NEVVI Medicare utilization intelligence
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Market snapshot

90960 in MO 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
37
Named-group FFS services
13,126
FFS of Medicare
46%
Services YoY
-5.8%
FFS enrollment -3.1%
Estimated all-Medicare volume FFS + estimated MA estimate
~27,940 services

13,126 observed fee-for-service (47%) · ~14,814 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
$10.7M
Named-group allowed amount
$4.4M
Named-group Medicare payments
$3.4M
Avg charge / svc
$817
Avg allowed / svc
$333
Avg payment / svc
$262
Average charge per group
$375 37 groups · avg submitted charge / service $1,830
Disease-burden context

Chronic kidney disease prevalence in MO: 3.5% of adults (CDC BRFSS 2024, age-adjusted; 95% CI 3.0–4.0).

0.8% lowest state  ·  MO 3.5%  ·  4.6% highest state age-adjusted adult prevalence · CDC BRFSS 2024 · MO 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: 7,367 services across 20 groups; top group 14%. 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 MIDWEST NEPHROLOGY CONSULTANTS PA INDEPENDENCE NEPHROLOGY 9 997 $598,200 $600 premium 13.5% 5.6% (816) 276-1700
2 NHS SOUTH LLC SAINT LOUIS NEPHROLOGY 8 976 $483,120 $495 premium 13.2% 5.5% (314) 842-9669
3 NEPHROLOGY AND HYPERTENSION SPECIALISTS LLC SAINT LOUIS NEPHROLOGY 7 952 $492,750 $518 premium 12.9% 5.3% (314) 842-9669
4 BRANSON NEPHROLOGY LLC BRANSON NEPHROLOGY 6 598 $897,000 $1,500 premium 8.1% 3.4% (417) 334-8288
5 NEPHROLOGY ASSOCIATES MD PA OLATHE NEPHROLOGY 21 580 $256,650 $442 premium 7.9% 3.3% (913) 381-0622
6 ST LOUIS KIDNEY CARE LLC FLORISSANT NEPHROLOGY 8 391 $337,734 $864 premium 5.3% 2.2% (314) 741-1600
7 NEPHROLOGY AND HYPERTENSION ASSOCIATES COLUMBIA NEPHROLOGY 5 359 $185,962 $518 premium 4.9% 2.0% (573) 499-0642
8 SANGEETA PANDE MD LLC FLORISSANT NEPHROLOGY 3 326 $255,910 $785 premium 4.4% 1.8% (314) 931-1113
9 KIDNEY ASSOCIATES OF KANSAS CITY PC KANSAS CITY NEPHROLOGY 7 325 $172,894 $532 premium 4.4% 1.8%
10 MIDWEST NEPHROLOGY ASSOCIATES INC SAINT PETERS NEPHROLOGY 10 306 $273,165 $893 premium 4.2% 1.7%
11 MONTGOMERY RENAL ASSOCIATES P.A. SILVER SPRING NEPHROLOGY 4 278 $152,900 $550 premium 3.8% 1.6% (301) 942-5355
12 AHMED ABOUL-MAGD PC JOPLIN NEPHROLOGY 5 272 $186,320 $685 premium 3.7% 1.5% (417) 782-5000
13 OHIO VALLEY NEPHROLOGY ASSOCIATES PSC TELL CITY NEPHROLOGY 5 235 $210,090 $894 premium 3.2% 1.3% (812) 719-4237
14 MEDICAL SPECIALISTS OF ST LUKES LLC CHESTERFIELD NEPHROLOGY 12 181 $102,808 $568 premium 2.5% 1.0% (314) 205-6600
15 MERCY CLINIC NEPHROLOGY, LLC ST LOUIS NEPHROLOGY 10 172 $120,744 $702 premium 2.3% 1.0%
16 KIDNEY AND HYPERTENSION CENTER INC CINCINNATI NEPHROLOGY 47 104 $60,112 $578 premium 1.4% 0.6% (513) 241-5630
17 ASSOCIATES IN NEPHROLOGY LTD BOARDMAN NEPHROLOGY 5 100 $37,500 $375 premium 1.4% 0.6%
18 CAPE GIRARDEAU NEPHROLOGY ASSOCIATES, PC CAPE GIRARDEAU NEPHROLOGY 4 85 $48,193 $567 premium 1.2% 0.5% (573) 334-7831
19 WESTERN NEPHROLOGY AND METABOLIC BONE DISEASE, P.C. ARVADA NEPHROLOGY 33 76 $45,730 $602 premium 1.0% 0.4% (303) 232-3366
20 CENTRAL MARYLAND NEPHROLOGY, LLC GREENBELT NEPHROLOGY 6 54 $38,718 $717 premium 0.7% 0.3% (301) 345-0605

*"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 →