NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
36581 Replacement of tunneled central venous tube CPT · Vascular procedure
Classification Procedure › Vascular › Venous Catheter Insertion (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 13,806 services ▲ 5.2% YoY · 10,874 beneficiaries (CY2024, Medicare FFS)
Medicare paid $8.2M · $590.49 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
156
Named-group FFS services
5,669
FFS of Medicare
49%
Services YoY
+5.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~11,542 services

5,669 observed fee-for-service (49%) · ~5,873 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 36581 (CY2024)
TX 1,395 CA 1,092 FL 945 NY 810 OH 807

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$7.4M
Named-group allowed amount
$1.7M
Named-group Medicare payments
$1.4M
Avg charge / svc
$1,313
Avg allowed / svc
$302
Avg payment / svc
$239
Average charge per group
$223 156 groups · avg submitted charge / service $4,398
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 36581 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 AMERICAN ACCESS CARE PHYSICIAN PLLC BROOKLYN NY INTERVENTIONAL RADIOLOGY 17 251 $457,245 $1,822 31.0% (718) 369-1444
2 MICHIGAN KIDNEY CONSULTANTS PC TROY MI NEPHROLOGY 45 177 $449,580 $2,540 26.0% (248) 267-5010
3 MID-ATLANTIC NEPHROLOGY ASSOCIATES PA OWINGS MILLS MD NEPHROLOGY 57 145 $69,447 $479 21.0% (410) 602-7792
4 NKDHC RUDNITSKY PLLC LAS VEGAS NV NEPHROLOGY 45 110 $47,960 $436 24.7% (702) 732-2438
5 DALLAS NEPHROLOGY ASSOCIATES DALLAS TX NEPHROLOGY 154 95 $54,055 $569 6.8% (214) 358-2300
6 AMERICAN ACCESS CARE OF BALTIMORE LLC BALTIMORE MD NEPHROLOGY 3 92 $42,456 $461 13.3% (410) 931-9729
7 AMERICAN ACCESS CARE OF PENNSYLVANIA LLC PHILADELPHIA PA NEPHROLOGY 8 88 $58,580 $666 16.2% (215) 742-5662
8 KIDNEY AND HYPERTENSION CENTER INC CINCINNATI OH NEPHROLOGY 47 87 $44,283 $509 10.8% (513) 241-5630
9 HEALTHQARE SERVICES, LLC ARLINGTON VA INTERVENTIONAL RADIOLOGY 5 86 $42,054 $489 11.8% (571) 500-8451
10 NEW JERSEY INTERVENTIONAL ASSOCIATES, LLC UNION NJ INTERVENTIONAL RADIOLOGY 4 86 $41,538 $483 17.7% (908) 686-1350
11 AMERICAN ACCESS CARE OF SP LLC PHILADELPHIA PA INTERVENTIONAL RADIOLOGY 6 81 $37,341 $461 14.9% (215) 462-2100
12 AMERICAN ACCESS CARE OF JACKSONVILLE LLC JACKSONVILLE IN INTERVENTIONAL RADIOLOGY 3 79 $35,392 $448 14.3% (904) 353-3664
13 METROLINA NEPHROLOGY ASSOCIATES PA CHARLOTTE NC NEPHROLOGY 87 76 $32,263 $425 15.9% (704) 731-6451
14 METROPOLITAN ACCESS CENTER LLC COLMAR MANOR MD NEPHROLOGY 2 76 $199,500 $2,625 11.0% (301) 277-1545
15 NEPHROLOGY AND ENDOCRINE ASSOCIATES INC LAS VEGAS NV NEPHROLOGY 63 76 $49,404 $650 17.0% (702) 877-1887
16 AMERICAN ACCESS CARE OF MIAMI, LLC MIAMI FL VASCULAR SURGERY 6 76 $37,696 $496 8.0% (305) 670-1044
17 MAKRISMD LLC WESTMONT IL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 6 70 $32,830 $469 9.3% (630) 323-8690
18 PACIFIC VASCUCARE, INC. LOS ANGELES CA VASCULAR SURGERY 4 69 $101,801 $1,475 6.3% (213) 201-0850
19 ADVANCED VASCULAR AND INTERVENTIONAL CENTER SUGAR LAND TX DIAGNOSTIC RADIOLOGY 2 68 $160,480 $2,360 4.9% (713) 980-7840
20 NEPHROLOGY CONSULTANTS PA DAYTONA BEACH FL NEPHROLOGY 2 68 $194,848 $2,865 7.2% (386) 258-6522
21 WASHINGTON NEPHROLOGY ASSOCIATES LLP ALEXANDRIA VA NEPHROLOGY 30 66 $144,408 $2,188 9.1% (703) 461-3556
22 NEPHROLOGY ASSOCIATES OF UPLAND AND POMONA POMONA CA NEPHROLOGY 6 61 $121,074 $1,985 5.6% (909) 981-5882
23 AMERICAN ACCESS CARE OF NC PLLC CARY NC INTERVENTIONAL RADIOLOGY 3 60 $104,340 $1,739 12.6% (919) 677-9729
24 NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA PC FORT WAYNE IN NEPHROLOGY 68 59 $20,875 $354 10.7% (260) 494-3484
25 ACCESS CARE PHYSICIANS OF MEMPHIS PLLC MEMPHIS TN DIAGNOSTIC RADIOLOGY 2 58 $23,838 $411 14.5% (901) 366-5479
26 WICHITA NEPHROLOGY GROUP PA WICHITA KS NEPHROLOGY 12 57 $68,680 $1,205 21.0% (316) 268-5000
27 BANDB MEDICAL GROUP INC BELLFLOWER CA VASCULAR SURGERY 9 55 $25,795 $469 5.0% (562) 888-8961
28 NEPHROLOGY DIALYSIS AND TRANSPLANTATION ASSOCIATES PA HOUSTON TX NEPHROLOGY 16 54 $122,364 $2,266 3.9% (713) 790-9080
29 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 53 $180,730 $3,410 27.0% (601) 264-6000
30 AMERICAN ACCESS CARE OF JACKSONVILLE LLC JACKSONVILLE FL INTERVENTIONAL RADIOLOGY 3 51 $22,848 $448 5.4% (904) 353-3664
31 ACCESS AND VASCULAR CARE OAK PARK MI NEPHROLOGY 3 50 $59,750 $1,195 7.3% (248) 268-1135
32 A AND V DOCTORS PLLC EL PASO TX INTERNAL MEDICINE 7 49 $89,148 $1,819 3.5% (915) 307-7800
33 RENAL ASSOCIATES, P.A. SAN ANTONIO TX NEPHROLOGY 39 48 $20,688 $431 3.4% (210) 403-7978
34 PREFERRED VASCULAR SERVICES CLEVELAND LLC BEACHWOOD OH INTERVENTIONAL RADIOLOGY 7 48 $101,005 $2,104 5.9% (216) 273-8010
35 NEPHROLOGY ASSOCIATES OF CENTRAL FLORIDA, P.A. ORLANDO FL NEPHROLOGY 34 48 $72,000 $1,500 5.1% (407) 894-4693
36 DIALYSIS ASSOCIATES FORT WORTH TX NEPHROLOGY 27 48 $103,465 $2,156 3.4% (817) 336-5060
37 UNIVERSITY OF CHICAGO CHICAGO IL NURSE PRACTITIONER 1662 45 $70,494 $1,567 6.0% (888) 824-0200
38 COLUMBIA NEPHROLOGY ASSOCIATES PA COLUMBIA SC NEPHROLOGY 33 44 $18,568 $422 18.7% 80325299071124
39 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 44 $189,112 $4,298 25.6% (608) 287-2050
40 THE KIDNEY GROUP INC YOUNGSTOWN OH NEPHROLOGY 21 44 $9,812 $223 5.5% (330) 746-1488
41 INTERVENTIONAL NEPHROLOGY SPECIALISTS PLLC MEMPHIS TN NEPHROLOGY 2 43 $86,559 $2,013 10.8% (901) 726-1130
42 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 43 $33,390 $777 48.3% (617) 732-5500
43 OPEN ACCESS MIAMI, LLC MIAMI FL INTERVENTIONAL RADIOLOGY 2 42 $13,193 $314 4.4% (305) 948-5333
44 Q-HEALTH PARTNERS PLLC HOUSTON TX NEPHROLOGY 21 42 $181,272 $4,316 3.0% (713) 520-6875
45 THE NEPHROLOGY GROUP INC FRESNO CA NEPHROLOGY 51 39 $89,700 $2,300 3.6% (559) 228-9660
