Loading...
NPI 1790237501 · Philadelphia, PA · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
American Access Care Of Sp Asc LLC is a ambulatory surgical clinic/center provider located in Philadelphia, Pennsylvania. This profile covers 11 Medicare and 4 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 | American Access Care Of Sp Asc LLC |
| Address | 2412 W Passyunk Ave Ste 14 |
| City | Philadelphia |
| State | PA |
| ZIP | 19145 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 27, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.5M |
| Medicaid | $267.2K |
AMERICAN ACCESS CARE OF SP ASC LLC’s taxonomy (Ambulatory Surgical Clinic/Center) and code mix point to a focused dialysis-access/interventional radiology operation: the top Medicare and Medicaid procedures are dialysis circuit angiography (36902), thrombectomy/lytic procedures (36905), and stent/thrombotic interventions (36906), with supporting catheter services such as 36581 and use of alteplase (J2997). This concentration of high-acuity vascular access codes suggests the facility primarily delivers outpatient dialysis access interventions rather than general surgical or broad ambulatory services.
Medicare revenue is concentrated in a very small number of high-value interventional codes: 36905 (26.9%), 36906 (24.8%), and 36902 (24.3%) together account for 76.0% of the provider’s total Medicare revenue, which totals $2.5M. Those three codes dominate the Medicare book-of-business, indicating revenue risk and dependency tied to outcomes and reimbursement for a few procedural categories.
On the Medicaid side the provider’s billing is even more concentrated: 36902 generates 91.6% of Medicaid revenue, with 36905 at 4.3% and 36581 at 4.0%, and the precomputed top-three share equals 100.0% of total Medicaid revenue, which is $267.2K. Medicaid receipts are therefore almost entirely driven by outpatient dialysis-circuit angiography/angioplasty activity, making Medicaid exposure narrow and procedure-specific.
The payer mix is heavily tilted toward Medicare in scale: reported Medicare revenue is $2.5M versus Medicaid revenue of $267.2K, so Medicare is the dominant revenue source while Medicaid represents a much smaller, but concentrated, share of activity. This profile makes the practice effectively Medicare-focused in dollar terms while still providing measurable Medicaid services concentrated in dialysis-access procedures.
The provider’s competitive standing on key Medicare codes is unusually strong for several high-revenue services: 36905 ranks #6 of 396 nationally (99th percentile; extreme outlier, far above typical national volume for this code), 36906 ranks #5 of 155 (97th percentile; notably above typical national volume for this code), and 36902 ranks #63 of 1666 (96th percentile; notably above typical national volume for this code). Those rankings indicate the center operates at well-above-typical national volumes for major dialysis-access interventions and is a regional/national outlier on selected high-reimbursement procedures.
Within Pennsylvania Medicaid data the provider is a local leader on core dialysis-access billing: 36902 ranks #1 of 8 in-state (100th percentile; typical, unremarkable volume for this code) and 36905 ranks #1 of 2 in-state (100th percentile; typical, unremarkable volume for this code), while 36581 ranks #3 of 4 (33th percentile; typical, unremarkable volume for this code). These in-state ranks mean the facility is a top Medicaid biller for the primary angiography/angioplasty code even though the Medicaid per-code volumes are characterized as typical in the provided peer context.
Average payment per Medicare claim highlights procedure complexity and reimbursement scale: 36906 averages $9224 paid/claim and 36905 averages $4827 paid/claim, while 36902 averages $1886 paid/claim and 36903 averages $5600 paid/claim. The high average paid amounts for stent and thrombectomy-related codes align with the facility’s specialization in complex dialysis-access interventions and drive much of its Medicare revenue.
The provider’s NPI was enumerated on 2016-10-27 (~10 years ago), indicating several years of operational history. Combined with the concentrated code mix and the rankings described above, this tenure and pattern are consistent with an established ambulatory dialysis-access/interventional practice whose financial performance is highly sensitive to reimbursement and volume for a small set of high-revenue interventional codes.
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 |
|---|---|---|---|---|
| 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… | 140 | $4,830 | $661.3K |
| 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… | 70 | $9,220 | $608.8K |
| 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… | 320 | $1,890 | $597.9K |
| 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… | 50 | $5,600 | $252K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 90 | $1,440 | $133.5K |
| 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… | 100 | $1,030 | $105.1K |
| 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 | $1,140 | $30.6K |
| J2997 | Injection, alteplase recombinant, 1 mg | 430 | $70 | $29.5K |
| 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… | 40 | $460 | $20.3K |
| 36589 | In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump. | 60 | $240 | $14.4K |
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
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.
4 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… | 1,190 | $210 | $244.3K |
| 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 | $200 | $11.5K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 50 | $230 | $10.7K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 400 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
4 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 | 320 | $210 | $114.4K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 3 | 10 | 70 | $250 | $18.9K |
| 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… | 1 | 10 | 40 | $170 | $6K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 7 | 40 | 100 | $0 | $0 |
Other providers in the same ZIP code as American Access Care Of Sp Asc LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Norah's Care Agency, LLC. | PA | Home Health Agency | $0 | $15.5M |
| Crisis Management Services | PA | Substance Abuse Rehabilitation Facility | $0 | $13.7M |
| City Of Philadelphia | PA | Federally Qualified Health Center (FQHC) | $0 | $13.5M |
| Methodist Hospital | PA | General Acute Care Hospital | $0 | $10.7M |
| Children's Hospital Of Philadelphia | PA | Pediatrics Physician | $0 | $5.5M |
| Stadium Campus Ambulatory Surgical Center, LLC | PA | Ambulatory Surgical Clinic/Center | $793.2K | $1.4M |
| Briana Massetti | PA | Acute Care Nurse Practitioner | $565.7K | $55K |
| Eric Newman | PA | Nephrology Physician | $455.4K | $4.5K |
| Wayne Dunn | PA | Ophthalmology Physician | $425.6K | $0 |
| Concetta Milano | PA | Cardiovascular Disease Physician | $419.9K | $0 |
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.