NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
90966 Home dialysis services per month (20 years or older) CPT · Dialysis treatment
Classification Treatment › Dialysis › ESRD Related Services (not dialysis) (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 174,484 services ▼ 8.5% YoY · 37,256 beneficiaries (CY2024, Medicare FFS)
Medicare paid $38.6M · $220.94 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
595
Named-group FFS services
127,152
FFS of Medicare
49%
Services YoY
-8.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~257,308 services

127,152 observed fee-for-service (49%) · ~130,156 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

Top states — 90966 (CY2024)
CA 15,879 TX 14,339 FL 11,150 IL 10,919 NC 8,053

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$83.9M
Named-group allowed amount
$35.8M
Named-group Medicare payments
$28.0M
Avg charge / svc
$659
Avg allowed / svc
$281
Avg payment / svc
$220
Average charge per group
$281 595 groups · avg submitted charge / service $1,882
Disease-burden context

Chronic kidney disease prevalence: 0.8–5.0% of adults across 54 reporting states (CDC BRFSS 2023–2024, age-adjusted state estimates). Highest: GU 5.0% · KY 4.6% · WV 4.6% · LA 4.4% · SC 4.4%
CDC-published US estimate: 3.9% (BRFSS 2024, crude prevalence — not age-adjusted, so not directly comparable to the state figures above).

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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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 90966 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 METROLINA NEPHROLOGY ASSOCIATES PA CHARLOTTE NC NEPHROLOGY 87 1,892 $1,513,600 $800 23.5% (704) 731-6451
2 SOUTHWEST KIDNEY INSTITUTE PLC PHOENIX AZ NEPHROLOGY 97 1,865 $1,057,036 $567 45.5% (623) 247-9235
3 FLORIDA KIDNEY PHYSICIANS LLC TAMPA FL NEPHROLOGY 165 1,695 $970,773 $573 15.2% (813) 910-8708
4 NATIONAL KIDNEY PARTNERS LLP HUDSON FL NEPHROLOGY 61 1,558 $922,331 $592 14.0% (727) 863-5418
5 NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD ELK GROVE VILLAGE IL NEPHROLOGY 115 1,319 $832,132 $631 12.1% (847) 981-3680
6 DALLAS NEPHROLOGY ASSOCIATES DALLAS TX NEPHROLOGY 154 1,252 $976,560 $780 8.7% (214) 358-2300
7 NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA PC FORT WAYNE IN NEPHROLOGY 68 1,021 $546,460 $535 26.6% (260) 494-3484
8 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE NC NEPHROLOGY 77 967 $507,640 $525 12.0% (252) 752-8880
9 TIDEWATER KIDNEY SPECIALISTS INC NORFOLK VA NEPHROLOGY 21 964 $699,315 $725 16.5% (757) 623-0005
10 NEPHROLOGY ASSOCIATES, PC COLUMBIA TN NEPHROLOGY 40 927 $880,650 $950 20.9% (931) 388-3209
11 MID-ATLANTIC NEPHROLOGY ASSOCIATES PA OWINGS MILLS MD NEPHROLOGY 57 915 $707,798 $774 18.6% (410) 602-7792
12 NKDHC RUDNITSKY PLLC LAS VEGAS NV NEPHROLOGY 45 869 $623,157 $717 37.7% (702) 732-2438
13 CAROLINA NEPHROLOGY PA GREENVILLE SC NURSE PRACTITIONER 37 863 $370,227 $429 18.7% —
