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NPI 1689175333 · Las Vegas, NV · Ambulatory Surgical Clinic/Center
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Nephrology & Endocrine Associates Inc is a ambulatory surgical clinic/center provider located in Las Vegas, Nevada. This profile covers 11 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Nephrology & Endocrine Associates Inc |
| Address | 7326 W Cheyenne Ave |
| City | Las Vegas |
| State | NV |
| ZIP | 89129 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 27, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.7M |
| Medicaid | $1.4M |
NEPHROLOGY & ENDOCRINE ASSOCIATES INC operates as an Ambulatory Surgical Clinic/Center with a procedural mix concentrated on dialysis access interventions and central venous catheter management; the top billed codes are interventional dialysis circuit procedures (36902, 36905, C7513) and tunneled central venous catheter work (36581, 36589), indicating an operational focus on image‑guided angioplasty, thrombectomy, stent placement, and catheter replacement/removal rather than broad outpatient primary care services.
Medicare revenue is concentrated: the top 3 Medicare codes by revenue account for 65.5% of this provider's total Medicare revenue, led by 36902 with $658.9K (38.9% of Medicare revenue), followed by 36905 with $278K (16.4%) and C7513 with $171.4K (10.1%), which together drive the majority of the $1.7M in lifetime Medicare receipts.
Medicaid billing is highly concentrated into a single procedure set: the top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, effectively dominated by 36902 at $1.4M (99.1% of Medicaid revenue) with 36581 contributing $12.6K (0.9%), showing that Medicaid activity is almost entirely composed of dialysis circuit angioplasty work.
On payer mix, the practice reports $1.7M in total Medicare revenue versus $1.4M in total Medicaid revenue, so Medicare is the larger single payer but Medicaid is also material; the organization should be considered a dual‑payer clinic with near‑parity scale across Medicare and Medicaid rather than a single‑payer specialty.
Competitive standing for key Medicare procedures is strong nationally for several codes: 36902 ranks #57 of 1666 providers (97th percentile) and is described as notably above typical national volume, 36581 ranks #16 of 462 (97th percentile) also notably above typical, and 37248 ranks #12 of 187 (93rd percentile), signaling national‑level high volumes on multiple dialysis access and catheter procedures.
By contrast, the provider is not dominant in the Nevada Medicaid market for the same leading procedure: 36902 ranks #5 of 6 providers in‑state (20th percentile) for Medicaid, indicating that high Medicaid revenue for 36902 is driven by very high utilization by this provider but that within the small in‑state peer group the provider’s relative rank is modest; 36581 ranks #2 of 2 in‑state (0th percentile), reflecting the limited comparator set.
The provider has been enumerated since 2018-02-27 (~8 years ago), which together with sustained, high-volume procedural billing suggests an established ambulatory interventional dialysis service rather than a newly diversified practice.
Several procedural codes show statistical outlier behavior that shapes service-line implications: 36589 is flagged as an extreme outlier (99th percentile, far above typical national volume) for tunneled catheter removals, 36902 and 36581 are described as notably above typical, while other codes like 36906 and C7513 are characterized as typical or unremarkable; this pattern supports a repeat, procedure‑driven business model focused on access maintenance and episodic interventional episodes rather than broad outpatient visit volume.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 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… | 340 | $1,960 | $658.9K |
| 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… | 60 | $4,880 | $278K |
| 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… | 140 | $1,230 | $171.4K |
| 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 | $9,030 | $144.5K |
| 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… | 20 | $5,850 | $134.6K |
| 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… | 50 | $1,990 | $103.3K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 90 | $1,110 | $95.6K |
| 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 | $1,150 | $34.6K |
| 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… | 70 | $480 | $31.1K |
| 36589 | In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump. | 90 | $240 | $20.8K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 36906 | 3 | 10 | 30 | $6,540 | $183.2K |
| 36902 | 3 | 20 | 150 | $940 | $160.2K |
| C7513 | 2 | 10 | 140 | $1,070 | $151.7K |
| 36903 | 4 | 10 | 30 | $3,620 | $123K |
| 36905 | 2 | 10 | 20 | $2,520 | $65.5K |
| 37248 | 2 | 10 | 40 | $1,290 | $47.6K |
| 36581 | 1 | 10 | 20 | $680 | $22.3K |
| 49418 | 5 | 10 | 20 | $760 | $16.8K |
| 36901 | 4 | 10 | 30 | $250 | $11.4K |
| 36558 | 5 | 30 | 20 | $360 | $7.2K |
Showing 1–10 of 11
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.
2 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… | 980 | $1,390 | $1.4M |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 50 | $280 | $12.6K |
How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nevada median
2 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… | 5 | 10 | 1,510 | $520 | $697.4K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 2 | 10 | 60 | $210 | $13.1K |
Other providers in the same ZIP code as Nephrology & Endocrine Associates Inc, ranked by combined Medicare and Medicaid revenue.
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