NEVVI Medicare utilization intelligence
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Market snapshot

90966 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

90966 — Home dialysis services per month (20 years or older)

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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Specialty market — Nephrology: 88,593 services across 347 groups; top group 2%. See Nephrology across all states →

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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 of specialty*Share of state* Phone
1 METROLINA NEPHROLOGY ASSOCIATES PA CHARLOTTE NC NEPHROLOGY 87 1,892 $1,513,600 $800 38.6% 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 24.3% 15.2% (813) 910-8708
4 NATIONAL KIDNEY PARTNERS LLP HUDSON FL NEPHROLOGY 61 1,558 $922,331 $592 22.3% 14.0% (727) 863-5418
5 NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD ELK GROVE VILLAGE IL NEPHROLOGY 115 1,319 $832,132 $631 25.1% 12.1% (847) 981-3680
6 DALLAS NEPHROLOGY ASSOCIATES DALLAS TX NEPHROLOGY 154 1,252 $976,560 $780 14.5% 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 19.7% 12.0% (252) 752-8880
9 TIDEWATER KIDNEY SPECIALISTS INC NORFOLK VA NEPHROLOGY 21 964 $699,315 $725 28.6% 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 33.1% 18.6% (410) 602-7792
12 NKDHC RUDNITSKY PLLC LAS VEGAS NV NEPHROLOGY 45 869 $623,157 $717 — 37.7% (702) 732-2438
13 NORTH CAROLINA NEPHROLOGY PA RALEIGH NC NEPHROLOGY 58 862 $452,550 $525 17.6% 10.7% (919) 231-3966
14 NEPHROLOGY ASSOCIATES PA NEWARK DE NEPHROLOGY 53 780 $514,800 $660 — 71.3% (302) 225-0451
15 THE NEPHROLOGY GROUP INC FRESNO CA NEPHROLOGY 51 773 $578,445 $748 10.0% 4.9% (559) 228-9660
16 RENAL ASSOCIATES, P.A. SAN ANTONIO TX NEPHROLOGY 39 751 $404,131 $538 8.7% 5.2% (210) 403-7978
17 NEPHROLOGY ASSOCIATES, PC BIRMINGHAM AL NEPHROLOGY 31 721 $346,080 $480 — 21.4% (205) 226-5900
18 INDIANA NEPHROLOGY AND INTERNAL MEDICINE PC INDIANAPOLIS IN NEPHROLOGY 34 711 $319,950 $450 — 18.5% (317) 574-4747
19 WEST COAST KIDNEY WALNUT CREEK CA NEPHROLOGY 55 698 $471,890 $676 9.0% 4.4% (925) 944-0351
20 CHARLESTON NEPHROLOGY ASSOCIATES, LLC NORTH CHARLESTON SC NEPHROLOGY 17 697 $476,051 $683 24.3% 15.1% (843) 767-9260
21 NEPHROLOGY ASSOCIATES OF KENTUCKIANA PSC LOUISVILLE KY NEPHROLOGY 38 676 $304,200 $450 — 29.2% (502) 587-9660
22 AUSTIN KIDNEY ASSOCIATES PA AUSTIN TX NEPHROLOGY 32 661 $1,189,800 $1,800 7.7% 4.6% (512) 320-1500
23 PENSACOLA NEPHROLOGY PA PENSACOLA FL NEPHROLOGY 37 656 $328,000 $500 9.4% 5.9% (850) 444-4700
24 COLUMBIA NEPHROLOGY ASSOCIATES PA COLUMBIA SC NEPHROLOGY 33 647 $464,546 $718 22.6% 14.0% 80325299071124