14 NORTH CAROLINA NEPHROLOGY PA RALEIGH NC NEPHROLOGY 58 862 $452,550 $525 10.7% (919) 231-3966
15 MOUNTAIN KIDNEY AND HYPERTENSION ASSOCIATES PA ASHEVILLE NC NURSE PRACTITIONER 18 859 $595,287 $693 10.7% (828) 258-8545
16 NEPHROLOGY ASSOCIATES PA NEWARK DE NEPHROLOGY 53 780 $514,800 $660 71.3% (302) 225-0451
17 THE NEPHROLOGY GROUP INC FRESNO CA NEPHROLOGY 51 773 $578,445 $748 4.9% (559) 228-9660
18 RENAL ASSOCIATES, P.A. SAN ANTONIO TX NEPHROLOGY 39 751 $404,131 $538 5.2% (210) 403-7978
19 RICHMOND NEPHROLOGY ASSOCIATES INC RICHMOND VA PHYSICIAN ASSISTANT 24 733 $611,221 $834 12.6% (804) 323-6903
20 NEPHROLOGY ASSOCIATES, PC BIRMINGHAM AL NEPHROLOGY 31 721 $346,080 $480 21.4% (205) 226-5900
21 SPRINGFIELD NEPHROLOGY ASSOCIATES INC SPRINGFIELD MO NURSE PRACTITIONER 13 717 $434,502 $606 15.2% (417) 886-5000
22 INDIANA NEPHROLOGY AND INTERNAL MEDICINE PC INDIANAPOLIS IN NEPHROLOGY 34 711 $319,950 $450 18.5% (317) 574-4747
23 WEST COAST KIDNEY WALNUT CREEK CA NEPHROLOGY 55 698 $471,890 $676 4.4% (925) 944-0351
24 CHARLESTON NEPHROLOGY ASSOCIATES, LLC NORTH CHARLESTON SC NEPHROLOGY 17 697 $476,051 $683 15.1% (843) 767-9260
25 NEPHROLOGY ASSOCIATES OF KENTUCKIANA PSC LOUISVILLE KY NEPHROLOGY 38 676 $304,200 $450 29.2% (502) 587-9660
26 AUSTIN KIDNEY ASSOCIATES PA AUSTIN TX NEPHROLOGY 32 661 $1,189,800 $1,800 4.6% (512) 320-1500
27 PENSACOLA NEPHROLOGY PA PENSACOLA FL NEPHROLOGY 37 656 $328,000 $500 5.9% (850) 444-4700
28 COLUMBIA NEPHROLOGY ASSOCIATES PA COLUMBIA SC NEPHROLOGY 33 647 $464,546 $718 14.0% 80325299071124
29 ASSOCIATES IN NEPHROLOGY SC CHICAGO IL NEPHROLOGY 52 647 $487,191 $753 5.9% (312) 654-2721
30 RNA OF ROCKFORD, PLLC ROCKFORD IL NEPHROLOGY 18 638 $360,946 $566 5.8% (815) 227-8300
31 CAPITAL NEPHROLOGY MEDICAL GROUP SACRAMENTO CA NEPHROLOGY 22 634 $316,366 $499 4.0% (916) 564-6232
32 BALBOA NEPHROLOGY MEDICAL GROUP INC SAN DIEGO CA NEPHROLOGY 80 578 $350,846 $607 3.6% (619) 582-4490
33 RENAL SPECIALISTS OF HOUSTON, PA HOUSTON TX NEPHROLOGY 24 569 $337,144 $593 4.0% —
34 NEPHROLOGY AND ENDOCRINE ASSOCIATES INC LAS VEGAS NV NEPHROLOGY 63 562 $514,620 $916 24.4% (702) 877-1887
35 GOLDEN PACIFIC NEPHROLOGY MEDICAL CLINIC INC MONTEREY PARK CA NEPHROLOGY 4 560 $420,000 $750 3.5% (626) 280-0676
36 KIDNEY DISEASE MEDICAL GROUP INC GLENDALE CA NEPHROLOGY 8 558 $316,457 $567 3.5% (818) 500-4055
37 ST CLAIR SPECIALTY PHYSICIANS PC ROSEVILLE MI NEPHROLOGY 35 557 $264,575 $475 9.5% (586) 871-3686
38 AKDHC LLC PHOENIX AZ NEPHROLOGY 129 547 $312,993 $572 13.4% (602) 200-8288
39 WASHINGTON NEPHROLOGY ASSOCIATES LLP ALEXANDRIA MD NEPHROLOGY 30 536 $401,641 $749 10.9% (703) 461-3556
40 RENALCARE ASSOCIATES, S.C. PEORIA IL NEPHROLOGY 48 531 $315,600 $594 4.9% (309) 676-8123
41 PARAGON HEALTH PC KALAMAZOO MI NEPHROLOGY 51 529 $390,095 $737 9.0% (269) 382-3012
42 J. HAMILTON LICHT, M.D., P.C. YAKIMA WA NEPHROLOGY 3 528 $213,840 $405 16.2% 5092486292102
43 DALLAS RENAL GROUP, P.A. DALLAS TX NEPHROLOGY 50 523 $376,126 $719 3.6% (888) 616-6322
