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Market snapshot

80069 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

80069 — Kidney function blood test panel

Billing groups
240
Named-group FFS services
148,709
FFS of Medicare
49%
Services YoY
+5.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~300,956 services

148,709 observed fee-for-service (49%) · ~152,247 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; 1 state without payer-mix data excluded. How we scale

Top states — 80069 (CY2024)
TX 121,721 CA 106,050 NC 103,650 FL 88,487 AZ 62,225

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

Named-group submitted charges
$5.8M
Named-group allowed amount
$1.3M
Named-group Medicare payments
$1.3M
Avg charge / svc
$39
Avg allowed / svc
$8
Avg payment / svc
$8
Average charge per group
$9 240 groups · avg submitted charge / service $249
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 80069 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SOUTHWEST KIDNEY INSTITUTE PLC PHOENIX AZ NEPHROLOGY 97 12,199 $219,582 $18 19.6% (623) 247-9235
2 METROLINA NEPHROLOGY ASSOCIATES PA CHARLOTTE NC NEPHROLOGY 87 10,250 $358,750 $35 9.9% (704) 731-6451
3 TOWER UROLOGY INC LOS ANGELES CA UROLOGY 13 6,976 $348,800 $50 6.6% 3108549898159
4 COLUMBIA NEPHROLOGY ASSOCIATES PA COLUMBIA SC NEPHROLOGY 33 6,858 $157,734 $23 36.4% 80325299071124
5 YIUM, SHENOUDA AND MILLER PTRSHP CHATTANOOGA TN NEPHROLOGY 49 5,321 $277,118 $52 11.0% (423) 698-0927
6 NORMAN UROLOGY ASSOCIATES PC NORMAN OK PHYSICIAN ASSISTANT 10 5,030 $85,510 $17 21.3% (405) 360-9966
7 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE NC NEPHROLOGY 77 4,772 $124,263 $26 4.6% (252) 752-8880
8 HARBIN CLINIC LLC ROME GA NURSE PRACTITIONER 252 4,657 $279,420 $60 9.5% (762) 235-3340
9 NEPHROLOGY ASSOCIATES OF SYRACUSE, P.C. SYRACUSE NY NEPHROLOGY 13 4,344 $304,185 $70 19.7% (315) 478-3311
10 CHARLESTON NEPHROLOGY ASSOCIATES, LLC NORTH CHARLESTON SC NEPHROLOGY 17 4,341 $156,276 $36 23.0% (843) 767-9260
11 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 4,047 $121,410 $30 8.3% (770) 536-9864
12 NEPHROLOGY ASSOCIATES PC AUGUSTA GA NEPHROLOGY 18 2,886 $72,150 $25 5.9% (706) 722-6900
13 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 2,781 $125,145 $45 8.2% (630) 469-9200
14 MACON MEDICAL GROUP PC MACON GA NEPHROLOGY 6 2,772 $277,200 $100 5.7% —
15 JACKSON CLINIC PA JACKSON TN NURSE PRACTITIONER 183 2,650 $53,000 $20 5.5% (731) 422-0213
16 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 2,534 $48,146 $19 31.0% —
17 FLORIDA KIDNEY PHYSICIANS LLC TAMPA FL NEPHROLOGY 165 2,160 $38,880 $18 2.4% (813) 910-8708
18 NEPHROLOGY HYPERTENSION ASSOCIATES OF CNY, PC NORTH SYRACUSE NY NEPHROLOGY 4 2,094 $125,640 $60 9.5% —
19 CAROLINA NEPHROLOGY PA GREENVILLE SC NURSE PRACTITIONER 37 1,943 $50,518 $26 10.3% —
20 NORTHWEST LOUISIANA NEPHROLOGY, LLC SHREVEPORT LA NEPHROLOGY 22 1,872 $29,100 $16 13.3% (318) 227-8899
21 PHYSICIANS CARE OF VIRGINIA PC ROANOKE VA NEPHROLOGY 20 1,836 $82,620 $45 11.0% (540) 527-2737
22 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 1,681 $62,197 $37 3.3% —
23 NEPHROLOGY ASSOCIATES OF WATERTOWN PC WATERTOWN NY NEPHROLOGY 4 1,612 $40,300 $25 7.3% (315) 785-4000
24 HUTCHINSON CLINIC PA INC HUTCHINSON KS PHYSICIAN ASSISTANT 131 1,488 $98,208 $66 3.9% (620) 669-2500
25 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 1,479 $48,807 $33 18.8% (515) 239-4400
26 NEPHROLOGY AND HYPERTENSION SPECIALISTS PC DALTON GA NURSE PRACTITIONER 8 1,435 $31,140 $22 2.9% (706) 278-3430
27 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 1,327 $76,966 $58 1.3% (415) 600-1020
