Loading...
NPI 1942956123 · Charlotte, NC · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Metrolina Vascular Access Care LLC is a ambulatory surgical clinic/center provider located in Charlotte, North Carolina. This profile covers 11 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 | Metrolina Vascular Access Care LLC |
| Address | 3158 Freedom Dr. |
| City | Charlotte |
| State | NC |
| ZIP | 28208 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 25, 2022 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.1M |
| Medicaid | $434.7K |
Business/service-line: METROLINA VASCULAR ACCESS CARE LLC is operating as an ambulatory surgical clinic/center that is heavily focused on dialysis-access interventional procedures (diagnostic angiography, transluminal balloon angioplasty, thrombectomy, stent placement and central venous catheter work). The provider’s top billed codes (36902, 36906, 36903, and supporting catheter codes such as 36558 and 36581) indicate a program centered on percutaneous management of dialysis circuits and tunneled central venous access rather than broad outpatient surgical services.
Medicare revenue concentration: The provider’s Medicare revenue is concentrated in a small set of dialysis-access interventions — the precomputed top-3 Medicare codes by revenue account for 66.8% of total Medicare revenue. The largest single Medicare drivers are 36902 ($652K, 31.1% of Medicare revenue), 36906 ($468.4K, 22.4%), and 36903 ($280.1K, 13.4%), underscoring dependence on angiographic/therapeutic dialysis-access procedures.
Medicaid revenue concentration: Medicaid billing is even more concentrated: the precomputed top-3 Medicaid codes by revenue account for 96.4% of total Medicaid revenue. Code 36902 dominates the Medicaid side (1.2K claims, $382.3K, 88.0% of Medicaid revenue) with C7513 and 36901 contributing the remainder, indicating Medicaid activity is focused almost entirely on diagnostic/angioplasty procedures for dialysis circuits.
Payer mix and scale: Medicare is the dominant payer by scale for this provider — total Medicare revenue is $2.1M versus total Medicaid revenue of $434.7K. The existence of meaningful Medicaid billing does not offset the fact that the practice’s overall revenue base is driven primarily by Medicare-funded services.
Competitive standing — Medicare: On Medicare measures the practice shows unusually high national volumes for several dialysis-access codes, with 36902 ranking #39 of 1666 providers (98th percentile) and 36906 ranking #8 of 155 providers (95th percentile). Additional Medicare outlier signals include 36558 ranking #20 of 2962 providers (99th percentile; labeled an "extreme outlier"), and 36901 ranking #9 of 783 providers (99th percentile), collectively indicating the provider is a high-volume national participant for select interventional dialysis procedures.
Competitive standing — Medicaid (in-state): Medicaid positioning is more modest in-state despite high claim counts for select codes; 36902 is ranked #6 of 13 providers in-state (58th percentile), and 36901 ranks #2 of 7 (83th percentile). C7513 is listed as #2 of 2 providers in-state (0th percentile) which reflects small peer counts and a low percentile position; overall the Medicaid footprint is concentrated but not dominant statewide.
Statistical outliers and payment mix: Multiple Medicare codes are flagged as "notably above typical" or "extreme outlier" in national comparisons (e.g., 36902 notably above typical national volume; 36906 notably above typical national volume; 36558 extreme outlier, far above typical national volume). Payment-level comparisons for the same procedure show large payer-specific differences (for example, 36902 average paid/claim is $1748 on Medicare versus $321 on Medicaid), indicating different revenue-per-procedure economics across payers.
Tenure and operational implications: The NPI was enumerated on 2022-02-25 (~4 years ago), so the practice has established this concentrated dialysis-access service line within a relatively short tenure. Given the concentrated revenue mix and high national percentiles on key interventional codes, the provider appears to have rapidly scaled a specialized ambulatory dialysis-access intervention practice since enumeration.
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… | 370 | $1,750 | $652K |
| 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… | 60 | $8,220 | $468.4K |
| 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 | $5,000 | $280.1K |
| 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 | $4,450 | $267.2K |
| 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 | $920 | $170.2K |
| 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,… | 60 | $1,080 | $67.9K |
| 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… | 160 | $420 | $65.5K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 40 | $1,380 | $48.4K |
| 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… | 20 | $2,000 | $48.1K |
| J2997 | Injection, alteplase recombinant, 1 mg | 220 | $70 | $15.7K |
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.
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… | 1,190 | $320 | $382.3K |
| 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… | 340 | $60 | $18.6K |
| 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… | 450 | $40 | $18K |
| 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 | $760 | $14.5K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 20 | $60 | $990 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina 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… | 6 | 10 | 1,100 | $140 | $233.9K |
| 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… | 5 | 10 | 140 | $630 | $78.3K |
| 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… | 2 | 10 | 360 | $50 | $18.4K |
| 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… | 2 | 10 | 350 | $50 | $16.2K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 3 | 10 | 20 | $70 | $2K |
Other providers in the same ZIP code as Metrolina Vascular Access Care LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mission Medstaff, LLC | NC | Nursing Care Agency | $0 | $59.6M |
| Mecklenburg Emergency Medical Services Agency | NC | Land Ambulance | $6.7M | $33.7M |
| S.t.e.p's Developmental Academy, Inc. | NC | Community/Behavioral Health Agency | $0 | $25M |
| Rafael Rivera, Jr., Dds, PLLC | NC | Dentist | $0 | $14M |
| Mm Home Care, LLC | NC | In Home Supportive Care Agency | $0 | $12.4M |
| Mecklenburg County | NC | Public Health or Welfare Agency | $0 | $10.2M |
| Blake Home Health Care LLC | NC | In Home Supportive Care Agency | $0 | $9M |
| National Seating & Mobility, Inc. | NC | Durable Medical Equipment & Medical Supplies | $0 | $7.6M |
| Adit Mahale | NC | Nephrology Physician | $197.1K | $0 |
| Chris Fotiadis | NC | Nephrology Physician | $187.9K | $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.