44 CLINICAL RENAL ASSOCIATES LLC CHESTER PA NEPHROLOGY 33 508 $305,073 $601 9.0% (610) 872-8501
45 NEPHROLOGY ASSOCIATES OF LANCASTER, LTD LANCASTER PA NEPHROLOGY 20 503 $290,231 $577 8.9% (717) 544-3232
46 NEPHROLOGY ASSOCIATES MEDICAL GROUP INC RIVERSIDE CA NEPHROLOGY 63 494 $365,560 $740 3.1% (951) 687-2800
47 NE NEPHROLOGY HOME CARE ASSOCIATES DORCHESTER MA NEPHROLOGY 9 481 $421,708 $877 25.5% (617) 739-2100
48 NEPHROLOGY ASSOCIATES OF MICHIGAN PC YPSILANTI MI NURSE PRACTITIONER 21 480 $341,800 $712 8.2% (734) 715-1706
49 CAROLINA KIDNEY CARE PA FAYETTEVILLE NC NURSE PRACTITIONER 24 466 $237,660 $510 5.8% (910) 484-8114
50 ASSOCIATES IN NEPHROLOGY BUTCHER AND DEVACAANTHAN MD PA FORT MYERS FL NEPHROLOGY 22 460 $328,362 $714 4.1% (239) 939-0999
51 NEPHROLOGY CLINIC PC FORT COLLINS CO NEPHROLOGY 17 452 $194,080 $429 23.0% (970) 493-7733
52 SOUTH MISSISSIPPI NEPHROLOGY, PLLC GULFPORT MS NEPHROLOGY 9 436 $305,200 $700 13.0% (228) 863-5705
53 NEPHROLOGY ASSOCIATES, PC COLUMBUS MS NEPHROLOGY 5 432 $181,008 $419 12.9% (662) 329-3838
54 NEPHROLOGY ASSOCIATES OF MOBILE, P.A. MOBILE AL NEPHROLOGY 40 425 $280,925 $661 12.6% (251) 343-5004
55 THE KIDNEY CLINIC LLC LAKE CHARLES LA NEPHROLOGY 4 422 $265,860 $630 16.7% (337) 494-7090
56 ADVANCED KIDNEY INSTITUTE, L.L.C. MARION IL NEPHROLOGY 2 421 $286,280 $680 3.9% (618) 997-8412
57 RENAL CONSULTANTS LITTLE ROCK AR NEPHROLOGY 5 411 $115,619 $281 14.0% (501) 224-2141
58 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID PHYSICIAN ASSISTANT 1159 410 $234,862 $573 27.3% (208) 381-4210
59 SNOKIDNEY PLLC EVERETT WA NEPHROLOGY 11 409 $236,703 $579 12.6% (425) 339-5413
60 NORTHWEST RENAL CLINIC INC PORTLAND OR NEPHROLOGY 41 407 $302,956 $744 26.2% (503) 292-7704
61 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 407 $362,230 $890 12.1% (205) 934-3460
62 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 401 $366,915 $915 2.8% (214) 633-5555
63 WICHITA NEPHROLOGY GROUP PA WICHITA KS NEPHROLOGY 12 400 $335,344 $838 17.1% (316) 268-5000
64 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 394 $179,861 $456 16.8% (785) 354-9591
65 RENAL MEDICINE ASSOCIATES LTD. ALBUQUERQUE NM NURSE PRACTITIONER 36 394 $325,173 $825 16.3% (505) 994-7400
66 YUMA NEPHROLOGY PC YUMA AZ NEPHROLOGY 9 393 $303,081 $771 9.6% (928) 329-8331
67 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 389 $183,219 $471 6.7% —
68 MID-SOUTH NEPHROLOGY CONSULTANTS PLLC MEMPHIS TN NEPHROLOGY 13 389 $297,290 $764 8.8% (901) 547-6401
69 NEPHROLOGY AND HYPERTENSION ASSOCIATES LTD TUPELO MS NEPHROLOGY 19 384 $331,776 $864 11.5% (662) 844-4711
70 CENTRAL TEXAS NEPHROLOGY ASSOCIATES, P.A. HILLSBORO TX NEPHROLOGY 14 381 $173,600 $456 2.7% (254) 582-5442
71 NEPHROLOGY ASSOCIATES PA NORTH LITTLE ROCK AR NEPHROLOGY 12 375 $131,950 $352 12.8% (501) 955-0320
72 KIDNEY DISEASE AND MEDICINE SPECIALTY CONSULTANTS LLC CARBONDALE IL NEPHROLOGY 5 374 $299,200 $800 3.4% (618) 529-2955
73 NEPHROLOGY ASSOCIATES OF UTAH LLC S SALT LAKE UT NEPHROLOGY 28 373 $267,436 $717 24.9% (801) 288-2634
74 DENVER NEPHROLOGISTS PC DENVER CO NEPHROLOGY 43 369 $266,787 $723 18.8% (303) 991-0993
75 NEPHROLOGY ASSOCIATES OF TIDEWATER LTD NORFOLK VA NEPHROLOGY 25 368 $211,600 $575 6.3% (757) 466-9288
76 MICHIGAN KIDNEY CONSULTANTS PC TROY MI NEPHROLOGY 45 365 $415,750 $1,139 6.2% (248) 267-5010
77 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 361 $321,290 $890 11.1% —
78 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 356 $439,050 $1,233 3.3% (217) 544-6464
79 RICHARD F WALKER JR MD NEPHROLOGY ASSOCIATES PA PANAMA CITY FL NURSE PRACTITIONER 9 351 $252,053 $718 3.1% (850) 769-2158
80 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 349 $360,517 $1,033 15.9% (608) 287-2050
81 NEPHROLOGY AND INTERNAL MEDICINE PC FLINT MI NEPHROLOGY 9 348 $243,600 $700 5.9% (810) 238-4172
82 KERN NEPHROLOGY MEDICAL GROUP BAKERSFIELD CA NEPHROLOGY 6 346 $207,600 $600 2.2% (661) 324-4721
83 KIDNEY DISEASE AND HYPERTENSION CONSULTANTS PC FLINT MI NEPHROLOGY 8 346 $190,300 $550 5.9% (810) 230-9901
84 NEW YORK NEPHROLOGY AND DIALYSIS ACCESS SURGERY, P.C. ALBANY NY NEPHROLOGY 18 345 $172,500 $500 7.2% (518) 434-2244
85 W SCOTT MOORE ET AL PTR WINSTON SALEM NC NEPHROLOGY 12 343 $142,467 $415 4.3% (336) 768-2425
86 TYLER NEPHROLOGY ASSOCIATES PA TYLER TX NEPHROLOGY 24 342 $162,450 $475 2.4% (903) 595-5486
87 IDAHO KIDNEY INSTITUTE LLP CHUBBUCK ID NEPHROLOGY 14 340 $194,140 $571 22.7% (208) 904-4780
88 RIVERSIDE NEPHROLOGY ASSOCIATES INC COLUMBUS OH NEPHROLOGY 21 340 $127,500 $375 6.9% (614) 538-2250
89 THE ROGOSIN INSTITUTE, INC. NEW YORK NY NEPHROLOGY 25 340 $563,788 $1,658 7.1% (212) 746-1578
90 NEPHROLOGY PHYSICIANS, LLC MISHAWAKA IN NEPHROLOGY 12 337 $182,991 $543 8.8% (574) 273-6767
91 EAST BAY NEPHROLOGY MEDICAL GROUP INC BERKELEY CA NEPHROLOGY 31 337 $228,016 $677 2.1% (510) 841-0411
92 NEPHROLOGY ASSOCIATES, INC. TULSA OK NEPHROLOGY 20 332 $213,580 $643 8.2% (918) 747-5200
93 M REZA MIZANI MD PA SAN ANTONIO TX NEPHROLOGY 29 326 $284,272 $872 2.3% (210) 265-8155
94 HAWAII KIDNEY SPECIALISTS LLP HONOLULU HI NEPHROLOGY 27 324 $242,783 $749 29.1% (808) 523-0445
95 ARKANSAS RENAL GROUP PA HOT SPRINGS AR NEPHROLOGY 16 322 $241,500 $750 11.0% (501) 624-6000
96 ST CLAIR SPECIALTY PHYSICIANS PC ROSEVILLE ID NEPHROLOGY 35 322 $185,150 $575 21.5% (586) 871-3686
97 SOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC GARDEN GROVE CA NEPHROLOGY 21 321 $125,511 $391 2.0% (714) 636-2890
98 UNIVERSITY OF MARYLAND PHYSICIANS PA BALTIMORE MD NURSE PRACTITIONER 396 320 $163,200 $510 6.5% (410) 328-7877
99 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 317 $534,145 $1,685 6.7% (314) 747-3000
100 BRALOW MEDICAL GROUP PHILADELPHIA PA FAMILY PRACTICE 2 317 $126,800 $400 5.6% (215) 832-0130

Showing the top 100 of 595 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. 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 →