28 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 1,322 $46,270 $35 6.0% (914) 241-1050
29 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 1,311 $41,952 $32 2.7% (901) 226-3882
30 YUMA NEPHROLOGY PC YUMA AZ NEPHROLOGY 9 1,276 $40,676 $32 2.1% (928) 329-8331
31 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 1,266 $24,054 $19 7.6% —
32 THE VANCOUVER CLINIC INC PS VANCOUVER WA PHYSICIAN ASSISTANT 574 1,242 $28,566 $23 5.2% (360) 882-2778
33 NEPHROLOGY AND HYPERTENSION ASSOCIATES LTD TUPELO MS NEPHROLOGY 19 1,119 $102,948 $92 10.8% (662) 844-4711
34 VALLEY MEDICAL GROUP PC GREENFIELD MA PHYSICIAN ASSISTANT 108 1,069 $40,622 $38 6.7% (413) 774-6301
35 SOUTHWEST GA. NEPHROLOGY CLINIC, P.C. ALBANY GA NEPHROLOGY 9 1,067 $61,886 $58 2.2% (229) 888-3970
36 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 991 $18,829 $19 1.9% (614) 451-9612
37 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 981 $213,615 $218 2.9% 21722384006209
38 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 978 $23,472 $24 4.4% (518) 782-3700
39 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 913 $109,560 $120 1.5% (800) 603-0558
40 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 901 $19,822 $22 7.6% (541) 382-2811
41 WEST WICHITA FAMILY PHYSICIANS, P.A. WICHITA KS FAMILY PRACTICE 37 815 $20,397 $25 2.2% —
42 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 812 $50,344 $62 0.8% (910) 295-5511
43 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 784 $17,476 $22 12.2% (574) 647-7275
44 NEPHROLOGY ASSOCIATES OF CENTRAL FLORIDA, P.A. ORLANDO FL NEPHROLOGY 34 750 $30,000 $40 0.8% (407) 894-4693
45 RENAL PHYSICIANS OF GEORGIA PC MACON GA NEPHROLOGY 4 712 $71,112 $100 1.5% (478) 741-2150
46 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 708 $18,408 $26 0.6% (210) 450-7044
47 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 685 $24,660 $36 1.4% —
48 NEPHROLOGY ASSOCIATES OF WATERTOWN PC WATERTOWN PA NEPHROLOGY 4 592 $14,800 $25 3.6% (315) 785-4000
49 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 566 $19,584 $35 6.0% (952) 993-3123
50 CAROLINAEAST PHYSICIANS NEW BERN NC NURSE PRACTITIONER 203 566 $38,488 $68 0.5% (252) 635-6777
51 PHYSICIAN PRIMECARE, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 77 547 $37,743 $69 0.4% (210) 921-4200
52 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 539 $20,482 $38 2.4% (631) 628-5000
53 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 539 $16,709 $31 3.2% (757) 595-9880
54 PHYSICIANS CARE OF VIRGINIA PC ROANOKE OH NEPHROLOGY 20 495 $22,275 $45 1.0% (540) 527-2737
55 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 490 $28,899 $59 2.6% (803) 395-3400
56 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 477 $15,264 $32 6.0% (515) 343-1000
57 COASTAL CAROLINA HEALTH CARE PA NEW BERN NC PHYSICIAN ASSISTANT 122 472 $12,272 $26 0.5% (252) 634-3278
58 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE SC NEPHROLOGY 77 469 $12,213 $26 2.5% (252) 752-8880
59 CALVERT INTERNAL MEDICINE GROUP, PA PRINCE FREDERICK MD NURSE PRACTITIONER 39 462 $8,316 $18 3.9% (410) 535-2005
60 MEDICAL ASSOCIATES CLINIC P C DUBUQUE IA PHYSICIAN ASSISTANT 223 454 $14,106 $31 5.8% (563) 584-4100
61 TOWER UROLOGY INC LOS ANGELES AZ UROLOGY 13 452 $22,600 $50 0.7% 3108549898159
62 THE AUSTIN DIAGNOSTIC CLINIC PLLC AUSTIN TX NEPHROLOGY 86 443 $15,181 $34 0.4% (512) 447-2211
63 ARIZONA COMMUNITY PHYSICIANS PC TUCSON AZ FAMILY PRACTICE 163 442 $11,050 $25 0.7% (520) 547-5725
64 FAIRVIEW CLINICS EAGAN MN FAMILY PRACTICE 816 440 $10,762 $24 4.7% (651) 406-8860
65 MASOUD KHORSAND- SAHBAIE MD P A ROSWELL NM HEMATOLOGY/ONCOLOGY 18 421 $4,427 $11 5.9% (575) 627-9500
66 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 418 $24,829 $59 2.2% (843) 497-5929
67 NEPHROLOGY AND HYPERTENSION SPECIALISTS PC DALTON TN NURSE PRACTITIONER 8 414 $8,984 $22 0.9% (706) 278-3430
68 HERITAGE MEDICAL ASSOCIATES PC NASHVILLE TN INTERNAL MEDICINE 166 399 $5,586 $14 0.8% (629) 255-2115
69 NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA PC FORT WAYNE IN NEPHROLOGY 68 362 $6,284 $17 5.7% (260) 494-3484
70 ROCKY MOUNTAIN KIDNEY CARE LLC LONE TREE SC NEPHROLOGY 15 351 $8,073 $23 1.9% (720) 696-0852
71 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 348 $43,500 $125 42.7% (701) 234-2000
72 IMPERIAL HEALTH LLP LAKE CHARLES LA NURSE PRACTITIONER 75 342 $20,007 $58 2.4% (337) 436-1370
73 MOWERY CLINIC LLC SALINA KS OBSTETRICS/GYNECOLOGY 22 325 $8,125 $25 0.9% —
74 PRIVIA MEDICAL GROUP INDIANA LLC ELKHART IN NURSE PRACTITIONER 40 322 $10,948 $34 5.0% 57429632003973
75 ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA IDAHO FALLS ID REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 16 316 $16,120 $51 13.3% (208) 523-1122
76 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE NV NEPHROLOGY 77 314 $8,177 $26 2.0% (252) 752-8880
77 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 309 $12,258 $40 3.3% (612) 863-4000
78 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 305 $20,435 $67 0.9% (847) 459-1160
79 CENTRAL COAST NEPHROLOGY MEDICAL CORPORATION SALINAS CA NEPHROLOGY 11 296 $8,880 $30 0.3% (831) 755-7999
80 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 294 $7,350 $25 1.2% (206) 364-0500
81 VARIETY CARE, INC. OKLAHOMA CITY OK NURSE PRACTITIONER 104 280 $4,760 $17 1.2% (405) 632-6688
82 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 265 $11,130 $42 0.3% (910) 662-6000
83 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 265 $2,412 $9 1.2% (845) 342-4774
84 FAMILY MEDCENTERS PA DERBY KS FAMILY PRACTICE 16 264 $13,464 $51 0.7% 31678869631150
85 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 258 $7,478 $29 0.5% (770) 219-7777
86 PRAIRIE LAKES HEALTH CARE SYSTEM INC WATERTOWN SD PHYSICIAN ASSISTANT 126 250 $13,250 $53 10.9% (605) 882-4743
87 DIABETES AND GLANDULAR DISEASE CLINIC PA SAN ANTONIO TX ENDOCRINOLOGY 9 250 $5,955 $24 0.2% (210) 614-8612
88 PALM BEACH DIABETES AND ENDOCRINE SPECIALISTS PA WEST PALM BCH FL ENDOCRINOLOGY 18 240 $24,000 $100 0.3% (561) 659-6336
89 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 238 $4,998 $21 2.3% —
90 SOUTHWEST KIDNEY INSTITUTE PLC PHOENIX GA NEPHROLOGY 97 235 $4,230 $18 0.5% (623) 247-9235
91 CHRISTIE CLINIC, PLLC CHAMPAIGN IL INTERNAL MEDICINE 220 229 $27,251 $119 0.7% (217) 366-1200
92 NORTHEAST LOUISIANA PHYSICIANS LLC SHREVEPORT LA INTERNAL MEDICINE 49 226 $3,570 $16 1.6% (318) 681-4500
93 HILLSIDE MEDICAL OFFICE LLC WICHITA KS FAMILY PRACTICE 9 225 $7,875 $35 0.6% (316) 719-1554
94 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 221 $5,525 $25 0.2% (941) 366-1888
95 ANDOVER FAMILY MEDICINE LLC ANDOVER KS FAMILY PRACTICE 13 218 $5,232 $24 0.6% (316) 733-5120
96 RENAL CONSULTANTS, PLLC SOUTH CHARLESTON WV NEPHROLOGY 2 216 $8,208 $38 43.8% (304) 720-5000
97 OTTO ROZA MD PA MARTINSBURG WA NEPHROLOGY 10 215 $4,945 $23 0.9% (304) 263-0911
98 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 208 $5,200 $25 1.5% (225) 246-9790
99 SOUTHWEST KIDNEY INSTITUTE PLC PHOENIX TX NEPHROLOGY 97 195 $3,510 $18 0.2% (623) 247-9235
100 LANDER MEDICAL CLINIC PC LANDER WY PHYSICIAN ASSISTANT 18 195 $9,360 $48 53.7% (307) 332-2941

Showing the top 100 of 240 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 →