NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
36905 Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube CPT · Vascular procedure
Classification Procedure › Vascular › A-V Fistula PCI (CMS RBCS)
First observed 2017
National scale 12,153 services ▼ 4.3% YoY · 8,998 beneficiaries (CY2024, Medicare FFS)
Medicare paid $27.8M · $2284.88 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
110
Named-group FFS services
4,459
FFS of Medicare
49%
Services YoY
-4.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~8,889 services

4,459 observed fee-for-service (50%) · ~4,430 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 — 36905 (CY2024)
CA 2,135 TX 1,658 NY 778 MD 698 FL 651

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

Named-group submitted charges
$16.1M
Named-group allowed amount
$5.2M
Named-group Medicare payments
$4.1M
Avg charge / svc
$3,620
Avg allowed / svc
$1,158
Avg payment / svc
$921
Average charge per group
$487 110 groups · avg submitted charge / service $12,767
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 36905 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 AMERICAN ACCESS CARE PHYSICIAN PLLC BROOKLYN NY INTERVENTIONAL RADIOLOGY 17 301 $1,826,402 $6,068 38.7% (718) 369-1444
2 VASCULAR CARE SPECIALISTS OF LOS ANGELES MONTEREY PARK CA VASCULAR SURGERY 2 291 $1,643,277 $5,647 13.6% (626) 269-9993
3 DALLAS NEPHROLOGY ASSOCIATES DALLAS TX NEPHROLOGY 154 215 $296,915 $1,381 13.0% (214) 358-2300
4 NEW JERSEY INTERVENTIONAL ASSOCIATES, LLC UNION NJ INTERVENTIONAL RADIOLOGY 4 145 $165,445 $1,141 26.2% (908) 686-1350
5 HEALTHQARE SERVICES, LLC ARLINGTON VA INTERVENTIONAL RADIOLOGY 5 128 $147,712 $1,154 24.5% (571) 500-8451
6 PACIFIC VASCUCARE, INC. LOS ANGELES CA VASCULAR SURGERY 4 114 $501,150 $4,396 5.3% (213) 201-0850
7 MID-ATLANTIC NEPHROLOGY ASSOCIATES PA OWINGS MILLS MD NEPHROLOGY 57 95 $108,714 $1,144 13.6% (410) 602-7792
8 AMERICAN ACCESS CARE OF SP LLC PHILADELPHIA PA INTERVENTIONAL RADIOLOGY 6 85 $93,585 $1,101 17.2% (215) 462-2100
9 RENAL ASSOCIATES, P.A. SAN ANTONIO TX NEPHROLOGY 39 83 $85,988 $1,036 5.0% (210) 403-7978
10 METROPOLITAN ACCESS CENTER LLC COLMAR MANOR MD NEPHROLOGY 2 81 $624,105 $7,705 11.6% (301) 277-1545
11 COLUMBIA NEPHROLOGY ASSOCIATES PA COLUMBIA SC NEPHROLOGY 33 72 $73,224 $1,017 20.6% 80325299071124
12 METROLINA NEPHROLOGY ASSOCIATES PA CHARLOTTE NC NEPHROLOGY 87 71 $71,284 $1,004 21.5% (704) 731-6451
13 NEPHROLOGY ASSOCIATES PA NEWARK DE NEPHROLOGY 53 67 $237,850 $3,550 100.0% (302) 225-0451
14 BANDB MEDICAL GROUP INC BELLFLOWER CA VASCULAR SURGERY 9 67 $73,365 $1,095 3.1% (562) 888-8961
15 NKDHC RUDNITSKY PLLC LAS VEGAS NV NEPHROLOGY 45 66 $68,508 $1,038 35.3% (702) 732-2438
16 MICHIGAN KIDNEY CONSULTANTS PC TROY MI NEPHROLOGY 45 63 $453,348 $7,196 22.9% (248) 267-5010
17 LAKELAND RADIOLOGISTS P A FLOWOOD MS DIAGNOSTIC RADIOLOGY 29 61 $292,800 $4,800 35.3% (601) 936-2390
18 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 56 $127,008 $2,268 16.0% (864) 587-3000
19 AMERICAN ACCESS CARE OF BALTIMORE LLC BALTIMORE MD NEPHROLOGY 3 56 $61,882 $1,105 8.0% (410) 931-9729
20 PHOEBE PHYSICIAN GROUP INC AMERICUS GA NURSE PRACTITIONER 442 55 $289,630 $5,266 12.9% (229) 928-2882
21 SNAPFINGER VASCULAR ACCESS CENTER LLC DECATUR GA NEPHROLOGY 2 54 $57,564 $1,066 12.7% (678) 533-6120
22 BALBOA NEPHROLOGY MEDICAL GROUP INC SAN DIEGO CA NEPHROLOGY 80 53 $331,222 $6,249 2.5% (619) 582-4490
23 OPEN ACCESS MIAMI, LLC MIAMI FL INTERVENTIONAL RADIOLOGY 2 53 $41,096 $775 8.1% (305) 948-5333
24 SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. SAN ANTONIO TX NEPHROLOGY 35 52 $264,447 $5,086 3.1% (210) 549-3524
25 AMERICAN ACCESS CARE OF PENNSYLVANIA LLC PHILADELPHIA PA NEPHROLOGY 8 52 $57,252 $1,101 10.5% (215) 742-5662
26 NEPHROLOGY ASSOCIATES OF UPLAND AND POMONA POMONA CA NEPHROLOGY 6 48 $264,649 $5,514 2.2% (909) 981-5882
27 NEPHROLOGY ASSOCIATES OF MICHIGAN PC YPSILANTI KY NURSE PRACTITIONER 21 47 $309,213 $6,579 49.5% (734) 715-1706
28 AMERICAN ACCESS CARE OF MIAMI, LLC MIAMI FL VASCULAR SURGERY 6 45 $54,540 $1,212 6.9% (305) 670-1044
29 NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC NEW HYDE PARK NY VASCULAR SURGERY 46 43 $538,059 $12,513 5.5% (516) 328-9800
30 GENERAL VASCULAR SURGERY MEDICAL GROUP INC SAN LEANDRO CA VASCULAR SURGERY 5 43 $269,005 $6,256 2.0% (510) 347-4700
31 ACCESS CARE PHYSICIANS OF MEMPHIS PLLC MEMPHIS TN DIAGNOSTIC RADIOLOGY 2 41 $40,385 $985 15.8% (901) 366-5479
32 VASCULAR SPECIALISTS LLC TINLEY PARK IL VASCULAR SURGERY 6 39 $190,710 $4,890 8.3% 8158244406128
33 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 37 $67,573 $1,826 31.9% (617) 732-5500
34 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 36 $68,204 $1,895 1.7% (415) 600-1020
35 WICHITA NEPHROLOGY GROUP PA WICHITA KS NEPHROLOGY 12 35 $209,580 $5,988 20.6% (316) 268-5000
36 NEPHROLOGY ASSOCIATES OF MICHIGAN PC YPSILANTI MI NURSE PRACTITIONER 21 34 $223,686 $6,579 12.4% (734) 715-1706
37 WASHINGTON NEPHROLOGY ASSOCIATES LLP ALEXANDRIA VA NEPHROLOGY 30 34 $218,348 $6,422 6.5% (703) 461-3556
38 MAKRISMD LLC WESTMONT IL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 6 33 $37,158 $1,126 7.0% (630) 323-8690
39 LAFAYETTE HEALTH VENTURES INC LAFAYETTE LA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 293 32 $69,376 $2,168 19.2% (337) 289-7374
40 PEDES ORANGE COUNTY INC IRVINE CA INTERVENTIONAL RADIOLOGY 4 32 $39,853 $1,245 1.5% (949) 387-4724
41 NEPHROLOGY DIALYSIS AND TRANSPLANTATION ASSOCIATES PA HOUSTON TX NEPHROLOGY 16 31 $206,026 $6,646 1.9% (713) 790-9080
42 STARLING PHYSICIANS, PLLC WETHERSFIELD CT NURSE PRACTITIONER 273 30 $228,000 $7,600 29.7% (860) 832-4666
43 NORTHWEST RENAL CLINIC INC PORTLAND OR NEPHROLOGY 41 29 $33,669 $1,161 44.6% (503) 292-7704
44 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 29 $63,858 $2,202 1.4% (877) 827-7463
45 NEPHROLOGY ASSOCIATES OF CENTRAL FLORIDA, P.A. ORLANDO FL NEPHROLOGY 34 29 $130,500 $4,500 4.5% (407) 894-4693
46 AMERICAN ACCESS CARE OF JACKSONVILLE LLC JACKSONVILLE FL INTERVENTIONAL RADIOLOGY 3 28 $30,492 $1,089 4.3% (904) 353-3664
47 NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD ELK GROVE VILLAGE IL NEPHROLOGY 115 28 $26,098 $932 6.0% (847) 981-3680
48 SOUND VASCULAR PS FEDERAL WAY WA INTERVENTIONAL RADIOLOGY 3 27 $36,207 $1,341 47.4% (253) 874-7107
49 AKDHC LLC PHOENIX AZ NEPHROLOGY 129 26 $22,698 $873 15.5% (602) 200-8288
50 FRESENIUS VASCULAR CARE MONTGOMERY LLLP MONTGOMERY AL VASCULAR SURGERY 4 26 $25,558 $983 10.2% (334) 593-7434
51 PREFERRED VASCULAR SERVICES CLEVELAND LLC BEACHWOOD OH INTERVENTIONAL RADIOLOGY 7 26 $159,856 $6,148 11.4% (216) 273-8010
52 KIDNEY MEDICAL ASSOCIATES PLLC BRONX NY INTERNAL MEDICINE 11 26 $204,022 $7,847 3.3% (718) 655-4956
53 EAST JEFFERSON PHYSICIANS GROUP LLC METAIRIE LA INTERNAL MEDICINE 218 26 $138,112 $5,312 15.6% (504) 503-5123
54 VASCULAR ASSOCIATES OF SARASOTA SARASOTA FL VASCULAR SURGERY 13 26 $109,276 $4,203 4.0% (941) 371-6565
55 METROPOLITAN ACCESS CENTER LLC COLMAR MANOR DC NEPHROLOGY 2 25 $192,625 $7,705 100.0% (301) 277-1545
56 ACCESS AND VASCULAR CARE OAK PARK MI NEPHROLOGY 3 24 $84,000 $3,500 8.7% (248) 268-1135
57 NEPHROLOGY PHYSICIANS, LLC MISHAWAKA IN NEPHROLOGY 12 24 $23,640 $985 8.6% (574) 273-6767
58 VASCULAR HEALTH LLC FREEHOLD NJ NURSE PRACTITIONER 10 23 $92,000 $4,000 4.2% (732) 952-5353
59 COLUMBUS VASCULAR CENTER, LLC COLUMBUS GA CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 23 $181,884 $7,908 5.4% (706) 221-8999
60 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 23 $118,013 $5,131 24.2% (502) 629-2398
61 AMERICAN ACCESS CARE OF ATLANTA LLC DECATUR GA INTERVENTIONAL RADIOLOGY 3 23 $24,518 $1,066 5.4% (404) 377-9171
62 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE SC NEPHROLOGY 77 23 $117,208 $5,096 6.6% (252) 752-8880
63 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 22 $46,929 $2,133 3.4% (561) 955-7100
64 PHYSICIANS CARE OF VIRGINIA PC ROANOKE VA NEPHROLOGY 20 21 $27,531 $1,311 4.0% (540) 527-2737
65 HEALTH SERVICES OF CENTRAL GEORGIA MACON GA NURSE PRACTITIONER 286 21 $196,455 $9,355 4.9% (478) 738-0404
66 NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA PC FORT WAYNE IN NEPHROLOGY 68 21 $16,205 $772 7.5% (260) 494-3484
67 THE NEPHROLOGY GROUP INC FRESNO CA NEPHROLOGY 51 21 $154,350 $7,350 1.0% (559) 228-9660
68 MUSKEGON SURGICAL ASSOCIATES PC MUSKEGON MI PHYSICIAN ASSISTANT 27 21 $25,011 $1,191 7.6% (231) 739-9341
69 VASCULAR AND VEIN INSTITUTE OF THE SOUTH PLLC GERMANTOWN TN VASCULAR SURGERY 11 20 $93,043 $4,652 7.7% (901) 390-2930
70 NATIONAL KIDNEY PARTNERS LLP HUDSON FL NEPHROLOGY 61 20 $84,060 $4,203 3.1% (727) 863-5418
71 INTERVENTIONAL NEPHROLOGY SPECIALISTS PLLC MEMPHIS TN NEPHROLOGY 2 20 $118,020 $5,901 7.7% (901) 726-1130
72 KERN RADIOLOGY MEDICAL GROUP INC BAKERSFIELD CA DIAGNOSTIC RADIOLOGY 87 19 $33,440 $1,760 0.9% (661) 616-1458
73 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 19 $176,565 $9,293 5.4% (803) 395-3400
