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Market snapshot

90945 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

90945 — Dialysis procedure including 1 evaluation

Billing groups
274
Named-group FFS services
38,259
FFS of Medicare
49%
Services YoY
-15.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~77,106 services

38,259 observed fee-for-service (50%) · ~38,847 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 — 90945 (CY2024)
CA 5,408 MD 4,026 OH 3,754 TX 2,872 NC 2,842

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

Named-group submitted charges
$12.2M
Named-group allowed amount
$3.2M
Named-group Medicare payments
$2.5M
Avg charge / svc
$319
Avg allowed / svc
$83
Avg payment / svc
$66
Average charge per group
$85 274 groups · avg submitted charge / service $1,018
Disease-burden context

Chronic kidney disease prevalence: 0.8–5.0% of adults across 54 reporting states (CDC BRFSS 2023–2024, age-adjusted state estimates). Highest: GU 5.0% · KY 4.6% · WV 4.6% · LA 4.4% · SC 4.4%
CDC-published US estimate: 3.9% (BRFSS 2024, crude prevalence — not age-adjusted, so not directly comparable to the state figures above).

CDC BRFSS prevalence is survey data covering all-payer adults 18 and older; Nevvi utilization counts Medicare fee-for-service only, largely 65 and older. The two appear side by side as context — Nevvi never combines them into a score, rating, or ranking. See Methods.

