NEVVI Medicare utilization intelligence
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Market snapshot

90960 in MA 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
25
Named-group FFS services
10,638
FFS of Medicare
64%
Services YoY
-5.5%
FFS enrollment -1.4%
Estimated all-Medicare volume FFS + estimated MA estimate
~16,478 services

10,638 observed fee-for-service (65%) · ~5,840 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
$10.0M
Named-group allowed amount
$3.9M
Named-group Medicare payments
$3.1M
Avg charge / svc
$942
Avg allowed / svc
$365
Avg payment / svc
$289
Average charge per group
$475 25 groups · avg submitted charge / service $1,493
Disease-burden context

Chronic kidney disease prevalence in MA: 3.3% of adults (CDC BRFSS 2024, age-adjusted; 95% CI 2.9–3.8).

0.8% lowest state  ·  MA 3.3%  ·  4.6% highest state age-adjusted adult prevalence · CDC BRFSS 2024 · MA 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: 6,248 services across 11 groups; top group 19%. 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 NE NEPHROLOGY HOME CARE ASSOCIATES DORCHESTER NEPHROLOGY 9 1,172 $1,236,910 $1,055 premium 18.8% 6.3% (617) 739-2100
2 KIDNEY CARE AND TRANSPLANT SERVICES OF NEW ENGLAND PC WEST SPRINGFIELD NEPHROLOGY 13 1,071 $934,822 $873 premium 17.1% 5.7% (413) 733-0010
3 RENIN ASSOCIATES PC PEABODY NEPHROLOGY 5 983 $648,780 $660 premium 15.7% 5.2% (978) 531-0677
4 SOUTH SHORE NEPHROLOGY PC PLYMOUTH NEPHROLOGY 4 758 $651,215 $859 premium 12.1% 4.0% (508) 747-4883
5 WOBURN NEPHROLOGY ASSOCIATES PC STONEHAM NEPHROLOGY 6 588 $529,200 $900 premium 9.4% 3.1% (781) 933-0710
6 FALL RIVER NEPHROLOGY PC FALL RIVER NEPHROLOGY 3 437 $207,575 $475 premium 7.0% 2.3% (508) 235-6427
7 NEPHROLOGY ASSSOCIATES OF THE MERRIMACK VALLEY PC TEWKSBURY NEPHROLOGY 4 432 $408,050 $945 premium 6.9% 2.3% (978) 432-1811
8 RENAL AND TRANSPLANT ASSOCIATES OF THE NORTHEAST PC SPRINGFIELD NEPHROLOGY 7 403 $351,759 $873 premium 6.5% 2.1% 4138672500101
9 RIVERSIDE NEPHROLOGY PC NORTH ANDOVER NEPHROLOGY 3 265 $167,565 $632 premium 4.2% 1.4% (978) 686-4343
10 NEPHROLOGY AND HYPERTENSION ASSOC PC MIDDLEBURY NEPHROLOGY 5 70 $48,650 $695 premium 1.1% 0.4% (203) 758-1800
11 CENTRAL MASS NEPHROLOGY PUTNAM NEPHROLOGY 4 69 $73,209 $1,061 premium 1.1% 0.4% (508) 363-6008

*"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 →