46 DESERT KIDNEY ASSOCIATES PLC MESA AZ NEPHROLOGY 27 39 $51,660 $1,325 10.9% (480) 412-3000
47 NEPHROLOGY PHYSICIANS, LLC MISHAWAKA IN NEPHROLOGY 12 39 $16,068 $412 7.1% (574) 273-6767
48 RUCHDI BARAKAT, M.D., P.A. HUMBLE TX NEPHROLOGY 3 39 $37,557 $963 2.8% (713) 820-0806
49 FRESENIUS VASCULAR CARE CINCINNATI LLC NORWOOD OH NEPHROLOGY 2 38 $16,302 $429 4.7% (513) 351-2494
50 RIVERSIDE NEPHROLOGY ASSOCIATES INC COLUMBUS OH NEPHROLOGY 21 38 $19,342 $509 4.7% (614) 538-2250
51 FLORIDA KIDNEY PHYSICIANS LLC TAMPA FL NEPHROLOGY 165 38 $81,130 $2,135 4.0% (813) 910-8708
52 SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. SAN ANTONIO TX NEPHROLOGY 35 38 $80,864 $2,128 2.7% (210) 549-3524
53 VASCULAR SURGERY ASSOC PC FLINT MI PHYSICIAN ASSISTANT 16 38 $60,800 $1,600 5.6% (810) 732-1620
54 ASSOCIATES IN NEPHROLOGY SC CHICAGO IL NEPHROLOGY 52 37 $52,056 $1,407 4.9% (312) 654-2721
55 INTERVENTIONAL NEPHROLOGY OF KANSAS CITY LLC KANSAS CITY KS NEPHROLOGY 2 36 $24,552 $682 13.2% (913) 233-0454
56 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 36 $23,364 $649 7.5% (336) 713-9800
57 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 36 $29,160 $810 15.3% (864) 587-3000
58 CHRISTUS HEALTH ARK-LA-TEX TEXARKANA TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 36 36 $15,230 $423 2.6% (903) 614-1000
59 NATIONAL KIDNEY PARTNERS LLP HUDSON FL NEPHROLOGY 61 35 $50,140 $1,433 3.7% (727) 863-5418
60 ONEILL CLARK NARVARTE AND VICKS A PROFESSIONAL CORPORATION RENO NV NEPHROLOGY 21 35 $15,260 $436 7.8% (775) 322-4550
61 VASCULAR HEALTH LLC FREEHOLD NJ NURSE PRACTITIONER 10 34 $61,200 $1,800 7.0% (732) 952-5353
62 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE TX NURSE PRACTITIONER 458 34 $19,074 $561 2.4% (410) 761-1222
63 VASCULAR SPECIALISTS LLC TINLEY PARK IL VASCULAR SURGERY 6 34 $70,502 $2,074 4.5% 8158244406128
64 HEALTH SERVICES OF CENTRAL GEORGIA MACON GA NURSE PRACTITIONER 286 33 $105,897 $3,209 7.0% (478) 738-0404
65 ISRAEL SCHUR MD PLLC NEW YORK NY INTERVENTIONAL RADIOLOGY 10 33 $13,299 $403 4.1% (212) 966-2020
66 FRESENIUS VASCULAR CARE MONTGOMERY LLLP MONTGOMERY AL VASCULAR SURGERY 4 31 $12,868 $415 19.3% (334) 593-7434
67 CONCORD RADIOLOGY PLLC WICHITA OK DIAGNOSTIC RADIOLOGY 183 30 $16,140 $538 51.7% (855) 687-7237
68 KIDNEY MEDICAL ASSOCIATES PLLC BRONX NY INTERNAL MEDICINE 11 30 $80,190 $2,673 3.7% (718) 655-4956
69 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 29 $71,746 $2,474 3.8% (312) 563-2875
70 RIVERSIDE RADIOLOGY MEDICAL GROUP INC RIVERSIDE CA DIAGNOSTIC RADIOLOGY 43 29 $16,240 $560 2.7% (951) 788-3400
71 PHYSICIANS CARE OF VIRGINIA PC ROANOKE VA NEPHROLOGY 20 28 $15,988 $571 3.8% (540) 527-2737
72 NEPHROLOGY ASSOCIATES OF MICHIGAN PC YPSILANTI KY NURSE PRACTITIONER 21 28 $62,804 $2,243 21.7% (734) 715-1706
73 VASCULAR ACTION, LLC TAMPA FL INTERNAL MEDICINE 2 28 $40,043 $1,430 3.0% (813) 872-8480