25 ASSOCIATES IN NEPHROLOGY SC CHICAGO IL NEPHROLOGY 52 647 $487,191 $753 12.3% 5.9% (312) 654-2721
26 RNA OF ROCKFORD, PLLC ROCKFORD IL NEPHROLOGY 18 638 $360,946 $566 12.1% 5.8% (815) 227-8300
27 CAPITAL NEPHROLOGY MEDICAL GROUP SACRAMENTO CA NEPHROLOGY 22 634 $316,366 $499 8.2% 4.0% (916) 564-6232
28 BALBOA NEPHROLOGY MEDICAL GROUP INC SAN DIEGO CA NEPHROLOGY 80 578 $350,846 $607 7.5% 3.6% (619) 582-4490
29 RENAL SPECIALISTS OF HOUSTON, PA HOUSTON TX NEPHROLOGY 24 569 $337,144 $593 6.6% 4.0% —
30 NEPHROLOGY AND ENDOCRINE ASSOCIATES INC LAS VEGAS NV NEPHROLOGY 63 562 $514,620 $916 — 24.4% (702) 877-1887
31 GOLDEN PACIFIC NEPHROLOGY MEDICAL CLINIC INC MONTEREY PARK CA NEPHROLOGY 4 560 $420,000 $750 7.2% 3.5% (626) 280-0676
32 KIDNEY DISEASE MEDICAL GROUP INC GLENDALE CA NEPHROLOGY 8 558 $316,457 $567 7.2% 3.5% (818) 500-4055
33 ST CLAIR SPECIALTY PHYSICIANS PC ROSEVILLE MI NEPHROLOGY 35 557 $264,575 $475 16.8% 9.5% (586) 871-3686
34 AKDHC LLC PHOENIX AZ NEPHROLOGY 129 547 $312,993 $572 — 13.4% (602) 200-8288
35 WASHINGTON NEPHROLOGY ASSOCIATES LLP ALEXANDRIA MD NEPHROLOGY 30 536 $401,641 $749 19.4% 10.9% (703) 461-3556
36 RENALCARE ASSOCIATES, S.C. PEORIA IL NEPHROLOGY 48 531 $315,600 $594 10.1% 4.9% (309) 676-8123
37 PARAGON HEALTH PC KALAMAZOO MI NEPHROLOGY 51 529 $390,095 $737 15.9% 9.0% (269) 382-3012
38 J. HAMILTON LICHT, M.D., P.C. YAKIMA WA NEPHROLOGY 3 528 $213,840 $405 — 16.2% 5092486292102
39 DALLAS RENAL GROUP, P.A. DALLAS TX NEPHROLOGY 50 523 $376,126 $719 6.1% 3.6% (888) 616-6322
40 CLINICAL RENAL ASSOCIATES LLC CHESTER PA NEPHROLOGY 33 508 $305,073 $601 19.9% 9.0% (610) 872-8501
41 NEPHROLOGY ASSOCIATES OF LANCASTER, LTD LANCASTER PA NEPHROLOGY 20 503 $290,231 $577 19.7% 8.9% (717) 544-3232
42 NEPHROLOGY ASSOCIATES MEDICAL GROUP INC RIVERSIDE CA NEPHROLOGY 63 494 $365,560 $740 6.4% 3.1% (951) 687-2800
43 NE NEPHROLOGY HOME CARE ASSOCIATES DORCHESTER MA NEPHROLOGY 9 481 $421,708 $877 — 25.5% (617) 739-2100
44 ASSOCIATES IN NEPHROLOGY BUTCHER AND DEVACAANTHAN MD PA FORT MYERS FL NEPHROLOGY 22 460 $328,362 $714 6.6% 4.1% (239) 939-0999
45 NEPHROLOGY CLINIC PC FORT COLLINS CO NEPHROLOGY 17 452 $194,080 $429 — 23.0% (970) 493-7733
46 SOUTH MISSISSIPPI NEPHROLOGY, PLLC GULFPORT MS NEPHROLOGY 9 436 $305,200 $700 — 13.0% (228) 863-5705
47 NEPHROLOGY ASSOCIATES, PC COLUMBUS MS NEPHROLOGY 5 432 $181,008 $419 — 12.9% (662) 329-3838
48 NEPHROLOGY ASSOCIATES OF MOBILE, P.A. MOBILE AL NEPHROLOGY 40 425 $280,925 $661 — 12.6% (251) 343-5004
49 THE KIDNEY CLINIC LLC LAKE CHARLES LA NEPHROLOGY 4 422 $265,860 $630 — 16.7% (337) 494-7090
50 ADVANCED KIDNEY INSTITUTE, L.L.C. MARION IL NEPHROLOGY 2 421 $286,280 $680 8.0% 3.9% (618) 997-8412
51 RENAL CONSULTANTS LITTLE ROCK AR NEPHROLOGY 5 411 $115,619 $281 — 14.0% (501) 224-2141
52 SNOKIDNEY PLLC EVERETT WA NEPHROLOGY 11 409 $236,703 $579 — 12.6% (425) 339-5413
53 NORTHWEST RENAL CLINIC INC PORTLAND OR NEPHROLOGY 41 407 $302,956 $744 — 26.2% (503) 292-7704
54 WICHITA NEPHROLOGY GROUP PA WICHITA KS NEPHROLOGY 12 400 $335,344 $838 — 17.1% (316) 268-5000
55 YUMA NEPHROLOGY PC YUMA AZ NEPHROLOGY 9 393 $303,081 $771 — 9.6% (928) 329-8331
56 MID-SOUTH NEPHROLOGY CONSULTANTS PLLC MEMPHIS TN NEPHROLOGY 13 389 $297,290 $764 — 8.8% (901) 547-6401
57 NEPHROLOGY AND HYPERTENSION ASSOCIATES LTD TUPELO MS NEPHROLOGY 19 384 $331,776 $864 — 11.5% (662) 844-4711
58 CENTRAL TEXAS NEPHROLOGY ASSOCIATES, P.A. HILLSBORO TX NEPHROLOGY 14 381 $173,600 $456 4.4% 2.7% (254) 582-5442
59 NEPHROLOGY ASSOCIATES PA NORTH LITTLE ROCK AR NEPHROLOGY 12 375 $131,950 $352 — 12.8% (501) 955-0320
60 KIDNEY DISEASE AND MEDICINE SPECIALTY CONSULTANTS LLC CARBONDALE IL NEPHROLOGY 5 374 $299,200 $800 7.1% 3.4% (618) 529-2955
61 NEPHROLOGY ASSOCIATES OF UTAH LLC S SALT LAKE UT NEPHROLOGY 28 373 $267,436 $717 — 24.9% (801) 288-2634
62 DENVER NEPHROLOGISTS PC DENVER CO NEPHROLOGY 43 369 $266,787 $723 — 18.8% (303) 991-0993
63 NEPHROLOGY ASSOCIATES OF TIDEWATER LTD NORFOLK VA NEPHROLOGY 25 368 $211,600 $575 10.9% 6.3% (757) 466-9288
64 MICHIGAN KIDNEY CONSULTANTS PC TROY MI NEPHROLOGY 45 365 $415,750 $1,139 11.0% 6.2% (248) 267-5010
65 NEPHROLOGY AND INTERNAL MEDICINE PC FLINT MI NEPHROLOGY 9 348 $243,600 $700 10.5% 5.9% (810) 238-4172
66 KERN NEPHROLOGY MEDICAL GROUP BAKERSFIELD CA NEPHROLOGY 6 346 $207,600 $600 4.5% 2.2% (661) 324-4721
67 KIDNEY DISEASE AND HYPERTENSION CONSULTANTS PC FLINT MI NEPHROLOGY 8 346 $190,300 $550 10.4% 5.9% (810) 230-9901
68 NEW YORK NEPHROLOGY AND DIALYSIS ACCESS SURGERY, P.C. ALBANY NY NEPHROLOGY 18 345 $172,500 $500 16.6% 7.2% (518) 434-2244
69 W SCOTT MOORE ET AL PTR WINSTON SALEM NC NEPHROLOGY 12 343 $142,467 $415 7.0% 4.3% (336) 768-2425
70 TYLER NEPHROLOGY ASSOCIATES PA TYLER TX NEPHROLOGY 24 342 $162,450 $475 4.0% 2.4% (903) 595-5486
71 IDAHO KIDNEY INSTITUTE LLP CHUBBUCK ID NEPHROLOGY 14 340 $194,140 $571 — 22.7% (208) 904-4780
72 RIVERSIDE NEPHROLOGY ASSOCIATES INC COLUMBUS OH NEPHROLOGY 21 340 $127,500 $375 18.6% 6.9% (614) 538-2250
73 THE ROGOSIN INSTITUTE, INC. NEW YORK NY NEPHROLOGY 25 340 $563,788 $1,658 16.3% 7.1% (212) 746-1578
74 NEPHROLOGY PHYSICIANS, LLC MISHAWAKA IN NEPHROLOGY 12 337 $182,991 $543 — 8.8% (574) 273-6767
75 EAST BAY NEPHROLOGY MEDICAL GROUP INC BERKELEY CA NEPHROLOGY 31 337 $228,016 $677 4.3% 2.1% (510) 841-0411
76 NEPHROLOGY ASSOCIATES, INC. TULSA OK NEPHROLOGY 20 332 $213,580 $643 — 8.2% (918) 747-5200
77 M REZA MIZANI MD PA SAN ANTONIO TX NEPHROLOGY 29 326 $284,272 $872 3.8% 2.3% (210) 265-8155
78 HAWAII KIDNEY SPECIALISTS LLP HONOLULU HI NEPHROLOGY 27 324 $242,783 $749 — 29.1% (808) 523-0445
79 ARKANSAS RENAL GROUP PA HOT SPRINGS AR NEPHROLOGY 16 322 $241,500 $750 — 11.0% (501) 624-6000
80 ST CLAIR SPECIALTY PHYSICIANS PC ROSEVILLE ID NEPHROLOGY 35 322 $185,150 $575 — 21.5% (586) 871-3686
81 SOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC GARDEN GROVE CA NEPHROLOGY 21 321 $125,511 $391 4.1% 2.0% (714) 636-2890
82 SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. SAN ANTONIO TX NEPHROLOGY 35 312 $262,979 $843 3.6% 2.2% (210) 549-3524
83 JAMES D BAKER III MD PA JACKSONVILLE FL NEPHROLOGY 19 306 $148,104 $484 4.4% 2.7% (904) 389-5333
84 ST GEORGE KIDNEY CARE LLC ST GEORGE UT NEPHROLOGY 8 306 $219,501 $717 — 20.5% (435) 652-1135
85 NAPLES NEPHROLOGY P A NAPLES FL NEPHROLOGY 5 304 $136,800 $450 4.4% 2.7% —
86 E T NEPHROLOGY ASSOCIATES PA LUFKIN TX NEPHROLOGY 4 302 $352,132 $1,166 3.5% 2.1% (936) 634-2227
87 SOUTHWEST ATLANTA NEPHROLOGY, PC ATLANTA GA NEPHROLOGY 9 301 $179,697 $597 10.7% 5.2% (404) 696-7300
88 NORTH TEXAS KIDNEY DISEASE ASSOCIATES LEWISVILLE TX NEPHROLOGY 25 299 $173,462 $580 3.5% 2.1% (972) 219-0558
89 FREDERICKSBURG NEPHROLOGY ASSOCIATES INC FREDERICKSBURG VA NEPHROLOGY 11 298 $133,838 $449 8.8% 5.1% (540) 371-3010
90 COASTAL KIDNEY CENTER PA MYTLE BEACH SC NEPHROLOGY 7 298 $134,100 $450 10.4% 6.4% (843) 497-7275
91 AMERICAN MEDICAL DIAGNOSTICS, PLLC BROOKLYN NY NEPHROLOGY 2 297 $136,400 $459 14.3% 6.2% (718) 377-2834
92 CSRA RENAL SERVICES, LLC AIKEN SC NEPHROLOGY 4 297 $93,463 $315 10.4% 6.4% (803) 648-0718
93 NORTHEAST LOUISIANA KIDNEY SPECIALISTS,LLC MONROE LA NEPHROLOGY 8 293 $170,526 $582 — 11.6% (318) 323-8847
94 OKLAHOMA KIDNEY CARE PC OKLAHOMA CITY OK NEPHROLOGY 4 289 $202,300 $700 — 7.1% (405) 748-5800
95 ATLANTA KIDNEY SPECIALISTS LLC STOCKBRIDGE GA NEPHROLOGY 2 287 $167,270 $583 10.2% 4.9% (470) 419-4000
96 PPG HEALTH PA FORT WORTH TX NEPHROLOGY 29 286 $143,000 $500 3.3% 2.0% (817) 725-7900
97 SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC INC REDDING CA NEPHROLOGY 4 281 $182,650 $650 3.6% 1.8% (530) 232-3000
98 OSTEOPATHIC PHYSICIANS OF TULSA, INC. TULSA OK NEPHROLOGY 8 274 $164,400 $600 — 6.7% 9185823154383
99 NORTHWEST LOUISIANA NEPHROLOGY, LLC SHREVEPORT LA NEPHROLOGY 22 267 $81,435 $305 — 10.6% (318) 227-8899
100 PIKES PEAK NEPHROLOGY ASSOCIATES PC COLORADO SPRINGS CO NEPHROLOGY 12 267 $241,635 $905 — 13.6% (719) 632-7641

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 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 →