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Market snapshot

90999 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

90999 — Other inpatient or outpatient dialysis procedure

Billing groups
1
Named-group FFS services
1,338
FFS of Medicare
49%
Services YoY
-4.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,841 services

1,338 observed fee-for-service (47%) · ~1,503 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 — 90999 (CY2024)

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

Named-group submitted charges
$1.0M
Named-group allowed amount
$145K
Named-group Medicare payments
$116K
Avg charge / svc
$750
Avg allowed / svc
$109
Avg payment / svc
$86
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 90999 services, CY2024
#Physician group City St Specialty Providers 90999 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 1,338 $1,003,500 $750 premium 83.4% (215) 662-2777

*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 →