74 NORMAN REGIONAL PROVIDERS SPECIALTY CARE NORMAN OK NURSE PRACTITIONER 162 19 $106,027 $5,580 40.4% (405) 307-5700
75 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE TX NURSE PRACTITIONER 458 19 $25,460 $1,340 1.1% (410) 761-1222
76 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 19 $177,799 $9,358 1.1% —
77 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 18 $103,338 $5,741 15.1% (314) 747-3000
78 ASSOCIATES IN NEPHROLOGY SC CHICAGO IL NEPHROLOGY 52 18 $106,794 $5,933 3.8% (312) 654-2721
79 ARCHBOLD MEDICAL GROUP, INC. THOMASVILLE GA NURSE PRACTITIONER 79 18 $47,200 $2,622 4.2% (229) 228-5500
80 ST CLAIR SPECIALTY PHYSICIANS PC ROSEVILLE MI NEPHROLOGY 35 18 $65,214 $3,623 6.5% (586) 871-3686
81 CAPITAL NEPHROLOGY MEDICAL GROUP SACRAMENTO CA NEPHROLOGY 22 18 $16,650 $925 0.8% (916) 564-6232
82 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 18 $32,582 $1,810 15.5% (617) 724-0287
83 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE NC NEPHROLOGY 77 18 $91,728 $5,096 5.5% (252) 752-8880
84 FRESENIUS VASCULAR CARE CINCINNATI LLC NORWOOD OH NEPHROLOGY 2 17 $17,646 $1,038 7.5% (513) 351-2494
85 LUBBOCK KIDNEY AND BLOOD PRESSURE CLINIC P A HOBBS TX INTERNAL MEDICINE 2 17 $21,675 $1,275 1.0% (806) 793-8447
86 UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES PA BALTIMORE MD GENERAL SURGERY 101 17 $123,084 $7,240 2.4% (410) 328-5191
87 DIALYSIS ASSOCIATES FORT WORTH TX NEPHROLOGY 27 17 $108,523 $6,384 1.0% (817) 336-5060
88 SHANNON CLINIC SAN ANGELO TX NURSE PRACTITIONER 515 17 $21,879 $1,287 1.0% (325) 747-1511
89 DENVER NEPHROLOGISTS PC DENVER CO NEPHROLOGY 43 16 $109,568 $6,848 100.0% (303) 991-0993
90 AMERICAN ACCESS CARE OF JACKSONVILLE LLC JACKSONVILLE IN INTERVENTIONAL RADIOLOGY 3 16 $17,424 $1,089 5.7% (904) 353-3664
91 AUSTIN KIDNEY ASSOCIATES PA AUSTIN TX NEPHROLOGY 32 16 $16,880 $1,055 1.0% (512) 320-1500
92 ARKANSAS RENAL GROUP PA HOT SPRINGS AR NEPHROLOGY 16 15 $7,309 $487 40.5% (501) 624-6000
93 ADVANCED VASCULAR AND INTERVENTIONAL CENTER SUGAR LAND TX DIAGNOSTIC RADIOLOGY 2 15 $104,624 $6,975 0.9% (713) 980-7840
94 LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE SHREVEPORT LA PHYSICIAN ASSISTANT 589 15 $59,520 $3,968 9.0% (318) 675-8700
95 EAST BAY NEPHROLOGY MEDICAL GROUP INC BERKELEY CA NEPHROLOGY 31 15 $17,295 $1,153 0.7% (510) 841-0411
96 COMANCHE COUNTY HEALTHCARE CORPORATION LAWTON OK NURSE PRACTITIONER 113 15 $93,105 $6,207 31.9% (580) 536-0077
97 EAST BAY CARDIOVASCULAR AND THORACIC ASSOCIATES INC DANVILLE CA CARDIAC SURGERY 17 14 $20,146 $1,439 0.7% (925) 676-2600
98 INTERVENTIONAL NEPHROLOGY OF KANSAS CITY LLC KANSAS CITY KS NEPHROLOGY 2 14 $19,600 $1,400 8.2% (913) 233-0454
99 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE VA NEPHROLOGY 77 14 $71,344 $5,096 2.7% (252) 752-8880
100 COASTAL VASCULAR CENTER PC OXNARD CA VASCULAR SURGERY 4 14 $15,540 $1,110 0.7% (805) 983-6233

Showing the top 100 of 110 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 →