NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
93990 Ultrasound of hemodialysis access CPT · Dialysis treatment
Classification Treatment › Dialysis › Hemodialysis (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 70,456 services ▼ 4.2% YoY · 45,429 beneficiaries (CY2024, Medicare FFS)
Medicare paid $5.5M · $78.70 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
437
Named-group FFS services
46,247
FFS of Medicare
49%
Services YoY
-4.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~95,126 services

46,247 observed fee-for-service (49%) · ~48,879 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 — 93990 (CY2024)
CA 12,588 NY 6,772 FL 4,974 TX 4,724 GA 4,510

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

Named-group submitted charges
$18.3M
Named-group allowed amount
$4.7M
Named-group Medicare payments
$3.6M
Avg charge / svc
$397
Avg allowed / svc
$101
Avg payment / svc
$77
Average charge per group
$25 437 groups · avg submitted charge / service $14,187
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 93990 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 AKDHC LLC PHOENIX AZ NEPHROLOGY 129 1,180 $304,565 $258 60.9% (602) 200-8288
2 VALLEY DIALYSIS ACCESS SURGERY ASSOCIATES, INC. FRESNO CA NURSE PRACTITIONER 2 935 $400,854 $429 7.4% (559) 840-1890
3 SOUTHERN CONNECTICUT VASCULAR CENTER LLC STRATFORD CT VASCULAR SURGERY 36 907 $605,015 $667 52.2% (203) 210-6340
4 VASCULAR ASSOCIATES OF SARASOTA SARASOTA FL VASCULAR SURGERY 13 640 $175,982 $275 12.9% (941) 371-6565
5 VASCULAR SURGICAL ASSOCIATES, PC MARIETTA GA PHYSICIAN ASSISTANT 25 619 $331,165 $535 13.7% (770) 423-0595
6 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 606 $164,388 $271 60.7% (864) 587-3000
7 GENERAL VASCULAR SURGERY MEDICAL GROUP INC SAN LEANDRO CA VASCULAR SURGERY 5 605 $270,502 $447 4.8% (510) 347-4700
8 HORIZON SURGICAL GROUP PA FREDERICK MD VASCULAR SURGERY 8 582 $174,385 $300 29.7% (240) 529-1414
9 SURGICAL ASSOCIATES OF LEXINGTON PLLC LEXINGTON KY GENERAL SURGERY 2 576 $170,496 $296 41.5% (859) 523-0026
10 VASCULAR CARE SPECIALISTS OF LOS ANGELES MONTEREY PARK CA VASCULAR SURGERY 2 567 $205,254 $362 4.5% (626) 269-9993
11 SOUTH BAY VASCULAR SURGERY INC TORRANCE CA VASCULAR SURGERY 4 534 $294,234 $551 4.2% (310) 373-6864
12 NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC NEW HYDE PARK NY VASCULAR SURGERY 46 532 $465,707 $875 7.9% (516) 328-9800
13 SOUTHERN CALIFORNIA MULTI-SPECIALTY CENTER INC SHERMAN OAKS CA VASCULAR SURGERY 16 519 $411,048 $792 4.1% (818) 900-6480
14 PACIFIC CARDIOVASCULAR AND VEIN INSTITUTE INC OXNARD CA PHYSICIAN ASSISTANT 5 513 $256,502 $500 4.1% (805) 643-3330
15 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 510 $404,462 $793 4.1% —
16 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 492 $219,490 $446 38.5% (732) 362-3663
17 VASCULAR SURGERY ASSOC PC FLINT MI PHYSICIAN ASSISTANT 16 483 $158,925 $329 18.3% (810) 732-1620
18 LAKELAND RADIOLOGISTS P A FLOWOOD MS DIAGNOSTIC RADIOLOGY 29 481 $20,202 $42 58.2% (601) 936-2390
19 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 422 $128,042 $303 40.0% —
20 NORTH ATLANTA VASCULAR CLINIC PC SUWANEE GA VASCULAR SURGERY 4 417 $166,800 $400 9.2% (770) 771-5260
21 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 411 $212,670 $517 6.1% (212) 241-4812
22 SURGERY ASSOCIATES OF NTX PLLC PLANO TX GENERAL SURGERY 48 406 $132,293 $326 8.6% (972) 596-6800
23 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 401 $23,362 $58 28.9% (502) 928-1050
24 CARDIOTHORACIC AND VASCULAR SURGICAL ASSOCIATES PA JACKSONVILLE FL PHYSICIAN ASSISTANT 89 399 $199,420 $500 8.0% (904) 398-3888
25 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 398 $151,653 $381 8.8% (404) 778-7525
26 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 396 $364,885 $921 3.1% (650) 723-4000
