NEVVI Medicare utilization intelligence
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Market snapshot

90960 in WI 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
20
Named-group FFS services
7,593
FFS of Medicare
42%
Services YoY
-11.0%
FFS enrollment -2.9%
Estimated all-Medicare volume FFS + estimated MA estimate
~17,622 services

7,593 observed fee-for-service (43%) · ~10,029 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
$2.5M
Named-group Medicare payments
$2.0M
Avg charge / svc
$1,406
Avg allowed / svc
$328
Avg payment / svc
$259
Average charge per group
$583 20 groups · avg submitted charge / service $4,761
Disease-burden context

Chronic kidney disease prevalence in WI: 3.4% of adults (CDC BRFSS 2024, age-adjusted; 95% CI 3.0–3.8).

0.8% lowest state  ·  WI 3.4%  ·  4.6% highest state age-adjusted adult prevalence · CDC BRFSS 2024 · WI 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: 2,330 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 MILWAUKEE NEPHROLOGISTS SC MILWAUKEE NEPHROLOGY 19 904 $729,528 $807 premium 5.7% (414) 259-8917
2 NEPHROLOGY ASSOCIATES SC WAUKESHA NEPHROLOGY 9 692 $1,027,620 $1,485 premium 4.3% 2625241024300
3 MIDWEST NEPHROLOGY ASSOCIATES SC MILWAUKEE NEPHROLOGY 30 534 $654,150 $1,225 premium 3.4% (414) 393-9810
4 KIDNEY CARE CLINIC PLLC COOKEVILLE NEPHROLOGY 7 146 $101,178 $693 premium 0.9% (931) 650-0075
5 FOX VALLEY NEPHROLOGY PARTNERS S C NEENAH NEPHROLOGY 12 38 $41,154 $1,083 premium 0.2% (920) 886-0818
6 RNA OF ROCKFORD, PLLC ROCKFORD NEPHROLOGY 18 16 $10,800 $675 premium 0.1% (815) 227-8300

*"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 →