NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0420 Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour HCPCS · E&M
Classification E&M › Care Management/Coordination (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 3,196 services ▼ 0.7% YoY · 2,289 beneficiaries (CY2024, Medicare FFS)
Medicare paid $239K · $74.72 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
53
Named-group FFS services
2,615
FFS of Medicare
49%
Services YoY
-0.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,300 services

2,615 observed fee-for-service (49%) · ~2,685 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 — G0420 (CY2024)
TX 585 IL 297 NJ 280 NY 228 FL 213

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

Named-group submitted charges
$588K
Named-group allowed amount
$253K
Named-group Medicare payments
$193K
Avg charge / svc
$225
Avg allowed / svc
$97
Avg payment / svc
$74
Average charge per group
$75 53 groups · avg submitted charge / service $1,055
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers G0420 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 DALLAS NEPHROLOGY ASSOCIATES DALLAS TX NEPHROLOGY 154 294 $44,100 $150 50.3% (214) 358-2300
2 RENALCARE ASSOCIATES, S.C. PEORIA IL NEPHROLOGY 48 208 $31,830 $153 70.0% (309) 676-8123
3 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE NC NEPHROLOGY 77 162 $17,982 $111 79.0% (252) 752-8880
4 CENTRAL TEXAS NEPHROLOGY ASSOCIATES, P.A. HILLSBORO TX NEPHROLOGY 14 118 $23,600 $200 20.2% (254) 582-5442
5 INDIANA NEPHROLOGY AND INTERNAL MEDICINE PC INDIANAPOLIS IN NEPHROLOGY 34 103 $26,780 $260 69.6% (317) 574-4747
6 TYLER NEPHROLOGY ASSOCIATES PA TYLER TX NEPHROLOGY 24 102 $17,850 $175 17.4% (903) 595-5486
7 NORTHEAST KIDNEY CARE LLC FLORHAM PARK NJ NEPHROLOGY 66 99 $19,102 $193 35.4% (973) 736-2212
8 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 96 $57,216 $596 42.1% (212) 263-9700
9 SUNSHINE KIDNEY CARE LLC THE VILLAGES FL NEPHROLOGY 2 86 $10,320 $120 40.4% (352) 388-5800
10 RENAL PHYSICIAN ASSOCIATES OF WINCHESTER PLC WINCHESTER VA NEPHROLOGY 7 85 $17,000 $200 100.0% (540) 450-1600
11 MONTGOMERY KIDNEY SPECIALISTS LLP MONTGOMERY AL NEPHROLOGY 9 60 $6,900 $115 75.0% (334) 269-0212
12 PENSACOLA NEPHROLOGY PA PENSACOLA FL NEPHROLOGY 37 59 $11,800 $200 27.7% (850) 444-4700
13 NEPHROLOGY ASSOCIATES MEDICAL GROUP INC RIVERSIDE CA NEPHROLOGY 63 59 $16,225 $275 42.4% (951) 687-2800
14 KIDNEY SPECIALISTS OF NEW MEXICO, PC ALBUQUERQUE NM NEPHROLOGY 4 59 $12,609 $214 100.0% (505) 884-4545
15 HUDSON MD GROUP FORT LEE NY INTERNAL MEDICINE 107 53 $13,250 $250 23.2% (201) 224-0011
16 SPECIALTY MEDCONSULTANTS LLC VENTNOR CITY NJ NEPHROLOGY 18 52 $18,200 $350 18.6% (609) 350-6780
17 CHINATOWN KIDNEY CARE, PLLC NEW YORK NY NEPHROLOGY 5 50 $10,000 $200 21.9% (212) 966-0808
18 ASSOCIATES IN KIDNEY DISEASE AND HYPERTENSION LLC EDISON NJ INTERNAL MEDICINE 4 48 $3,600 $75 17.1% (908) 769-4735
19 SKAGGS COMMUNITY HOSPITAL ASSOCIATION BRANSON MO NURSE PRACTITIONER 192 41 $9,235 $225 55.4% (417) 335-7222
20 NEPHROLOGY ASSOCIATES, PC COLUMBIA TN NEPHROLOGY 40 41 $8,200 $200 35.7% (931) 388-3209
21 KIDNEY HYPERTENSION CLINIC, PC LAWRENCEVILLE GA NEPHROLOGY 3 40 $4,883 $122 27.4% (770) 962-1231
22 NEPHROLOGY AND ENDOCRINE ASSOCIATES INC LAS VEGAS NV NEPHROLOGY 63 40 $23,800 $595 19.2% (702) 877-1887
23 SHIFA NEPHROLOGY ASSOCIATES LLC CHICAGO IL NURSE PRACTITIONER 13 33 $4,950 $150 11.1% (773) 423-6400
24 COWRY MEDICAL GROUP LLC ACWORTH GA NEPHROLOGY 6 33 $9,900 $300 22.6% (470) 277-8130
25 NORTH JERSEY NEPHROLOGY ASSOC. PA WAYNE NJ NEPHROLOGY 16 31 $10,073 $325 11.1% (973) 653-3366
26 METROPOLITAN NEPHROLOGY ASSOCIATES PC CLINTON MD NEPHROLOGY 10 30 $8,746 $292 100.0% (301) 868-9414
27 METROLINA NEPHROLOGY ASSOCIATES PA CHARLOTTE NC NEPHROLOGY 87 28 $7,700 $275 13.7% (704) 731-6451
28 KIDNEY CARE SPECIALISTS LLC ALLENTOWN PA NEPHROLOGY 75 27 $4,725 $175 33.8% (610) 432-4529
29 YIUM, SHENOUDA AND MILLER PTRSHP CHATTANOOGA TN NEPHROLOGY 49 27 $16,427 $608 23.5% (423) 698-0927
30 SOUTHERN CALIFORNIA KIDNEY ASSOCIATES INC NEWPORT BEACH CA NEPHROLOGY 6 26 $11,418 $439 18.7% (949) 642-4974
31 RAJESH SHENAVA AND ASSOCIATES MD PA HOUSTON TX INTERNAL MEDICINE 2 26 $3,900 $150 4.4% (713) 869-3333
32 NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD ELK GROVE VILLAGE IL NEPHROLOGY 115 26 $5,919 $228 8.8% (847) 981-3680
33 NEPHROLOGY ASSOCIATES OF MICHIGAN PC YPSILANTI MI NURSE PRACTITIONER 21 24 $3,600 $150 100.0% (734) 715-1706
34 IOWA KIDNEY PHYSICIANS, P.C. DES MOINES IA NEPHROLOGY 15 24 $3,240 $135 100.0% (515) 241-5710
35 NEPHROLOGY PHYSICIANS, LLC MISHAWAKA IN NEPHROLOGY 12 23 $4,692 $204 15.5% (574) 273-6767
36 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 22 $8,690 $395 29.7% (314) 747-3000
37 MAJOR MULTISPECIALTY ASSOCIATES SHELBYVILLE IN NURSE PRACTITIONER 49 22 $3,850 $175 14.9% —
38 PENSACOLA NEPHROLOGY PA PENSACOLA AL NEPHROLOGY 37 20 $4,000 $200 25.0% (850) 444-4700
39 KIDNEY HYPERTENSION CENTER OF CENTRAL JERSEY PC SOMERSET NJ NEPHROLOGY 6 19 $4,750 $250 6.8% (732) 873-9500
40 ONEILL CLARK NARVARTE AND VICKS A PROFESSIONAL CORPORATION RENO NV NEPHROLOGY 21 19 $3,074 $162 9.1% (775) 322-4550
41 THE NEPHROLOGY GROUP INC FRESNO CA NEPHROLOGY 51 18 $6,306 $350 12.9% (559) 228-9660
42 HILL COUNTRY HEALTHCARE PLLC CEDAR PARK TX NEPHROLOGY 2 16 $3,200 $200 2.7% (512) 660-3944
43 CUMBERLAND NEPHROLOGY ASSOCIATES VINELAND NJ NEPHROLOGY 4 16 $2,400 $150 5.7% (856) 205-9900
44 SOUTH CAROLINA NEPHROLOGY AND HYPERTENSION ORANGEBURG SC NEPHROLOGY 3 16 $2,517 $157 100.0% (803) 531-2220
45 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 15 $15,825 $1,055 7.0% (904) 953-2000
46 NIRVANA HYPERBARIC INSTITUTE LLC MOORESVILLE NC PHYSICIAN ASSISTANT 4 15 $4,125 $275 7.3% (704) 471-4100
47 ASSOCIATES IN NEPHROLOGY PC ERIE PA NEPHROLOGY 6 15 $1,800 $120 18.8% (814) 453-6687
48 WASHINGTON REGIONAL MEDICAL SYSTEM FAYETTEVILLE AR NURSE PRACTITIONER 241 14 $3,514 $251 100.0% (479) 571-4338
49 AKDHC LLC PHOENIX AZ NEPHROLOGY 129 14 $3,108 $222 100.0% (602) 200-8288
50 CENTRAL GEORGIA KIDNEY SPECIALISTS, PC MACON GA NEPHROLOGY 8 14 $2,938 $210 9.6% (478) 745-4322
51 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 13 $8,109 $624 6.1% (352) 265-8990
52 PRINE HEALTH MEDICAL GROUP, PLLC MANHASSET NY NEPHROLOGY 75 12 $3,995 $333 5.3% (516) 407-2727
53 NORTHWEST RENAL CLINIC INC PORTLAND OR NEPHROLOGY 41 11 $3,014 $274 40.7% (503) 292-7704
54 FREEMAN-OAK HILL HEALTH SYSTEM JOPLIN MO NURSE PRACTITIONER 382 11 $2,585 $235 14.9% (417) 347-8200

*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 →