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NPI 1396238010 · Wichita, KS · Ambulatory Surgical Clinic/Center
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Wichita Nephrology Group, PA is a ambulatory surgical clinic/center provider located in Wichita, Kansas. This profile covers 13 Medicare and 1 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 | Wichita Nephrology Group, PA |
| Address | 2122 N Garnett St |
| City | Wichita |
| State | KS |
| ZIP | 67206 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 7, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.2M |
| Medicaid | $108.8K |
WICHITA NEPHROLOGY GROUP, PA’s billing mix and taxonomy (Ambulatory Surgical Clinic/Center) are consistent with an interventional nephrology/vascular access practice: the Medicare top codes are angiographic and endovascular dialysis access procedures (36902, 36905, 36903, 36906) and the Medicaid activity is concentrated in the same dialysis access angiography code (36902). This pattern indicates the group primarily provides dialysis access maintenance and interventions (angioplasty, thrombectomy, stent placement, and catheter management) in an outpatient surgical clinic setting.
Medicare revenue is $1.2M and is heavily concentrated in a small set of procedures: the precomputed top 3 Medicare codes account for 71.2% of Medicare revenue, with 36902 alone representing 36.8% of Medicare revenue ($447.6K), 36905 17.4% ($210.9K), and 36903 17.0% ($206.7K). This high concentration around a few interventional codes signals dependence on dialysis-access procedures as the primary revenue driver.
On Medicaid the provider is effectively single-code: total Medicaid revenue is $108.8K and the precomputed top-3 share is 100.0%, with 36902 accounting for 100.0% of Medicaid revenue ($109K from 514 claims, $212 avg paid/claim). Medicaid activity therefore reflects focused state-level billing for the same angiographic dialysis access procedure that dominates Medicare revenue.
Payer mix is Medicare-dominant: Medicare revenue ($1.2M) far exceeds Medicaid revenue ($108.8K), so the provider’s scale and market impact are driven by Medicare billing rather than Medicaid. Despite Medicaid participation, the practice’s financial footprint is concentrated in Medicare-funded interventional procedures.
For the signature angiography code 36902 the provider is nationally prominent on Medicare and middling in-state on Medicaid: 36902 ranks #92 of 1666 providers nationally (95th percentile; notably above typical national volume) for Medicare, while the same code ranks #2 of 4 providers in-state for Medicaid (67th percentile; typical, unremarkable volume). The average paid/claim difference is also notable: $1664 avg paid/claim on Medicare versus $212 avg paid/claim on Medicaid, highlighting payer payment-rate variance for the identical procedure.
Other high-revenue Medicare codes show above-median but not extreme national positions: 36905 (51 claims, $210.9K) ranks #60 of 396 (84th percentile; typical, unremarkable volume) and 36903 (42 claims, $206.7K) ranks #63 of 289 (78th percentile; typical, unremarkable volume). Lower-volume but relevant access management codes such as 36581 ($60.7K, 5.0% of Medicare revenue) also appear, supporting that the practice performs tunneled catheter replacements and related vascular-access services.
Several specific Medicare codes are flagged as 'notably above typical' in national volume, reinforcing pockets of outsized activity: beyond 36902, codes like 36901 (84 claims, $33.7K) rank in the 95th percentile and 36589 (56 claims, $11.9K) rank in the 96th percentile, both labeled notably above typical national volume. These elevated-percentile items suggest the provider has concentrated technical throughput for diagnostic angiography and catheter removals relative to peers.
The provider’s NPI was enumerated on 2018-06-07 (~8 years ago), indicating an established outpatient presence; coupled with the concentrated revenue profile and high national ranking on key dialysis-access codes, the practice appears to operate as a specialized ambulatory surgical center focused on dialysis vascular access interventions rather than broad multispecialty services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
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… | 270 | $1,660 | $447.6K |
| 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… | 50 | $4,140 | $210.9K |
| 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… | 40 | $4,920 | $206.7K |
| 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… | 20 | $8,100 | $154K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 60 | $1,050 | $60.7K |
| 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… | 30 | $1,570 | $40.9K |
| 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… | 80 | $400 | $33.7K |
| 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 | $930 | $31.8K |
| 36589 | In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump. | 60 | $210 | $11.9K |
| 36569 | The provider places a catheter through a vein in the upper extremity of a patient 5 years of age or older and passes the catheter into one of the major veins carrying the blood to the heart or… | 20 | $410 | $7.4K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 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.
1 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… | 510 | $210 | $109K |
How this provider's Medicaid billing volume and revenue compare to other Kansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kansas median
1 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… | 2 | 10 | 290 | $290 | $94.2K |
Other providers in the same ZIP code as Wichita Nephrology Group, PA, ranked by combined Medicare and Medicaid revenue.
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