NEVVI Medicare utilization intelligence
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Market snapshot

90960 in TN 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
27
Named-group FFS services
17,673
FFS of Medicare
47%
Services YoY
-17.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~37,112 services

17,673 observed fee-for-service (48%) · ~19,439 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
$17.2M
Named-group allowed amount
$5.7M
Named-group Medicare payments
$4.5M
Avg charge / svc
$974
Avg allowed / svc
$325
Avg payment / svc
$256
Average charge per group
$323 27 groups · avg submitted charge / service $1,959
Disease-burden context

Chronic kidney disease prevalence in TN: 4.3% of adults (CDC BRFSS 2023, age-adjusted; 95% CI 3.6–5.0).

4.3% lowest state  ·  TN 4.3%  ·  5.0% highest state age-adjusted adult prevalence · CDC BRFSS 2023 · TN position among all 2 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: 13,886 services across 16 groups; top group 33%. 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 NEPHROLOGY ASSOCIATES, PC COLUMBIA NEPHROLOGY 40 4,556 $4,328,200 $950 premium 32.8% 21.9% (931) 388-3209
2 YIUM, SHENOUDA AND MILLER PTRSHP CHATTANOOGA NEPHROLOGY 49 2,655 $5,201,413 $1,959 premium 19.1% 12.7% (423) 698-0927
3 KNOXVILLE KIDNEY CENTER, PLLC KNOXVILLE NEPHROLOGY 12 1,229 $535,140 $435 premium 8.9% 5.9% (865) 692-3462
4 MID-SOUTH NEPHROLOGY CONSULTANTS PLLC MEMPHIS NEPHROLOGY 13 839 $769,497 $917 premium 6.0% 4.0% (901) 547-6401
5 NEPHROLOGY ASSOCIATES OF KNOXVILLE PC KNOXVILLE NEPHROLOGY 7 611 $419,757 $687 premium 4.4% 2.9% (865) 546-9246
6 MITTAL KIDNEY AND DIALYSIS, PC SOUTHAVEN NEPHROLOGY 6 604 $410,720 $680 premium 4.3% 2.9% (901) 767-0101
7 EAST TENNESSEE MEDICAL ASSOCIATES, P.C. JOHNSON CITY NEPHROLOGY 7 527 $477,646 $906 premium 3.8% 2.5% 4239297158305
8 UT MEDICAL GROUP INC MEMPHIS NEPHROLOGY 95 526 $441,314 $839 premium 3.8% 2.5% (901) 866-8810
9 EAST TENNESSEE NEPHROLOGY PC KNOXVILLE NEPHROLOGY 6 503 $238,925 $475 premium 3.6% 2.4% (865) 524-3131
10 KIDNEY SPECIALISTS, P.C. MEMPHIS NEPHROLOGY 2 435 $413,250 $950 premium 3.1% 2.1% (901) 726-1199
11 CUMBERLAND KIDNEY SPECIALIST COOKEVILLE NEPHROLOGY 2 369 $302,156 $819 premium 2.7% 1.8% (931) 646-0880
12 SOUTHERN KIDNEY SPECIALISTS PLC NASHVILLE NEPHROLOGY 8 317 $361,956 $1,142 premium 2.3% 1.5% (615) 628-8064
13 REGIONAL KIDNEY CARE PC KINGSPORT NEPHROLOGY 8 239 $126,380 $529 premium 1.7% 1.1% 4232456000211
14 HYPERTENSION AND NEPHROLOGY OPELIKA NEPHROLOGY 10 233 $151,450 $650 premium 1.7% 1.1% (334) 749-6523
15 ST CLAIR SPECIALTY PHYSICIANS PC ROSEVILLE NEPHROLOGY 35 160 $108,000 $675 premium 1.2% 0.8% (586) 871-3686
16 KIDNEY CARE CLINIC PLLC COOKEVILLE NEPHROLOGY 7 83 $26,825 $323 premium 0.6% 0.4% (931) 650-0075

*"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 →