27 OPEN ACCESS MIAMI, LLC MIAMI FL INTERVENTIONAL RADIOLOGY 2 395 $88,787 $225 7.9% (305) 948-5333
28 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 391 $425,402 $1,088 5.8% (212) 263-9700
29 VASCULAR CARE GROUP LLC HYANNIS MA VASCULAR SURGERY 27 364 $212,102 $583 35.5% (508) 775-1984
30 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 355 $169,335 $477 7.5% —
31 HAO D BUI MD INC BAKERSFIELD CA VASCULAR SURGERY 5 350 $110,792 $317 2.8% (661) 387-8333
32 STONY BROOK SURGICAL ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPORATI HAMPTON BAYS NY GENERAL SURGERY 102 350 $62,393 $178 5.2% (631) 723-5000
33 PREFERRED VASCULAR SERVICES CLEVELAND LLC BEACHWOOD OH INTERVENTIONAL RADIOLOGY 7 341 $130,872 $384 29.1% (216) 273-8010
34 POLYXENE GAZETAS KOKINOS MD PC CAMPBELL CA VASCULAR SURGERY 5 335 $35,100 $105 2.7% (408) 376-3626
35 FAIRVIEW HEIGHTS MEDICAL GROUP SC SHILOH IL NURSE PRACTITIONER 445 329 $20,069 $61 25.9% (618) 236-8000
36 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 327 $170,802 $522 6.6% (561) 955-7100
37 KEVIN M CASEY MD APMC SANTA BARBARA CA VASCULAR SURGERY 4 319 $112,607 $353 2.5% 8054568890127
38 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 312 $117,180 $376 2.5% (800) 872-2273
39 HAWAII VASCULAR AND ENDOVASCULAR INC HONOLULU HI VASCULAR SURGERY 3 301 $97,211 $323 46.0% (808) 440-0544
40 SURGICAL CLINIC PC OPELIKA AL GENERAL SURGERY 9 282 $52,170 $185 21.7% (334) 745-6271
41 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 279 $99,256 $356 25.7% (314) 747-3000
42 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 271 $185,635 $685 4.0% (212) 746-5454
43 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 260 $95,684 $368 59.6% (801) 261-8346
44 VALLEY MEDICAL GROUP-RENTON RENTON WA FAMILY PRACTICE 440 252 $117,972 $468 13.8% (425) 656-4224
45 PROVIDENCE HEALTH AND SERVICES OREGON MEDFORD OR PHYSICIAN ASSISTANT 164 251 $21,258 $85 26.4% —
46 HARBOR VIEW MEDICAL SERVICES PC PORT JEFFERSON NY NURSE PRACTITIONER 58 250 $144,292 $577 3.7% (631) 686-2565
47 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 244 $78,392 $321 22.7% (317) 338-2345
48 VHC PC BATTLE CREEK MI VASCULAR SURGERY 3 240 $46,248 $193 9.1% (269) 979-6310
49 HARBIN CLINIC LLC ROME GA NURSE PRACTITIONER 252 238 $92,350 $388 5.3% (762) 235-3340
50 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 237 $52,401 $221 5.3% (770) 219-7777
51 BAY SURGICAL SPECIALISTS, PA ST PETERSBURG FL VASCULAR SURGERY 8 232 $87,930 $379 4.7% 7278218101303
52 RUSSELL N HARADA MD INC AIEA HI VASCULAR SURGERY 2 229 $68,171 $298 35.0% (808) 486-7775
53 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 224 $78,156 $349 19.7% (615) 385-3751
54 BRADLEY B HILL MD A PROFESSIONAL CORPORATION CAMPBELL CA NURSE PRACTITIONER 5 220 $115,632 $526 1.7% (708) 979-9082
55 MONTGOMERY VASCULAR SURGERY, P.C. MONTGOMERY AL NURSE PRACTITIONER 5 220 $60,500 $275 17.0% (334) 284-6500
56 DFW VASCULAR GROUP LLP DESOTO TX VASCULAR SURGERY 5 219 $109,062 $498 4.6% (214) 946-5165
57 SAN FERNANDO VALLEY VASCULAR GROUP A MEDICAL CORPORATION WEST HILLS CA VASCULAR SURGERY 4 215 $161,250 $750 1.7% (818) 345-6126
58 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 212 $50,950 $240 17.3% (504) 842-3000
59 NEW YORK VASCULAR GROUP PLLC CORNWALL NY VASCULAR SURGERY 3 212 $141,362 $667 3.1% (203) 210-6340
60 UNIVERSITY SURGICAL ASSOCIATES OF ATHENS WATKINSVILLE GA PHYSICIAN ASSISTANT 16 208 $114,400 $550 4.6% (706) 549-8306
61 M REZA MIZANI MD PA SAN ANTONIO TX NEPHROLOGY 29 203 $83,547 $412 4.3% (210) 265-8155
62 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 198 $110,444 $558 1.6% (415) 600-1020
63 PRINE HEALTH MEDICAL GROUP, PLLC MANHASSET NY NEPHROLOGY 75 194 $80,524 $415 2.9% (516) 407-2727
64 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 193 $9,650 $50 9.9% (410) 502-4340
