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NPI 1780140772 · Las Vegas, NV · Ambulatory Surgical Clinic/Center
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Adios Estenosis LLC is a ambulatory surgical clinic/center provider located in Las Vegas, Nevada. This profile covers 19 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 | Adios Estenosis LLC |
| Address | 2450 Fire Mesa St Ste 100 |
| City | Las Vegas |
| State | NV |
| ZIP | 89128 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 14, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.2M |
| Medicaid | $1.7M |
Service-line profile: The provider’s CPT mix is concentrated in dialysis access interventions, angiography, thrombectomy, and arteriovenous access creation consistent with its Ambulatory Surgical Clinic/Center taxonomy. High-revenue Medicare codes such as 36902, 36906, and 36903 are all dialysis-circuit angiographic or intervention procedures, indicating the practice functions primarily as an outpatient vascular access and interventional dialysis center rather than a general surgery clinic.
Medicare revenue concentration: Medicare shows significant concentration in a few endovascular dialysis procedures — the precomputed top 3 Medicare codes account for 57.1% of this provider’s total Medicare revenue. In particular, 36902 generates $1.1M (33.7% of Medicare revenue), while 36906 and 36903 contribute $395.2K (12.5%) and $345.2K (10.9%) respectively, highlighting dependence on a narrow set of interventional codes.
Medicaid revenue concentration: Medicaid is extremely concentrated in a single procedure line, with the precomputed top 3 Medicaid codes accounting for 99.7% of the provider’s Medicaid revenue. Code 36902 alone represents $1.7M (97.8% of Medicaid revenue) for this provider, indicating Medicaid volume is almost entirely driven by dialysis-circuit angiography/angioplasty work.
Payer mix and scale: ADIOS ESTENOSIS LLC reports $3.2M in total Medicare revenue and $1.7M in total Medicaid revenue, so Medicare is the larger payer stream but Medicaid represents a meaningful one-third scale relative to Medicare. The practice is not single-payer: both Medicare and Medicaid drive substantial revenues, though Medicaid is far more concentrated on a single code than Medicare.
Medicare competitive standing: For several high-value Medicare codes the provider ranks at or near national leadership — 36902 ranks #13 of 1666 providers nationally (99th percentile; extreme outlier), and related access codes such as 36821 and 36589 also sit in top percentiles. Other high-revenue Medicare codes (36906, 36903) rank in the mid-to-high national percentiles (85th and 91st respectively), reflecting a mix of extreme outlier volume on certain core dialysis access services and more typical volumes on complementary interventions.
Medicaid competitive standing in-state: The provider is the top in-state biller for its principal Medicaid codes, with 36902 ranking #1 of 6 providers in-state (100th percentile) and 36901 and 36581 also ranking #1 of small in-state peer sets. This suggests the practice is a dominant Medicaid provider for dialysis-circuit angiographic/interventional services within Nevada, even if the in-state peer counts are small.
Tenure and operational implication: The NPI was enumerated on 2019-02-14 (~7 years ago), indicating the clinic has established several years of billing history to support these concentrated interventional volumes. The combination of a relatively recent enumeration and concentrated high-volume interventional billing suggests focused growth in outpatient dialysis-access procedures since enrollment.
Statistical outliers and operational risk profile: Multiple codes are flagged as outliers nationally or regionally — for example, 36902 is labeled an "extreme outlier" nationally for Medicare and dominates Medicaid revenue, while codes such as 49418 and 36589 are also noted as extreme outliers on Medicare. These outlier designations reflect billing patterns that are far above typical national or state volumes for specific dialysis-access interventions and should be interpreted as strong indicators of a specialized, high-volume interventional dialysis practice rather than generalist service lines.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 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… | 550 | $1,930 | $1.1M |
| 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 | $9,190 | $395.2K |
| 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… | 60 | $5,660 | $345.2K |
| 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 | $4,680 | $271.7K |
| 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… | 190 | $1,070 | $198.6K |
| 36836 | The provider uses a percutaneous approach to create a fistula (connection) between an artery and vein in the patient’s upper limb for hemodialysis. There is a single access site for the peripheral… | 20 | $8,860 | $159.5K |
| 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 | $1,940 | $118.1K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 80 | $1,310 | $108.3K |
| 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… | 70 | $1,210 | $85.6K |
| 49418 | The provider percutaneously places and tunnels a catheter within the abdominal cavity. The provider performs this for management of dialysis, drainage of ascites, and to administer abdominal… | 60 | $1,400 | $82.8K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 36906 | 1 | 10 | 30 | $6,540 | $183.2K |
| 36902 | 1 | 20 | 150 | $940 | $160.2K |
| 36836 | 1 | 10 | 20 | $8,860 | $159.5K |
| C7513 | 1 | 10 | 140 | $1,070 | $151.7K |
| 36903 | 1 | 10 | 30 | $3,620 | $123K |
| 36905 | 1 | 10 | 20 | $2,520 | $65.5K |
| 37248 | 1 | 10 | 40 | $1,290 | $47.6K |
| 36832 | 1 | 10 | 20 | $1,530 | $32.1K |
| C7514 | 1 | 10 | 20 | $1,200 | $22.7K |
| 36581 | 2 | 10 | 20 | $680 | $22.3K |
Showing 1–10 of 19
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… | 2,270 | $730 | $1.7M |
| 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… | 480 | $40 | $19.4K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 80 | $170 | $13.5K |
| 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… | 50 | $80 | $4.3K |
| 36589 | In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump. | 30 | $40 | $1.1K |
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
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… | 1 | 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. | 1 | 10 | 60 | $210 | $13.1K |
| 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… | 1 | 10 | 250 | $40 | $9.9K |
| 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 | 50 | $80 | $4.3K |
| 36589 | In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump. | 1 | 10 | 30 | $40 | $1.1K |
Other providers in the same ZIP code as Adios Estenosis LLC, ranked by combined Medicare and Medicaid revenue.
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