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 90945 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 1,598 $1,050,882 $658 42.6% —
2 MID-ATLANTIC NEPHROLOGY ASSOCIATES PA OWINGS MILLS MD NEPHROLOGY 57 1,256 $283,391 $226 31.2% (410) 602-7792
3 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 1,013 $430,525 $425 25.2% (410) 502-4340
4 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 852 $352,512 $414 46.3% (314) 747-3000
5 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 703 $255,189 $363 24.7% (919) 684-8111
6 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 678 $397,308 $586 12.5% (650) 723-4000
7 NEPHROLOGY ASSOCIATES, PC COLUMBIA TN NEPHROLOGY 40 646 $235,790 $365 46.4% (931) 388-3209
8 INDIANA NEPHROLOGY AND INTERNAL MEDICINE PC INDIANAPOLIS IN NEPHROLOGY 34 644 $193,200 $300 29.3% (317) 574-4747
9 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 644 $237,636 $369 23.3% (205) 934-3460
10 THE ROGOSIN INSTITUTE, INC. NEW YORK NY NEPHROLOGY 25 532 $257,594 $484 23.1% (212) 746-1578
11 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 529 $163,461 $309 18.4% (214) 633-5555
12 NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA PC FORT WAYNE IN NEPHROLOGY 68 523 $95,582 $183 23.8% (260) 494-3484
13 NEPHROLOGY ASSOCIATES, PC BIRMINGHAM AL NEPHROLOGY 31 510 $86,700 $170 18.4% (205) 226-5900
14 KIDNEY AND HYPERTENSION CONSULTANTS OF HOUSTON PA HOUSTON TX NEPHROLOGY 5 468 $165,204 $353 16.3% (713) 790-1032
15 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 426 $129,930 $305 11.3% (614) 293-8000
16 NORTH CAROLINA NEPHROLOGY PA RALEIGH NC NEPHROLOGY 58 410 $99,220 $242 14.4% (919) 231-3966
17 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 403 $226,889 $563 53.1% (720) 777-1234
18 NEPHROLOGY ASSOCIATES OF CENTRAL FLORIDA, P.A. ORLANDO FL NEPHROLOGY 34 375 $51,750 $138 16.2% (407) 894-4693
19 THE NEPHROLOGY GROUP INC FRESNO CA NEPHROLOGY 51 357 $96,277 $270 6.6% (559) 228-9660
20 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 323 $116,576 $361 20.7% (617) 724-0287
21 CAROLINA NEPHROLOGY PA GREENVILLE SC NURSE PRACTITIONER 37 303 $139,077 $459 64.3% —
22 NORTHWEST RENAL CLINIC INC PORTLAND OR NEPHROLOGY 41 302 $66,742 $221 65.2% (503) 292-7704
23 RENAL SPECIALISTS OF HOUSTON, PA HOUSTON TX NEPHROLOGY 24 296 $50,930 $172 10.3% —
24 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 291 $105,924 $364 17.8% (804) 828-9000
25 CENTRAL FLORIDA KIDNEY SPECIALISTS INC ORLANDO FL NEPHROLOGY 38 290 $40,020 $138 12.5% (407) 816-5700
26 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 288 $128,448 $446 18.2% —
27 MOUNTAIN KIDNEY AND HYPERTENSION ASSOCIATES PA ASHEVILLE NC NURSE PRACTITIONER 18 280 $49,000 $175 9.9% (828) 258-8545
28 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 278 $81,176 $292 41.7% (601) 815-4775
29 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 275 $83,050 $302 9.7% (336) 713-9800
30 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 273 $119,574 $438 19.6% (615) 322-5000
31 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 262 $81,744 $312 26.3% (313) 916-2600
32 WASHINGTON REGIONAL MEDICAL SYSTEM FAYETTEVILLE AR NURSE PRACTITIONER 241 254 $38,608 $152 49.1% (479) 571-4338
33 CARLE HEALTH CARE INCORPORATED URBANA IL NURSE PRACTITIONER 1528 254 $182,880 $720 16.1% (888) 712-2753
34 NATIONAL KIDNEY PARTNERS LLP HUDSON FL NEPHROLOGY 61 250 $42,706 $171 10.8% (727) 863-5418
35 TNI-KSO PC TULSA OK NEPHROLOGY 20 239 $58,569 $245 36.7% 9187125000152
36 WHATLEY HEALTH SERVICES INC TUSCALOOSA AL NURSE PRACTITIONER 94 237 $71,100 $300 8.6% (205) 758-6647
37 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 237 $167,289 $706 8.3% (713) 592-5433
38 GREATER HARTFORD NEPHROLOGY LLC BLOOMFIELD CT NEPHROLOGY 8 237 $82,950 $350 74.1% (860) 769-9866
39 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 236 $203,904 $864 29.4% (414) 955-4263
40 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 236 $58,528 $248 8.3% (984) 215-5556
41 RENAL ASSOCIATES OF WEST MICHIGAN PC GRAND RAPIDS MI NEPHROLOGY 20 233 $34,950 $150 23.3% (616) 752-6235
42 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE NC NEPHROLOGY 77 227 $58,069 $256 8.0% (252) 752-8880
43 UNIVERSITY OF MARYLAND PHYSICIANS PA BALTIMORE MD NURSE PRACTITIONER 396 224 $67,200 $300 5.6% (410) 328-7877
44 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 222 $61,438 $277 4.1% (858) 455-9100
45 NEPHROLOGY HYPERTENSION ASSOCIATES OF CNY, PC NORTH SYRACUSE NY NEPHROLOGY 4 221 $31,972 $145 9.6% —
46 HUNTSVILLE RENAL CLINIC, PC HUNTSVILLE AL NURSE PRACTITIONER 14 221 $37,570 $170 8.0% (256) 533-7676
47 MCHS HOSPITALS INC MARSHFIELD WI NURSE PRACTITIONER 1179 218 $103,506 $475 27.2% —
48 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 213 $178,281 $837 9.2% (904) 953-2000
49 CENTRAL COAST NEPHROLOGY MEDICAL CORPORATION SALINAS CA NEPHROLOGY 11 211 $37,980 $180 3.9% (831) 755-7999
50 VIRGINIA NEPHROLOGY GROUP LLP FAIRFAX VA NEPHROLOGY 16 209 $37,627 $180 12.8% —
51 THE NEPHROLOGY GROUP PA WEST ORANGE NJ NEPHROLOGY 6 207 $68,750 $332 18.4% (973) 325-2103
