NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist CPT · Vascular procedure
Classification Procedure › Vascular › A-V Fistula PCI (CMS RBCS)
First observed 2017
National scale 112,761 services ▼ 6.0% YoY · 79,295 beneficiaries (CY2024, Medicare FFS)
Medicare paid $102.5M · $909.17 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
456
Named-group FFS services
46,963
FFS of Medicare
49%
Services YoY
-6.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~95,398 services

46,963 observed fee-for-service (49%) · ~48,435 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 — 36902 (CY2024)
CA 13,980 TX 10,829 NY 9,127 FL 6,869 IL 6,459

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

Named-group submitted charges
$94.0M
Named-group allowed amount
$27.1M
Named-group Medicare payments
$21.4M
Avg charge / svc
$2,002
Avg allowed / svc
$576
Avg payment / svc
$456
Average charge per group
$229 456 groups · avg submitted charge / service $15,484
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 36902 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 AMERICAN ACCESS CARE PHYSICIAN PLLC BROOKLYN NY INTERVENTIONAL RADIOLOGY 17 1,860 $5,801,712 $3,119 20.4% (718) 369-1444
2 MAKRISMD LLC WESTMONT IL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 6 1,518 $932,052 $614 23.5% (630) 323-8690
3 AKDHC LLC PHOENIX AZ NEPHROLOGY 129 986 $464,454 $471 23.1% (602) 200-8288
4 PACIFIC VASCUCARE, INC. LOS ANGELES CA VASCULAR SURGERY 4 833 $1,428,290 $1,715 6.0% (213) 201-0850
5 NKDHC RUDNITSKY PLLC LAS VEGAS NV NEPHROLOGY 45 588 $331,632 $564 19.3% (702) 732-2438
6 RENAL ASSOCIATES, P.A. SAN ANTONIO TX NEPHROLOGY 39 549 $308,538 $562 5.1% (210) 403-7978
7 PRINE HEALTH MEDICAL GROUP, PLLC MANHASSET NY NEPHROLOGY 75 546 $2,274,222 $4,165 6.0% (516) 407-2727
8 MICHIGAN KIDNEY CONSULTANTS PC TROY MI NEPHROLOGY 45 541 $2,057,964 $3,804 15.4% (248) 267-5010
9 NEW JERSEY INTERVENTIONAL ASSOCIATES, LLC UNION NJ INTERVENTIONAL RADIOLOGY 4 532 $329,840 $620 9.0% (908) 686-1350
10 HEALTHQARE SERVICES, LLC ARLINGTON VA INTERVENTIONAL RADIOLOGY 5 481 $302,068 $628 11.9% (571) 500-8451
11 DALLAS NEPHROLOGY ASSOCIATES DALLAS TX NEPHROLOGY 154 479 $357,969 $747 4.4% (214) 358-2300
12 NEPHROLOGY ASSOCIATES PA NEWARK DE NEPHROLOGY 53 470 $893,000 $1,900 100.0% (302) 225-0451
13 ASSOCIATES IN NEPHROLOGY SC CHICAGO IL NEPHROLOGY 52 455 $1,101,517 $2,421 7.0% (312) 654-2721
14 NEPHROLOGY AND ENDOCRINE ASSOCIATES INC LAS VEGAS NV NEPHROLOGY 63 422 $319,168 $756 13.9% (702) 877-1887
15 ONEILL CLARK NARVARTE AND VICKS A PROFESSIONAL CORPORATION RENO NV NEPHROLOGY 21 411 $231,804 $564 13.5% (775) 322-4550
16 WASHINGTON NEPHROLOGY ASSOCIATES LLP ALEXANDRIA VA NEPHROLOGY 30 403 $1,375,439 $3,413 10.0% (703) 461-3556
17 THE NEPHROLOGY GROUP INC FRESNO CA NEPHROLOGY 51 401 $1,604,000 $4,000 2.9% (559) 228-9660
18 DESERT KIDNEY ASSOCIATES PLC MESA AZ NEPHROLOGY 27 385 $578,134 $1,502 9.0% (480) 412-3000
19 Q-HEALTH PARTNERS PLLC HOUSTON TX NEPHROLOGY 21 383 $1,295,293 $3,382 3.5% (713) 520-6875
20 CAPITAL NEPHROLOGY MEDICAL GROUP SACRAMENTO CA NEPHROLOGY 22 364 $182,728 $502 2.6% (916) 564-6232
21 ACCESS CARE PHYSICIANS OF NJ LLC WOODLAND PARK NY CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 3 354 $219,480 $620 3.9% (973) 837-1018
22 RUCHDI BARAKAT, M.D., P.A. HUMBLE TX NEPHROLOGY 3 350 $384,235 $1,098 3.2% (713) 820-0806
23 METROPOLITAN ACCESS CENTER LLC COLMAR MANOR MD NEPHROLOGY 2 345 $1,412,775 $4,095 10.9% (301) 277-1545
24 KIDNEY AND HYPERTENSION CENTER INC CINCINNATI OH NEPHROLOGY 47 343 $229,124 $668 9.1% (513) 241-5630
25 SOUTHERN CONNECTICUT VASCULAR CENTER LLC STRATFORD CT VASCULAR SURGERY 36 340 $1,860,820 $5,473 35.1% (203) 210-6340
26 VASCULAR SURGERY ASSOC PC FLINT MI PHYSICIAN ASSISTANT 16 339 $847,500 $2,500 9.7% (810) 732-1620
27 BALBOA NEPHROLOGY MEDICAL GROUP INC SAN DIEGO CA NEPHROLOGY 80 337 $1,074,497 $3,188 2.4% (619) 582-4490
28 VASCULAR ACTION, LLC TAMPA FL INTERNAL MEDICINE 2 337 $751,854 $2,231 4.9% (813) 872-8480
29 AMERICAN ACCESS CARE OF MIAMI, LLC MIAMI FL VASCULAR SURGERY 6 326 $216,464 $664 4.7% (305) 670-1044
30 METROLINA NEPHROLOGY ASSOCIATES PA CHARLOTTE NC NEPHROLOGY 87 325 $177,344 $546 9.1% (704) 731-6451
31 GENERAL VASCULAR SURGERY MEDICAL GROUP INC SAN LEANDRO CA VASCULAR SURGERY 5 322 $1,488,674 $4,623 2.3% (510) 347-4700
32 COLUMBIA NEPHROLOGY ASSOCIATES PA COLUMBIA SC NEPHROLOGY 33 312 $172,224 $552 15.0% 80325299071124
33 NEPHROLOGY PHYSICIANS, LLC MISHAWAKA IN NEPHROLOGY 12 309 $164,697 $533 9.7% (574) 273-6767
34 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 307 $302,843 $986 25.6% (617) 732-5500
35 AMERICAN ACCESS CARE OF PENNSYLVANIA LLC PHILADELPHIA PA NEPHROLOGY 8 294 $176,106 $599 8.9% (215) 742-5662
36 AMERICAN ACCESS CARE OF NC PLLC CARY NC INTERVENTIONAL RADIOLOGY 3 290 $785,320 $2,708 8.1% (919) 677-9729
37 MID-ATLANTIC NEPHROLOGY ASSOCIATES PA OWINGS MILLS MD NEPHROLOGY 57 286 $177,896 $622 9.0% (410) 602-7792
38 ADVANCED VASCULAR AND INTERVENTIONAL CENTER SUGAR LAND TX DIAGNOSTIC RADIOLOGY 2 283 $1,057,973 $3,738 2.6% (713) 980-7840
39 BANDB MEDICAL GROUP INC BELLFLOWER CA VASCULAR SURGERY 9 277 $212,070 $766 2.0% (562) 888-8961
40 WICHITA NEPHROLOGY GROUP PA WICHITA KS NEPHROLOGY 12 275 $553,331 $2,012 20.1% (316) 268-5000
41 NEPHROLOGY CONSULTANTS PA DAYTONA BEACH FL NEPHROLOGY 2 271 $1,211,501 $4,470 3.9% (386) 258-6522
42 NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC NEW HYDE PARK NY VASCULAR SURGERY 46 270 $1,774,970 $6,574 3.0% (516) 328-9800
43 AMERICAN ACCESS CARE OF BALTIMORE LLC BALTIMORE MD NEPHROLOGY 3 269 $159,068 $591 8.5% (410) 931-9729
44 STARLING PHYSICIANS, PLLC WETHERSFIELD CT NURSE PRACTITIONER 273 259 $1,065,785 $4,115 26.7% (860) 832-4666
45 NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA PC FORT WAYNE IN NEPHROLOGY 68 257 $384,763 $1,497 8.1% (260) 494-3484
46 SNAPFINGER VASCULAR ACCESS CENTER LLC DECATUR GA NEPHROLOGY 2 247 $143,260 $580 4.9% (678) 533-6120
47 DENVER NEPHROLOGISTS PC DENVER CO NEPHROLOGY 43 245 $734,854 $2,999 40.6% (303) 991-0993
48 OPEN ACCESS MIAMI, LLC MIAMI FL INTERVENTIONAL RADIOLOGY 2 243 $102,446 $422 3.5% (305) 948-5333
49 AMERICAN ACCESS CARE OF SP LLC PHILADELPHIA PA INTERVENTIONAL RADIOLOGY 6 242 $145,557 $601 7.4% (215) 462-2100
50 NORTH CAROLINA NEPHROLOGY PA RALEIGH NC NEPHROLOGY 58 240 $130,560 $544 6.7% (919) 231-3966
51 PHOEBE PHYSICIAN GROUP INC AMERICUS GA NURSE PRACTITIONER 442 239 $673,980 $2,820 4.7% (229) 928-2882
52 NORTHWEST RENAL CLINIC INC PORTLAND OR NEPHROLOGY 41 236 $147,972 $627 41.5% (503) 292-7704
53 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE SC NEPHROLOGY 77 234 $633,672 $2,708 11.3% (252) 752-8880
54 NEPHROLOGY ASSOCIATES PC AUGUSTA GA NEPHROLOGY 18 228 $798,300 $3,501 4.5% (706) 722-6900
55 SOUND VASCULAR PS FEDERAL WAY WA INTERVENTIONAL RADIOLOGY 3 226 $164,528 $728 22.7% (253) 874-7107
56 SSM MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 547 225 $333,675 $1,483 19.6% (314) 645-6450
57 FRESENIUS VASCULAR CARE CINCINNATI LLC NORWOOD OH NEPHROLOGY 2 223 $125,772 $564 5.9% (513) 351-2494
58 MIDWEST NEPHROLOGY ASSOCIATES SC MILWAUKEE WI NEPHROLOGY 30 221 $299,767 $1,356 18.8% (414) 393-9810
59 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 221 $1,158,703 $5,243 16.0% (601) 264-6000
60 ISRAEL SCHUR MD PLLC NEW YORK NY INTERVENTIONAL RADIOLOGY 10 221 $116,025 $525 2.4% (212) 966-2020
61 ARKANSAS RENAL GROUP PA HOT SPRINGS AR NEPHROLOGY 16 219 $57,739 $264 24.1% (501) 624-6000
62 OCALA KIDNEY GROUP INC OCALA FL NEPHROLOGY 14 219 $309,885 $1,415 3.2% (352) 622-4231
63 AMERICAN ACCESS CARE OF JACKSONVILLE LLC JACKSONVILLE FL INTERVENTIONAL RADIOLOGY 3 218 $129,274 $593 3.2% (904) 353-3664
64 NEPHROLOGY ASSOCIATES OF UPLAND AND POMONA POMONA CA NEPHROLOGY 6 218 $437,415 $2,006 1.6% (909) 981-5882
65 ARCHBOLD MEDICAL GROUP, INC. THOMASVILLE GA NURSE PRACTITIONER 79 216 $296,053 $1,371 4.3% (229) 228-5500
66 NATIONAL KIDNEY PARTNERS LLP HUDSON FL NEPHROLOGY 61 215 $481,400 $2,239 3.1% (727) 863-5418
67 PREFERRED VASCULAR SERVICES CLEVELAND LLC BEACHWOOD OH INTERVENTIONAL RADIOLOGY 7 212 $692,227 $3,265 5.6% (216) 273-8010
68 WEST COAST KIDNEY WALNUT CREEK CA NEPHROLOGY 55 212 $285,063 $1,345 1.5% (925) 944-0351
69 PHYSICIANS CARE OF VIRGINIA PC ROANOKE VA NEPHROLOGY 20 208 $137,904 $663 5.2% (540) 527-2737
70 AMERICAN ACCESS CARE OF ATLANTA LLC DECATUR GA INTERVENTIONAL RADIOLOGY 3 206 $152,086 $738 4.1% (404) 377-9171
71 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 203 $196,542 $968 9.8% —
72 NORTH JERSEY NEPHROLOGY ASSOC. PA WAYNE NJ NEPHROLOGY 16 202 $126,250 $625 3.4% (973) 653-3366
73 CALDWELL MEMORIAL HOSPITAL INC LENOIR NC NURSE PRACTITIONER 213 199 $768,140 $3,860 5.6% (828) 394-6722
