $220 | $50.8K |
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 |
|---|---|---|---|---|---|
| 36906 | 1 | 10 | 40 | $8,710 | $304.8K |
| 36902 | 1 | 30 | 80 | $920 | $130.3K |
| 36905 | 1 | 10 | 20 | $2,990 | $110.8K |
| 36903 | 1 | 10 | 30 | $2,940 | $106K |
| 36818 | 1 | 10 | 20 | $2,050 | $40.9K |
| 36830 | 1 | 10 | 20 | $1,150 | $32.2K |
| 36832 | 1 | 10 | 30 | $1,150 | $29.8K |
| 36821 | 1 | 20 | 20 | $680 | $21K |
| 36581 | 1 | 10 | 30 | $650 | $20.2K |
| 37607 | 2 | 10 | 30 | $550 | $15.9K |
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.
13 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… | 10,580 | $1,070 | $11.3M |
| 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… | 1,370 | $2,190 | $3M |
| 36821 | The provider creates an arteriovenous (AV) anastomosis by connecting a vein to an artery in any site to provide better vascular access in a patient with kidney failure who will receive hemodialysis… | 2,330 | $750 | $1.7M |
| 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… | 280 | $2,820 | $784K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 690 | $660 | $456.1K |
| 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… | 2,300 | $190 | $436.1K |
| 36589 | In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump. | 2,600 | $130 | $335.9K |
| 36830 | In this procedure, the provider surgically creates an arteriovenous fistula, a connection between an artery and a vein using a nonautogenous graft. This service is done to allow for hemodialysis… | 200 | $1,000 | $202K |
| 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… | 60 | $1,230 | $73.9K |
| J2997 | Injection, alteplase recombinant, 1 mg | 970 | $40 | $40.7K |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1 | 10 | 1,370 | $2,190 | $3M |
| 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 | 1,440 | $620 | $1.6M |
| 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 | 280 | $2,820 | $784.1K |
| 36821 | The provider creates an arteriovenous (AV) anastomosis by connecting a vein to an artery in any site to provide better vascular access in a patient with kidney failure who will receive hemodialysis… | 1 | 10 | 30 | $740 | $371.4K |
| 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… | 1 | 10 | 90 | $190 | $155.6K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 1 | 10 | 40 | $620 | $153.4K |
| 36830 | In this procedure, the provider surgically creates an arteriovenous fistula, a connection between an artery and a vein using a nonautogenous graft. This service is done to allow for hemodialysis… | 1 | 10 | 110 | $940 | $106.8K |
| 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… | 1 | 10 | 60 | $1,230 | $73.9K |
| J2997 | Injection, alteplase recombinant, 1 mg | 3 | 10 | 390 | $90 | $62.9K |
| 36589 | In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump. | 1 | 10 | 30 | $120 | $43.7K |
Showing 1–10 of 13
Other providers in the same ZIP code as Akdhc Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Akdhc, LLC | AZ | Nephrology Physician | $0 | $54.8M |
| Home Health Agency - Arizona LLC | AZ | Home Health Agency | $0 | $28.5M |
| Safe Ark Wellness LLC | AZ | Adult Mental Health Clinic/Center | $0 | $13M |
| Biltmore Ear Nose And Throat, PC | AZ | Otolaryngology Physician | $0 | $12.2M |
| Crossroads Arcadia | AZ | Substance Abuse Rehabilitation Facility | $0 | $11M |
| Lifewell Behavioral Wellness | AZ | Substance Abuse Rehabilitation Facility | $0 | $11M |
| Ubh Of Phoenix LLC | AZ | Psychiatric Hospital | $0 | $9.3M |
| Kristen Fleury | AZ | Family Nurse Practitioner | $2.3M | $0 |
| Amena Deluca | AZ | MOHS-Micrographic Surgery Physician | $973.7K | $0 |
| John Morgan | AZ | Interventional Cardiology Physician | $507.4K | $0 |
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