NEVVI Medicare utilization intelligence
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Market snapshot

90960 in MI 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
49
Named-group FFS services
26,758
FFS of Medicare
37%
Services YoY
-13.2%
FFS enrollment -6.0%
Estimated all-Medicare volume FFS + estimated MA estimate
~69,571 services

26,758 observed fee-for-service (38%) · ~42,813 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
$20.1M
Named-group allowed amount
$9.2M
Named-group Medicare payments
$7.2M
Avg charge / svc
$751
Avg allowed / svc
$342
Avg payment / svc
$270
Average charge per group
$375 49 groups · avg submitted charge / service $1,305
Disease-burden context

Chronic kidney disease prevalence in MI: 3.8% of adults (CDC BRFSS 2024, age-adjusted; 95% CI 3.4–4.2).

0.8% lowest state  ·  MI 3.8%  ·  4.6% highest state age-adjusted adult prevalence · CDC BRFSS 2024 · MI 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: 17,750 services across 26 groups; top group 17%. 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 MICHIGAN KIDNEY CONSULTANTS PC TROY NEPHROLOGY 45 2,947 $3,344,400 $1,135 premium 16.6% 9.2% (248) 267-5010
2 PARAGON HEALTH PC KALAMAZOO NEPHROLOGY 51 2,452 $2,205,001 $899 premium 13.8% 7.6% (269) 382-3012
3 NEPHROLOGY AND INTERNAL MEDICINE PC FLINT NEPHROLOGY 9 2,141 $1,498,700 $700 premium 12.1% 6.7% (810) 238-4172
4 ST CLAIR SPECIALTY PHYSICIANS PC ROSEVILLE NEPHROLOGY 35 1,825 $1,092,600 $599 premium 10.3% 5.7% (586) 871-3686
5 WEST MICHIGAN NEPHROLOGY PLLC MUSKEGON NEPHROLOGY 8 1,395 $627,750 $450 premium 7.9% 4.3% (231) 733-1912
6 RENAL ASSOCIATES OF WEST MICHIGAN PC GRAND RAPIDS NEPHROLOGY 20 1,158 $701,520 $606 premium 6.5% 3.6% (616) 752-6235
7 NEPHRON ASSOCIATES, PC SOUTHFIELD NEPHROLOGY 4 611 $366,600 $600 premium 3.4% 1.9% (248) 358-7521
8 INGHAM NEPHROLOGY AND HYPERTENSION PC LANSING NEPHROLOGY 7 593 $296,525 $500 premium 3.3% 1.8% 5174858217430
9 HYPERTENSION NEPHROLOGY ASSOCIATES PC LIVONIA NEPHROLOGY 13 582 $336,299 $578 premium 3.3% 1.8% (248) 478-1500
10 KIDNEY DISEASE AND HYPERTENSION CONSULTANTS PC FLINT NEPHROLOGY 8 575 $345,000 $600 premium 3.2% 1.8% (810) 230-9901
11 LAKE MICHIGAN NEPHROLOGY LLC NILES NEPHROLOGY 5 536 $428,800 $800 premium 3.0% 1.7% (269) 428-0819
12 NEPHROLOGY HYPERTENSION CLINIC PC SOUTHGATE NEPHROLOGY 6 459 $242,811 $529 premium 2.6% 1.4% (734) 285-5030
13 METROPOLITAN NEPHROLOGISTS PC WARREN NEPHROLOGY 9 349 $307,640 $881 premium 2.0% 1.1% (586) 558-9033
14 RENAL ASSOCIATES OF MID-MICHIGAN PC MIDLAND NEPHROLOGY 3 298 $214,490 $720 premium 1.7% 0.9%
15 CLAUDIA ZACHAREK MD PLC SAGINAW NEPHROLOGY 2 261 $163,125 $625 premium 1.5% 0.8% (989) 401-5354
16 MID MICHIGAN KIDNEY AND HYPERTENSION SPECIALISTS, P.C. FLINT NEPHROLOGY 3 252 $151,200 $600 premium 1.4% 0.8% (810) 720-0162
17 KIDNEY DISEASE AND HYPERTENSION, P.C. FLINT NEPHROLOGY 4 233 $160,176 $687 premium 1.3% 0.7% (810) 733-1700
18 IDAHO KIDNEY INSTITUTE LLP CHUBBUCK NEPHROLOGY 14 223 $121,758 $546 premium 1.3% 0.7% (208) 904-4780
19 KIDNEY SPECIALISTS OF MICHIGAN SOUTHFIELD NEPHROLOGY 6 164 $80,360 $490 premium 0.9% 0.5% (248) 354-3236
20 NEPHRO-CARE MD PLC DETROIT NEPHROLOGY 9 160 $95,200 $595 premium 0.9% 0.5% (313) 960-6605
21 WESTERN NEPHROLOGY AND METABOLIC BONE DISEASE, P.C. ARVADA NEPHROLOGY 33 154 $93,170 $605 premium 0.9% 0.5% (303) 232-3366
22 NATIONAL KIDNEY PARTNERS LLP HUDSON NEPHROLOGY 61 130 $91,477 $704 premium 0.7% 0.4% (727) 863-5418
23 MICHIGAN KIDNEY CARE PC BERKLEY NEPHROLOGY 2 81 $40,095 $495 premium 0.5% 0.3% (248) 414-3874
24 ACCESS AND VASCULAR CARE OAK PARK NEPHROLOGY 3 67 $32,330 $483 premium 0.4% 0.2% (248) 268-1135
25 COOPER NEPHROLOGY PC CAMDEN NEPHROLOGY 20 63 $82,215 $1,305 premium 0.4% 0.2% (856) 667-7266
26 KIDNEY CARE SPECIALISTS OF MICHIGAN PC SAINT CLAIR SHORES NEPHROLOGY 3 41 $22,550 $550 premium 0.2% 0.1% (586) 778-0664

*"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 →