65 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 190 $16,983 $89 9.7% (410) 761-1222
66 CONNECTICUT VASCULAR SURGICAL ASSOCIATES PC SHELTON CT VASCULAR SURGERY 5 180 $90,000 $500 10.4% 2039227870104
67 LUBBOCK KIDNEY AND BLOOD PRESSURE CLINIC P A HOBBS TX INTERNAL MEDICINE 2 178 $80,100 $450 3.8% (806) 793-8447
68 EAST BAY CARDIOVASCULAR AND THORACIC ASSOCIATES INC DANVILLE CA CARDIAC SURGERY 17 171 $100,890 $590 1.4% (925) 676-2600
69 VASCULAR CENTER OF NAPLES INC NAPLES FL VASCULAR SURGERY 5 171 $52,583 $308 3.4% (239) 431-5884
70 THOMAS J LOMIS M D INC A PROFESSIONAL CORPORATION VAN NUYS CA GENERAL SURGERY 12 167 $58,516 $350 1.3% (818) 782-3255
71 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 167 $67,064 $402 9.1% —
72 EAST JEFFERSON PHYSICIANS GROUP LLC METAIRIE LA INTERNAL MEDICINE 218 167 $167,548 $1,003 13.7% (504) 503-5123
73 TENET FLORIDA PHYSICIAN SERVICES LLC DELRAY BEACH FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 224 159 $88,722 $558 3.2% (561) 498-4440
74 NEW YORK NEPHROLOGY AND DIALYSIS ACCESS SURGERY, P.C. ALBANY NY NEPHROLOGY 18 158 $38,710 $245 2.3% (518) 434-2244
75 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 152 $68,704 $452 8.3% —
76 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 148 $74,845 $506 3.1% (210) 614-7414
77 HAMILTON MEDICAL CENTER, INC DALTON GA INTERNAL MEDICINE 102 146 $58,546 $401 3.2% (706) 272-6000
78 NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC ATLANTA GA PHYSICIAN ASSISTANT 368 144 $56,304 $391 3.2% —
79 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 144 $150,912 $1,048 11.3% —
80 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA VASCULAR SURGERY 15 143 $115,212 $806 1.1% (310) 825-9111
81 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 141 $22,908 $162 3.0% (210) 450-7044
82 ALVAREZ MD AND LEARY MD PC WEST SENECA NY VASCULAR SURGERY 6 140 $26,600 $190 2.1% (716) 671-8393
83 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 139 $31,394 $226 2.8% (352) 265-8990
84 KANSAS CITY VASCULAR AND GENERAL SURGERY GROUP LLC OVERLAND PARK KS NURSE PRACTITIONER 22 137 $79,527 $580 57.8% (913) 754-2800
85 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 137 $61,165 $446 7.1% —
86 SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC WEST BURLINGTON IA NURSE PRACTITIONER 293 136 $33,864 $249 38.6% (319) 768-1000
87 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 136 $53,018 $390 7.4% (253) 428-2200
88 STONY BROOK SURGICAL ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPORATI HAMPTON BAYS IL GENERAL SURGERY 102 133 $20,420 $154 10.5% (631) 723-5000
89 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 132 $46,127 $349 1.0% (310) 423-0674
90 ST AGNES HEALTHCARE INC BALTIMORE MD PHYSICIAN ASSISTANT 277 131 $41,103 $314 6.7% (667) 234-6000
91 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 131 $22,911 $175 1.0% (415) 476-1000
92 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 129 $21,027 $163 11.0% —
93 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 127 $31,750 $250 1.0% (760) 340-3911
94 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 126 $57,234 $454 12.3% (508) 973-5919
95 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE NC PHYSICIAN ASSISTANT 593 125 $25,171 $201 10.2% (828) 213-1740
96 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 125 $52,827 $423 10.2% (336) 713-9800
97 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 124 $6,816 $55 51.9% —
98 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 122 $67,100 $550 1.8% (914) 682-0700
99 PEDES ORANGE COUNTY INC IRVINE CA INTERVENTIONAL RADIOLOGY 4 120 $52,653 $439 1.0% (949) 387-4724
100 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 120 $77,735 $648 6.6% —

Showing the top 100 of 437 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 →