NEVVI Medicare utilization intelligence
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Market snapshot

90960 in ID CY2024

Medicare Part B FFS · CY2024 · as published by CMS

90960 — Dialysis services, 4 or more physician visits per month (20 years or older)

Billing groups
5
Named-group FFS services
2,752
FFS of Medicare
50%
Services YoY
-13.5%
FFS enrollment -1.7%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,356 services

2,752 observed fee-for-service (51%) · ~2,604 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

Named-group submitted charges
$1.6M
Named-group allowed amount
$913K
Named-group Medicare payments
$726K
Avg charge / svc
$588
Avg allowed / svc
$332
Avg payment / svc
$264
Average charge per group
$500 5 groups · avg submitted charge / service $691
Disease-burden context

Chronic kidney disease prevalence in ID: 2.9% of adults (CDC BRFSS 2024, age-adjusted; 95% CI 2.4–3.4).

0.8% lowest state  ·  ID 2.9%  ·  4.6% highest state age-adjusted adult prevalence · CDC BRFSS 2024 · ID position among all 52 states

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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Specialty market — Nephrology: 1,509 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Nephrology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 90960 services, CY2024
#Physician group City Specialty Providers 90960 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 IDAHO KIDNEY INSTITUTE LLP CHUBBUCK NEPHROLOGY 14 591 $322,686 $546 premium 18.3% (208) 904-4780
2 NORTH IDAHO NEPHROLOGY ASSOCIATES INC HAYDEN NEPHROLOGY 2 587 $293,500 $500 premium 18.1%
3 ST CLAIR SPECIALTY PHYSICIANS PC ROSEVILLE NEPHROLOGY 35 331 $223,425 $675 premium 10.2% (586) 871-3686

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →