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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Specialties
  3. Nephrology

Nephrology

Medicare spending analysis for Nephrology providers

🔎 Data Analysis

Nephrology accounts for $16.0B in Medicare payments across 86.3K providers.

The specialty's average markup of 2.9x is below the overall Medicare average of 3.77x.

AI-generated analysis based on Medicare payment data.

Total Payments (10yr)
$16.0B
Top Providers
50
States with Providers
54

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesProvidersYoY Change
2014$1.7B33.0M7.9K—
2015$1.7B32.1M8.1K+0.8%
2016$1.7B31.6M8.3K+1.9%
2017$1.7B28.9M8.5K-2.7%
2018$1.7B27.8M8.6K-0.3%
2019$1.7B27.2M8.8K+0.8%
2020$1.6B23.3M8.9K-4.9%
2021$1.6B20.5M9.0K-1.8%
2022$1.4B18.0M9.1K-13.0%
2023$1.3B16.8M9.2K-7.2%

Top Nephrology Providers

#ProviderStatePaymentsServicesAvg/Service
1Armistead WilliamsNY$6.7M178.7K$37.65
2Feliciano SerranoCA$4.5M21.1K$215.15
3Norbert ShtaynbergNY$3.9M63.0K$61.46
4Freemu VargheseTX$2.0M101.9K$20.09
5Lina MuradMD$1.7M2.4K$708.91
6Jacob AhdootCA$1.7M18.2K$91.63
7Kazi KhanMD$1.6M27.6K$57.03
8Kamran KarimiNY$1.5M28.8K$50.93
9Ashar LuqmanIA$1.4M46.8K$30.03
10Payam ShakouriNY$1.3M3.7K$349.67
11Timothy RogersFL$1.3M11.7K$108.33
12David NamazyCA$1.2M2.1K$579.64
13Abdul KhanCA$1.2M13.6K$89.08
14Sanjeev MittalTN$1.2M27.3K$43.68
15Yakoub KatriNY$1.1M12.5K$91.51
16Emmanuel AnekweTX$1.1M5.1K$215.29
17Ngozi OkobaTX$1.1M18.2K$60.58
18Anton CabellonIN$1.1M8.1K$132.36
19John NilesMA$1.0M26.5K$39.69
20Hardik PatelSC$1.0M21.9K$46.37
21Ezra IsraelNY$1.0M20.3K$49.26
22Mark BevanNM$946.0K18.5K$51.25
23Karn GuptaNC$944.7K18.4K$51.48
24Sandeep SharmaPA$900.7K26.5K$34.05
25Nizar EskandarGA$899.7K16.3K$55.17

Top Procedures

CodeDescriptionPaymentsServicesAvg/Service
90960Dialysis services, 4 or more physician visits per month (20 years or older)$295.6M1.1M$278.83
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$169.9M2.7M$63.09
99214Established patient office or other outpatient visit, 30-39 minutes$149.7M1.9M$80.91
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$149.1M1.6M$95.04
90961Dialysis services, 2-3 physician visits per month (20 years or older)$77.9M335.5K$232.11
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$70.7M516.8K$136.83
90966Home dialysis services per month (20 years or older)$38.4M169.9K$226.02
99215Established patient office or other outpatient visit, 40-54 minutes$37.6M331.0K$113.48
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes$30.5M296.5K$102.77
90935Hemodialysis procedure with physician evaluation$25.3M445.5K$56.74
99213Established patient office or other outpatient visit, 20-29 minutes$23.3M398.9K$58.53
99204New patient office or other outpatient visit, 45-59 minutes$18.3M155.1K$117.79
36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist$18.2M34.2K$532.70
99291Critical care, first 30-74 minutes$14.5M84.5K$171.69
90962Dialysis services, 1 physician visit per month (20 years or older)$13.0M81.4K$159.99
99205New patient office or other outpatient visit, 60-74 minutes$9.9M62.0K$159.22
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month$7.5M165.5K$45.18
36905Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube$4.9M4.1K$1.2K
J2350Injection, ocrelizumab, 1 mg$4.6M100.8K$45.74
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes$4.3M115.2K$37.64

Geographic Distribution

CA
$174.4M
921 providers
TX
$121.0M
848 providers
NY
$103.8M
675 providers
FL
$101.9M
576 providers
IL
$62.5M
398 providers
NJ
$52.7M
307 providers
PA
$45.1M
446 providers
GA
$43.0M
297 providers
MD
$36.1M
204 providers
MI
$34.2M
264 providers
NC
$33.8M
282 providers
OH
$33.7M
354 providers
AZ
$30.2M
216 providers
VA
$29.9M
211 providers
MA
$25.8M
263 providers
IN
$25.5M
194 providers
TN
$25.5M
164 providers
SC
$19.8M
132 providers
MO
$19.6M
183 providers
WA
$17.6M
183 providers
LA
$17.1M
147 providers
NV
$15.7M
106 providers
KY
$15.6M
121 providers
AL
$15.4M
126 providers
OK
$13.6M
80 providers
WI
$12.9M
142 providers
MS
$12.8M
75 providers
CT
$11.4M
106 providers
MN
$10.1M
166 providers
KS
$9.7M
54 providers

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.