74 SNAPFINGER VASCULAR ACCESS CENTER LLC DECATUR GA NEPHROLOGY 2 27 $12,015 $445 5.7% (678) 533-6120
75 FRESENIUS ACCESS CARE PHYSICIANS OF MADISON LLC MADISON MI GENERAL SURGERY 3 27 $11,124 $412 4.0% (608) 621-2001
76 BALBOA NEPHROLOGY MEDICAL GROUP INC SAN DIEGO CA NEPHROLOGY 80 26 $55,842 $2,148 2.4% (619) 582-4490
77 DUVAL VASCULAR CENTER LLC JACKSONVILLE FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 26 $74,360 $2,860 2.8% (904) 518-1398
78 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 25 $29,825 $1,193 3.3% (217) 544-6464
79 LUBBOCK KIDNEY AND BLOOD PRESSURE CLINIC P A HOBBS TX INTERNAL MEDICINE 2 24 $27,639 $1,152 1.7% (806) 793-8447
80 NORTH CAROLINA NEPHROLOGY PA RALEIGH NC NEPHROLOGY 58 24 $10,056 $419 5.0% (919) 231-3966
81 ST CLAIR SPECIALTY PHYSICIANS PC ROSEVILLE MI NEPHROLOGY 35 23 $26,818 $1,166 3.4% (586) 871-3686
82 NEPHROLOGY ASSOCIATES PA NEWARK DE NEPHROLOGY 53 22 $31,416 $1,428 100.0% (302) 225-0451
83 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS MS NURSE PRACTITIONER 549 22 $41,206 $1,873 11.2% (901) 226-3882
84 COLUMBUS NEPHROLOGY, INC. GROVE CITY OH NEPHROLOGY 12 22 $11,198 $509 2.7% (614) 224-4200
85 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 22 $38,302 $1,741 17.1% (502) 629-2398
86 AMERICAN ACCESS CARE OF ATLANTA LLC DECATUR GA INTERVENTIONAL RADIOLOGY 3 22 $9,790 $445 4.7% (404) 377-9171
87 PEDES ORANGE COUNTY INC IRVINE CA INTERVENTIONAL RADIOLOGY 4 20 $9,566 $478 1.8% (949) 387-4724
88 WEST COUNTY RADIOLOGICAL GROUP INC SAINT LOUIS MO DIAGNOSTIC RADIOLOGY 104 20 $8,680 $434 16.7% (314) 941-5600
89 MUSKEGON SURGICAL ASSOCIATES PC MUSKEGON MI PHYSICIAN ASSISTANT 27 20 $9,920 $496 2.9% (231) 739-9341
90 VASCULAR ACCESS CARE OF EL PASO PLLC EL PASO TX GENERAL SURGERY 2 19 $9,898 $521 1.4% (915) 533-1789
91 NEPHROLOGY ASSOCIATES OF MICHIGAN PC YPSILANTI MI NURSE PRACTITIONER 21 19 $42,617 $2,243 2.8% (734) 715-1706
92 MIDWEST NEPHROLOGY ASSOCIATES SC MILWAUKEE WI NEPHROLOGY 30 19 $47,660 $2,508 11.0% (414) 393-9810
93 NORTH JERSEY NEPHROLOGY ASSOC. PA WAYNE NJ NEPHROLOGY 16 19 $49,132 $2,586 3.9% (973) 653-3366
94 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IN NURSE PRACTITIONER 933 19 $6,149 $324 3.4% (708) 216-8372
95 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 18 $65,190 $3,622 7.7% (803) 395-3400
96 SOUTHERN CALIFORNIA MULTI-SPECIALTY CENTER INC SHERMAN OAKS CA VASCULAR SURGERY 16 18 $18,288 $1,016 1.6% (818) 900-6480
97 STAFFORD HOSPITAL, LLC STAFFORD VA CARDIOVASCULAR DISEASE (CARDIOLOGY) 9 18 $28,620 $1,590 2.5% (540) 741-9000
98 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE NC NEPHROLOGY 77 18 $31,302 $1,739 3.8% (252) 752-8880
99 CENTRELAKE MEDICAL GROUP INC DOWNEY CA DIAGNOSTIC RADIOLOGY 2 18 $77,598 $4,311 1.6% (909) 242-7331
100 SAN JOAQUIN COMMUNITY HOSPITAL BAKERSFIELD CA DIAGNOSTIC RADIOLOGY 89 18 $8,694 $483 1.6% —

Showing the top 100 of 156 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →