Cost analysis for CPT 90935 — Hemodialysis procedure with physician evaluation
Average Medicare Payment
$55.75
2023 data
Total Payments (2023)
$30.1M
Services (2023)
536.8K
Price Change (2014–2023)
-2.6%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $57.25 | $68.0M | 1.2M | — |
| 2015 | $57.13 | $65.6M | 1.1M | -0.2% |
| 2016 | $57.13 | $64.4M | 1.1M | 0.0% |
| 2017 | $57.13 | $61.7M | 1.1M | 0.0% |
| 2018 | $57.56 | $60.5M | 1.1M | +0.8% |
| 2019 | $58.39 | $60.0M | 1.0M | +1.4% |
| 2020 | $59.45 | $54.4M | 914.4K | +1.8% |
| 2021 | $58.36 | $43.8M | 748.8K | -1.8% |
| 2022 | $57.38 | $37.3M | 646.4K | -1.7% |
| 2023 | $55.75 | $30.1M | 536.8K | -2.8% |
The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $74.43 vs VT at $51.17.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $74.43 | $112.6K | 1.5K | 7 |
| DC | $61.93 | $215.2K | 3.5K | 30 |
| NY | $60.54 | $2.9M | 47.6K | 406 |
| MT | $60.31 | $41.9K | 694 | 11 |
| NJ | $59.51 | $1.3M | 22.2K | 215 |
| CA | $59.32 | $2.4M | 40.3K | 457 |
| MD | $58.51 | $993.5K | 17.0K | 161 |
| CT | $58.37 | $423.7K | 7.3K | 77 |
| MA | $57.69 | $1.1M | 18.7K | 176 |
| HI | $57.54 | $52.3K | 909 | 15 |
| IL | $57.28 | $1.4M | 23.8K | 268 |
| CO | $56.65 | $236.3K | 4.2K | 71 |
| FL | $56.64 | $1.9M | 34.3K | 328 |
| WA | $56.55 | $459.0K | 8.1K | 115 |
| PR | $56.54 | $21.3K | 377 | 6 |
| MI | $56.40 | $864.0K | 15.3K | 183 |
| NH | $56.18 | $151.3K | 2.7K | 25 |
| OR | $56.10 | $227.4K | 4.1K | 52 |
| RI | $55.78 | $67.5K | 1.2K | 18 |
| WY | $55.73 | $7.0K | 126 | 2 |
| PA | $55.57 | $1.7M | 30.4K | 364 |
| GU | $55.41 | $42.9K | 774 | 4 |
| DE | $55.34 | $243.3K | 4.4K | 39 |
| TX | $55.01 | $2.0M | 37.2K | 472 |
| VA | $54.89 | $676.9K | 12.3K | 167 |
| NV | $54.52 | $118.9K | 2.2K | 38 |
| WV | $54.28 | $145.7K | 2.7K | 38 |
| MO | $54.24 | $639.9K | 11.8K | 139 |
| GA | $54.24 | $667.8K | 12.3K | 162 |
| SD | $54.24 | $79.2K | 1.5K | 14 |
| LA | $53.98 | $537.7K | 10.0K | 103 |
| KY | $53.92 | $255.7K | 4.7K | 82 |
| ND | $53.81 | $107.8K | 2.0K | 19 |
| UT | $53.78 | $56.1K | 1.0K | 28 |
| NM | $53.74 | $186.9K | 3.5K | 38 |
| KS | $53.66 | $152.5K | 2.8K | 36 |
| OH | $53.65 | $1.1M | 20.7K | 284 |
| NC | $53.58 | $1.1M | 20.9K | 265 |
| AZ | $53.54 | $213.7K | 4.0K | 75 |
| AL | $53.19 | $551.9K | 10.4K | 103 |
| IA | $52.79 | $176.1K | 3.3K | 46 |
| MS | $52.68 | $469.0K | 8.9K | 65 |
| AR | $52.66 | $256.2K | 4.9K | 47 |
| SC | $52.66 | $674.8K | 12.8K | 132 |
| TN | $52.60 | $695.6K | 13.2K | 138 |
| OK | $52.41 | $340.6K | 6.5K | 73 |
| MN | $52.34 | $392.2K | 7.5K | 129 |
| ME | $52.23 | $143.8K | 2.8K | 33 |
| WI | $52.20 | $494.4K | 9.5K | 128 |
| IN | $52.13 | $667.0K | 12.8K | 166 |
| NE | $52.00 | $201.4K | 3.9K | 38 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Mohamad Barakat | Internal Medicine | IL | $126.2K | 2.1K | $58.99 |
| Belbina Pereira | Nurse Practitioner | NY | $53.4K | 981 | $54.45 |
| Roger Carbajal Mendoza | Hospitalist | TX | $52.4K | 930 | $56.35 |
| Hanna Yapikhina | Nurse Practitioner | MA | $43.7K | 853 | $51.25 |
| Fawad Zafar-Khan | Nephrology | CA | $42.4K | 710 | $59.70 |
| Felix Hernandez | Nurse Practitioner | FL | $41.2K | 803 | $51.34 |
| Thong Do | Internal Medicine | CA | $40.6K | 698 | $58.21 |
| Subramaniam Anandasivam | Nephrology | TX | $40.5K | 742 | $54.62 |
| Tushar Sharma | Nephrology | FL | $39.8K | 721 | $55.18 |
| Carline Guirand | Peripheral Vascular Disease | NY | $37.5K | 579 | $64.72 |
| Yelena Rosenberg | Nephrology | NY | $35.9K | 556 | $64.50 |
| Chika Oguagha | Nephrology | NY | $34.7K | 536 | $64.72 |
| Louis Ercolani | Nephrology | MA | $34.4K | 575 | $59.85 |
| Rajbir Chopra | Nephrology | NY | $33.0K | 514 | $64.26 |
| Geoffrey Alilonu | Nephrology | AL | $32.5K | 606 | $53.58 |
| Anna Kagan | Nephrology | TX | $32.1K | 559 | $57.41 |
| Haitham Qader | Nephrology | FL | $31.8K | 551 | $57.67 |
| Moses Ejiofor | Nephrology | AR | $31.4K | 586 | $53.53 |
| Samuel Okoh | Nephrology | SC | $30.9K | 573 | $53.92 |
| Henry Yeager | Nephrology | PA | $30.4K | 556 | $54.76 |
Based on the data, CPT 90935 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 2.6% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.