NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
90947 Dialysis procedure requiring repeat evaluation CPT · Dialysis treatment
Classification Treatment › Dialysis › Peritoneal Dialysis (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 3,220 services ▲ 7.6% YoY · 1,121 beneficiaries (CY2024, Medicare FFS)
Medicare paid $304K · $94.50 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
36
Named-group FFS services
2,310
FFS of Medicare
49%
Services YoY
+7.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,979 services

2,310 observed fee-for-service (46%) · ~2,669 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 — 90947 (CY2024)
FL 486 TX 451 AR 254 CA 242 MD 197

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

Named-group submitted charges
$864K
Named-group allowed amount
$273K
Named-group Medicare payments
$217K
Avg charge / svc
$374
Avg allowed / svc
$118
Avg payment / svc
$94
Average charge per group
$120 36 groups · avg submitted charge / service $1,096
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 90947 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NATIONAL KIDNEY PARTNERS LLP HUDSON FL NEPHROLOGY 61 272 $67,514 $248 56.0% (727) 863-5418
2 J PEDRO FROMMER MD PA HOUSTON TX NEPHROLOGY 4 222 $37,260 $168 49.2% (713) 791-1633
3 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 163 $48,737 $299 33.5% (727) 725-5060
4 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 159 $105,258 $662 86.4% (615) 322-5000
5 RENAL CONSULTANTS LITTLE ROCK AR NEPHROLOGY 5 121 $14,567 $120 47.6% (501) 224-2141
6 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 114 $51,870 $455 67.5% (313) 916-2600
7 TUSCALOOSA NEPHROLOGY ASSOCIATES PC TUSCALOOSA AL NEPHROLOGY 5 108 $40,068 $371 79.4% (205) 556-5541
8 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 91 $48,139 $529 79.8% (804) 828-9000
9 SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC INC REDDING CA NEPHROLOGY 4 77 $25,025 $325 31.8% (530) 232-3000
10 TOWER NEPHROLOGY MEDICAL GROUP BEVERLY HILLS CA NEPHROLOGY 6 57 $26,160 $459 23.6% (310) 652-9162
11 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 56 $23,800 $425 50.9% (614) 293-8000
12 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 55 $53,075 $965 100.0% (720) 777-1234
13 KIDNEY AND HYPERTENSION PHYSICIAN PC LOCKPORT NY NURSE PRACTITIONER 4 54 $12,474 $231 28.6% (716) 650-0373
14 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 51 $30,294 $594 10.5% (954) 659-5000
15 DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN SYRACUSE NY NURSE PRACTITIONER 281 51 $15,810 $310 27.0% (315) 464-5240
16 PACIFIC ADVANCED KIDNEY SOLUTIONS INC TORRANCE TX NEPHROLOGY 4 51 $33,660 $660 11.3% (310) 488-4232
17 MIDWEST NEPHROLOGY ASSOCIATES SC MILWAUKEE WI NEPHROLOGY 30 44 $25,916 $589 100.0% (414) 393-9810
18 STARLING PHYSICIANS, PLLC WETHERSFIELD CT NURSE PRACTITIONER 273 43 $13,115 $305 100.0% (860) 832-4666
19 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 43 $18,877 $439 66.2% (336) 713-9800
20 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 38 $13,007 $342 38.0% (402) 559-4000
21 MEDICAL SPECIALISTS OF ST LUKES LLC CHESTERFIELD MO NEPHROLOGY 12 35 $8,715 $249 100.0% (314) 205-6600
22 ADVANCED KIDNEY CARE OF HUDSON VALLEY, PC NEWBURGH NY NEPHROLOGY 8 35 $10,500 $300 18.5% (845) 454-1399
23 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 34 $37,281 $1,096 7.5% (713) 592-5433
24 MT. AUBURN NEPHROLOGY INC. CINCINNATI OH NEPHROLOGY 12 33 $9,270 $281 30.0% (513) 841-0222
25 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 31 $20,150 $650 100.0% —
26 MEMORIAL NEPHROLOGY ASSOCIATES PLLC OLYMPIA WA NEPHROLOGY 9 30 $7,800 $260 100.0% 36041381211
27 DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES DOTHAN AL NURSE PRACTITIONER 10 28 $4,480 $160 20.6% (334) 793-3319
28 KIDNEY AND HYPERTENSION SPECIALISTS PLLC JACKSON IN INTERNAL MEDICINE 4 28 $4,900 $175 100.0% (517) 788-8727
29 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 26 $6,916 $266 17.8% (918) 502-4720
30 KIDNEY CARE ASSOCIATES LLP DENISON TX NEPHROLOGY 7 23 $4,804 $209 5.1% (903) 893-7170
31 FREDERICKSBURG NEPHROLOGY ASSOCIATES INC FREDERICKSBURG VA NEPHROLOGY 11 23 $5,617 $244 20.2% (540) 371-3010
32 COOPER NEPHROLOGY PC CAMDEN MI NEPHROLOGY 20 22 $10,010 $455 13.0% (856) 667-7266
33 DURHAM NEPHROLOGY ASSOCIATES PA DURHAM NC NEPHROLOGY 10 22 $3,520 $160 33.8% (919) 477-3005
34 KIDNEY CARE SPECIALISTS, LLC KETTERING OH PHYSICIAN ASSISTANT 9 21 $8,085 $385 19.1% (937) 643-0015
35 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS MI NURSE PRACTITIONER 4250 20 $9,100 $455 11.8% (888) 484-3258
36 WASHINGTON NEPHROLOGY ASSOCIATES LLP ALEXANDRIA MD NEPHROLOGY 30 16 $4,997 $312 8.1% (703) 461-3556
37 NATIONAL KIDNEY PARTNERS LLP HUDSON MI NEPHROLOGY 61 13 $3,204 $246 7.7% (727) 863-5418

*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 →