NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
36906 Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist CPT · Vascular procedure
Classification Procedure › Vascular › A-V Fistula PCI (CMS RBCS)
First observed 2017
National scale 4,237 services ▲ 4.3% YoY · 3,575 beneficiaries (CY2024, Medicare FFS)
Medicare paid $20.0M · $4728.84 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
47
Named-group FFS services
1,491
FFS of Medicare
49%
Services YoY
+4.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,958 services

1,491 observed fee-for-service (50%) · ~1,467 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 — 36906 (CY2024)
CA 628 TX 490 NJ 411 NY 379 IL 266

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

Named-group submitted charges
$11.8M
Named-group allowed amount
$3.7M
Named-group Medicare payments
$2.9M
Avg charge / svc
$7,891
Avg allowed / svc
$2,462
Avg payment / svc
$1,965
Average charge per group
$901 47 groups · avg submitted charge / service $37,298
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 36906 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 AMERICAN ACCESS CARE PHYSICIAN PLLC BROOKLYN NY INTERVENTIONAL RADIOLOGY 17 141 $2,174,865 $15,425 37.2% (718) 369-1444
2 DALLAS NEPHROLOGY ASSOCIATES DALLAS TX NEPHROLOGY 154 66 $105,336 $1,596 13.5% (214) 358-2300
3 MAKRISMD LLC WESTMONT IL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 6 63 $82,089 $1,303 23.7% (630) 323-8690
4 PACIFIC VASCUCARE, INC. LOS ANGELES CA VASCULAR SURGERY 4 62 $729,726 $11,770 9.9% (213) 201-0850
5 NEW JERSEY INTERVENTIONAL ASSOCIATES, LLC UNION NJ INTERVENTIONAL RADIOLOGY 4 60 $79,020 $1,317 14.6% (908) 686-1350
6 ASSOCIATES IN NEPHROLOGY SC CHICAGO IL NEPHROLOGY 52 54 $783,000 $14,500 20.3% (312) 654-2721
7 HEALTHQARE SERVICES, LLC ARLINGTON VA INTERVENTIONAL RADIOLOGY 5 54 $71,928 $1,332 32.0% (571) 500-8451
8 BANDB MEDICAL GROUP INC BELLFLOWER CA VASCULAR SURGERY 9 53 $66,833 $1,261 8.4% (562) 888-8961
9 VASCULAR AND VEIN INSTITUTE OF THE SOUTH PLLC GERMANTOWN TN VASCULAR SURGERY 11 50 $522,366 $10,447 41.7% (901) 390-2930
10 RUCHDI BARAKAT, M.D., P.A. HUMBLE TX NEPHROLOGY 3 49 $101,609 $2,074 10.0% (713) 820-0806
11 A AND V DOCTORS PLLC EL PASO TX INTERNAL MEDICINE 7 48 $787,146 $16,399 9.8% (915) 307-7800
12 WASHINGTON NEPHROLOGY ASSOCIATES LLP ALEXANDRIA VA NEPHROLOGY 30 46 $705,916 $15,346 27.2% (703) 461-3556
13 AMERICAN ACCESS CARE OF NC PLLC CARY NC INTERVENTIONAL RADIOLOGY 3 46 $554,024 $12,044 21.1% (919) 677-9729
14 AMERICAN ACCESS CARE OF BALTIMORE LLC BALTIMORE MD NEPHROLOGY 3 44 $56,646 $1,287 27.0% (410) 931-9729
15 AMERICAN ACCESS CARE OF PENNSYLVANIA LLC PHILADELPHIA PA NEPHROLOGY 8 42 $53,424 $1,272 22.7% (215) 742-5662
16 AMERICAN ACCESS CARE OF SP LLC PHILADELPHIA PA INTERVENTIONAL RADIOLOGY 6 37 $47,064 $1,272 20.0% (215) 462-2100
17 FRESENIUS ACCESS CARE PHYSICIANS OF MADISON LLC MADISON MI GENERAL SURGERY 3 37 $41,588 $1,124 74.0% (608) 621-2001
18 METROPOLITAN ACCESS CENTER LLC COLMAR MANOR MD NEPHROLOGY 2 36 $662,940 $18,415 22.1% (301) 277-1545
19 NKDHC RUDNITSKY PLLC LAS VEGAS NV NEPHROLOGY 45 26 $31,148 $1,198 37.1% (702) 732-2438
20 NATIONAL KIDNEY PARTNERS LLP HUDSON FL NEPHROLOGY 61 25 $247,580 $9,903 13.7% (727) 863-5418
21 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 25 $51,718 $2,069 61.0% (617) 732-5500
22 MIDWEST NEPHROLOGY ASSOCIATES SC MILWAUKEE WI NEPHROLOGY 30 22 $88,360 $4,016 26.5% (414) 393-9810
23 NEPHROLOGY CONSULTANTS PA DAYTONA BEACH FL NEPHROLOGY 2 22 $433,312 $19,696 12.1% (386) 258-6522
24 HEALTH SERVICES OF CENTRAL GEORGIA MACON GA NURSE PRACTITIONER 286 20 $448,020 $22,401 26.0% (478) 738-0404
25 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 20 $302,780 $15,139 100.0% (502) 629-2398
26 ACCESS CARE PHYSICIANS OF MEMPHIS PLLC MEMPHIS TN DIAGNOSTIC RADIOLOGY 2 20 $22,720 $1,136 16.7% (901) 366-5479
27 ADVANCED SURGICAL TECHNOLOGY, LLC CENTRALIA IL NURSE PRACTITIONER 7 19 $314,196 $16,537 7.1% (618) 899-9200
28 AMERICAN ACCESS CARE OF JACKSONVILLE LLC JACKSONVILLE FL INTERVENTIONAL RADIOLOGY 3 19 $23,940 $1,260 10.4% (904) 353-3664
29 AMERICAN ACCESS CARE OF ATLANTA LLC DECATUR GA INTERVENTIONAL RADIOLOGY 3 19 $23,408 $1,232 24.7% (404) 377-9171
30 FRESENIUS VASCULAR CARE MONTGOMERY LLLP MONTGOMERY AL VASCULAR SURGERY 4 18 $20,694 $1,150 50.0% (334) 593-7434
31 PEDES ORANGE COUNTY INC IRVINE CA INTERVENTIONAL RADIOLOGY 4 17 $21,940 $1,291 2.7% (949) 387-4724
32 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 17 $38,589 $2,270 29.3% —
33 ARCHBOLD MEDICAL GROUP, INC. THOMASVILLE GA NURSE PRACTITIONER 79 17 $109,773 $6,457 22.1% (229) 228-5500
34 METROLINA NEPHROLOGY ASSOCIATES PA CHARLOTTE NC NEPHROLOGY 87 17 $19,686 $1,158 7.8% (704) 731-6451
35 RUSSELL N HARADA MD INC AIEA HI VASCULAR SURGERY 2 17 $19,766 $1,163 100.0% (808) 486-7775
36 WICHITA NEPHROLOGY GROUP PA WICHITA KS NEPHROLOGY 12 16 $111,505 $6,969 18.0% (316) 268-5000
37 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 15 $402,183 $26,812 25.9% (803) 395-3400
38 THE NEPHROLOGY GROUP INC FRESNO CA NEPHROLOGY 51 15 $331,500 $22,100 2.4% (559) 228-9660
39 LAFAYETTE HEALTH VENTURES INC LAFAYETTE LA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 293 14 $89,124 $6,366 40.0% (337) 289-7374
40 VASCULAR HEALTH LLC FREEHOLD NJ NURSE PRACTITIONER 10 14 $140,000 $10,000 3.4% (732) 952-5353
41 VHS PHYSICIANS OF MICHIGAN DETROIT MI PHYSICIAN ASSISTANT 232 13 $148,180 $11,398 26.0% —
42 SOUND VASCULAR PS FEDERAL WAY WA INTERVENTIONAL RADIOLOGY 3 13 $20,085 $1,545 46.4% (253) 874-7107
43 NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC NEW HYDE PARK NY VASCULAR SURGERY 46 13 $484,874 $37,298 3.4% (516) 328-9800
44 AMERICAN ACCESS CARE OF MIAMI, LLC MIAMI FL VASCULAR SURGERY 6 13 $18,317 $1,409 7.1% (305) 670-1044
45 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 13 $11,719 $901 14.8% (574) 647-7275
46 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 12 $113,845 $9,487 100.0% (918) 502-4720
47 INTERVENTIONAL NEPHROLOGY OF KANSAS CITY LLC KANSAS CITY KS NEPHROLOGY 2 12 $50,400 $4,200 13.5% (913) 233-0454

*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 →