52 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 204 $79,560 $390 19.1% (404) 778-7525
53 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 203 $85,956 $423 3.8% (916) 983-7476
54 RIVERSIDE NEPHROLOGY ASSOCIATES INC COLUMBUS OH NEPHROLOGY 21 197 $29,550 $150 5.2% (614) 538-2250
55 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 194 $70,576 $364 12.4% (617) 732-5500
56 ST CLAIR SPECIALTY PHYSICIANS PC ROSEVILLE ID NEPHROLOGY 35 190 $31,030 $163 100.0% (586) 871-3686
57 PHYSICIANS CARE OF VIRGINIA PC ROANOKE VA NEPHROLOGY 20 182 $45,864 $252 11.1% (540) 527-2737
58 EDMUND J LEWIS MD AND ASSOCIATES CHICAGO IL NEPHROLOGY 5 177 $31,499 $178 11.2% (312) 850-8434
59 NORTHEAST KIDNEY CARE LLC FLORHAM PARK NJ NEPHROLOGY 66 176 $34,440 $196 15.6% (973) 736-2212
60 PREMIER NEPHROLOGY OF ORANGE COUNTY INC FOUNTAIN VALLEY CA NEPHROLOGY 3 171 $29,964 $175 3.2% (714) 486-2586
61 NEW YORK NEPHROLOGY AND DIALYSIS ACCESS SURGERY, P.C. ALBANY NY NEPHROLOGY 18 171 $22,743 $133 7.4% (518) 434-2244
62 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 170 $113,050 $665 29.6% (800) 603-0558
63 HAYS MEDICAL CENTER INC HAYS KS PHYSICIAN ASSISTANT 182 170 $50,150 $295 46.8% (785) 623-5774
64 READING NEPHROLOGY, LTD WYOMISSING PA INTERNAL MEDICINE 12 162 $27,718 $171 7.5% (610) 376-7365
65 WEST COAST KIDNEY WALNUT CREEK CA NEPHROLOGY 55 159 $31,530 $198 2.9% (925) 944-0351
66 FLORIDA KIDNEY PHYSICIANS LLC TAMPA FL NEPHROLOGY 165 154 $25,792 $167 6.6% (813) 910-8708
67 NEPHROLOGY ASSOCIATES OF LANCASTER, LTD LANCASTER PA NEPHROLOGY 20 153 $31,518 $206 7.1% (717) 544-3232
68 NEPHROLOGY ASSOCIATES, P. A. CONCORD NH NEPHROLOGY 4 152 $22,800 $150 26.5% (603) 224-9995
69 NEPHROLOGY SPECIALISTS PC MECHANICSVILLE VA NEPHROLOGY 12 149 $36,771 $247 9.1% (804) 559-6980
70 TUSCALOOSA NEPHROLOGY ASSOCIATES PC TUSCALOOSA AL NEPHROLOGY 5 139 $23,630 $170 5.0% (205) 556-5541
71 YUMA NEPHROLOGY PC YUMA AZ NEPHROLOGY 9 137 $34,406 $251 23.8% (928) 329-8331
72 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 136 $35,496 $261 12.7% —
73 NEPHROLOGY ASSOCIATES PA NEWARK DE NEPHROLOGY 53 135 $43,875 $325 89.4% (302) 225-0451
74 NEPHROLOGY ASSOCIATES OF GREATER CINCINNATI LLC CINCINNATI OH INTERNAL MEDICINE 5 133 $23,275 $175 3.5% —
75 LONG ISLAND KIDNEY AND HYPERTENSION PC GREAT NECK NY NEPHROLOGY 2 133 $39,900 $300 5.8% (516) 775-7555
76 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 132 $29,136 $221 25.5% (501) 686-8000
77 KIDNEY CONSULTANTS MEDICAL GROUP INC MISSION HILLS CA NEPHROLOGY 16 130 $21,255 $163 2.4% (818) 365-1194
78 COOPER NEPHROLOGY PC CAMDEN NJ NEPHROLOGY 20 129 $29,412 $228 11.4% (856) 667-7266
79 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 128 $44,928 $351 2.4% (415) 600-1020
80 KIDNEY CARE SPECIALISTS, LLC KETTERING OH PHYSICIAN ASSISTANT 9 124 $22,320 $180 3.3% (937) 643-0015
81 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 124 $26,300 $212 43.7% (402) 559-4000
82 SCRIPPS HEALTH LA JOLLA CO PHYSICIAN ASSISTANT 1431 123 $34,040 $277 16.2% (858) 455-9100
83 KIDNEY CARE PHYSICIANS LLC SALEM OR NEPHROLOGY 11 122 $24,644 $202 26.3% (503) 511-8565
84 NEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA INC FAIRFAX VA NEPHROLOGY 15 120 $18,000 $150 7.3% (703) 476-1740
85 DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN SYRACUSE NY NURSE PRACTITIONER 281 120 $25,800 $215 5.2% (315) 464-5240
86 UNIVERSITY PHYSICIANS AND SURGEONS, INC HUNTINGTON WV NURSE PRACTITIONER 390 120 $30,000 $250 31.3% (304) 691-8500
87 LYNCHBURG NEPHROLOGY PHYSICIANS PLLC LYNCHBURG VA NEPHROLOGY 8 120 $38,040 $317 7.3% (434) 947-3954
88 NEPHROLOGY AND HYPERTENSION ASSOCIATES LTD TUPELO MS NEPHROLOGY 19 120 $31,920 $266 18.0% (662) 844-4711
89 RENAL PHYSICIAN ASSOCIATES OF WINCHESTER PLC WINCHESTER VA NEPHROLOGY 7 119 $20,230 $170 7.3% (540) 450-1600
90 NEPHROLOGY ASSOCIATES OF SYRACUSE, P.C. SYRACUSE NY NEPHROLOGY 13 118 $20,060 $170 5.1% (315) 478-3311
91 AMERICARE KIDNEY INSTITUTE LLC WESTLAKE OH NEPHROLOGY 26 116 $57,681 $497 3.1% (440) 799-4224
92 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 116 $45,928 $396 2.1% (310) 825-7922
93 RENALCARE ASSOCIATES, S.C. PEORIA IL NEPHROLOGY 48 115 $32,545 $283 7.3% (309) 676-8123
94 DEACONESS SPECIALTY PHYSICIANS, INC NEWBURGH IN NURSE PRACTITIONER 207 115 $37,605 $327 5.2% (812) 842-2737
95 UNIVERSITY PHYSICIAN GROUP DETROIT MI NURSE PRACTITIONER 405 114 $19,902 $175 11.4% (800) 527-6266
96 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 111 $26,973 $243 6.8% (434) 924-5959
97 W SCOTT MOORE ET AL PTR WINSTON SALEM NC NEPHROLOGY 12 110 $16,170 $147 3.9% (336) 768-2425
98 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 109 $26,485 $243 31.1% (206) 223-6600
99 SEACOAST KIDNEY AND HYPERTENSION SPECIALISTS, P.L.L.C. PORTSMOUTH NH NEPHROLOGY 7 109 $25,405 $233 19.0% (603) 436-3433
100 MARYLAND KIDNEY GROUP PA BALTIMORE MD NEPHROLOGY 8 109 $19,075 $175 2.7% (443) 559-5063

Showing the top 100 of 274 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 →