74 VASCULAR SPECIALISTS LLC TINLEY PARK IL VASCULAR SURGERY 6 199 $521,380 $2,620 3.1% 8158244406128
75 AMERICAN ACCESS CARE OF JACKSONVILLE LLC JACKSONVILLE IN INTERVENTIONAL RADIOLOGY 3 197 $116,821 $593 6.2% (904) 353-3664
76 ROCKLAND THORACIC AND VASCULAR ASSOCIATES, P.C. POMONA NY VASCULAR SURGERY 10 195 $358,573 $1,839 2.1% (845) 362-1081
77 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 192 $527,424 $2,747 28.2% (502) 629-2398
78 RENAL SPECIALISTS OF HOUSTON, PA HOUSTON TX NEPHROLOGY 24 190 $187,203 $985 1.8% —
79 ACCESS CARE PHYSICIANS OF MEMPHIS PLLC MEMPHIS TN DIAGNOSTIC RADIOLOGY 2 181 $96,654 $534 12.6% (901) 366-5479
80 MIDWEST NEPHROLOGY CONSULTANTS PA INDEPENDENCE MO NEPHROLOGY 9 173 $346,000 $2,000 15.1% (816) 276-1700
81 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE NC NEPHROLOGY 77 167 $452,236 $2,708 4.7% (252) 752-8880
82 VASCULAR HEALTH LLC FREEHOLD NJ NURSE PRACTITIONER 10 165 $412,500 $2,500 2.8% (732) 952-5353
83 DIALYSIS ASSOCIATES FORT WORTH TX NEPHROLOGY 27 163 $553,970 $3,399 1.5% (817) 336-5060
84 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE VA NEPHROLOGY 77 160 $433,280 $2,708 4.0% (252) 752-8880
85 ST JOSEPHS MEDICAL PC LIVERPOOL NY PHYSICIAN ASSISTANT 378 159 $76,479 $481 1.7% (315) 475-8402
86 VASCULAR ACCESS CARE OF EL PASO PLLC EL PASO TX GENERAL SURGERY 2 156 $275,352 $1,765 1.4% (915) 533-1789
87 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 153 $1,000,467 $6,539 3.0% (404) 778-7525
88 NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD ELK GROVE VILLAGE IL NEPHROLOGY 115 152 $211,112 $1,389 2.4% (847) 981-3680
89 TEREDESAI MCCANN AND ASSOCIATES PC BRIDGEVILLE PA NEPHROLOGY 14 151 $351,625 $2,329 4.6% (412) 489-6919
90 FRESENIUS VASCULAR CARE MONTGOMERY LLLP MONTGOMERY AL VASCULAR SURGERY 4 150 $169,565 $1,130 10.1% (334) 593-7434
91 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 142 $162,681 $1,146 6.8% (864) 587-3000
92 VALLEY VASCULAR ASSOCIATES INC VAN NUYS CA VASCULAR SURGERY 3 140 $308,650 $2,205 1.0% (818) 401-1010
93 J PEDRO FROMMER MD PA HOUSTON TX NEPHROLOGY 4 139 $165,021 $1,187 1.3% (713) 791-1633
94 FRESENIUS ACCESS CARE PHYSICIANS OF MADISON LLC MADISON MI GENERAL SURGERY 3 139 $73,392 $528 4.0% (608) 621-2001
95 HORIZON SURGICAL GROUP PA FREDERICK MD VASCULAR SURGERY 8 138 $391,722 $2,839 4.4% (240) 529-1414
96 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 136 $726,632 $5,343 1.5% (212) 241-4812
97 EAST BAY NEPHROLOGY MEDICAL GROUP INC BERKELEY CA NEPHROLOGY 31 136 $84,864 $624 1.0% (510) 841-0411
98 UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES PA BALTIMORE MD GENERAL SURGERY 101 136 $523,152 $3,847 4.3% (410) 328-5191
99 VHC PC BATTLE CREEK MI VASCULAR SURGERY 3 128 $224,653 $1,755 3.7% (269) 979-6310
100 KIDNEY MEDICAL ASSOCIATES PLLC BRONX NY INTERNAL MEDICINE 11 127 $530,098 $4,174 1.4% (718) 655-4956

Showing the top 100 of 456 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 →