Top billers · ICD-10 · N18.4

Chronic kidney disease, stage 4 (severe): ICD-10 N18.4

ICD-10 N18.4 (Chronic kidney disease, stage 4 (severe)) falls in Medicare's Chronic Kidney Disease chronic-condition class. In 2024, 968,375 Medicare providers had Chronic Kidney Disease patients in their panels — an estimated 97.4M panel patients nationally, from public CMS data.

Chronic Kidney Disease
Medicare condition class
968,375
Providers seeing it (2024)
97.4M
Est. panel patients
31.5%
Avg. panel share
The list

Which providers see Chronic Kidney Disease patients.

The top 5 nationally, ranked by estimated Chronic Kidney Disease patients in their 2024 Medicare panel. Panel-prevalence estimate — these are providers whose patients carry this condition class, not providers who billed this exact code.

#ProviderSpecialtyLocationEst. Chronic Kidney Disease patientsPanel share
1David Chess, M.D.Geriatric MedicineStratford, CT48,28943%
2Justin Poling, M.D.PathologyNashville, TN44,11430%
3Wilfredo Blasini, M.D.PathologyFort Myers, FL36,20337%
4Jeffrey Bahr, M.D.Internal MedicineMilwaukee, WI19,46629%
5Robyn Olney, M.D.PathologyDallas, TX17,25722%

968,370 more providers saw Chronic Kidney Disease patients in 2024. The full ranked list — filtered to your exact territory, with phone numbers and panel trends — is one search in Prospect 811. A code lookup tells you what N18.4 means; this tells you who to call on.

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The context

Around N18.4.

What Chronic Kidney Disease patients also carry

Alzheimer's / Dementia16.4% of panels vs 13.6% baseline (×1.20)
Heart Failure29.0% of panels vs 24.4% baseline (×1.19)
Schizophrenia / Psychosis5.7% of panels vs 4.9% baseline (×1.16)
Stroke / TIA15.4% of panels vs 13.3% baseline (×1.15)
Atrial Fibrillation27.6% of panels vs 24.5% baseline (×1.13)

Ecological estimate from panel composition, weighted by Chronic Kidney Disease patient volume — talk-track context, not a clinical claim. Explore the full comorbidity map →

About this code

CMS ICD-10-CM descriptionChronic kidney disease, stage 4 (severe)
Condition class (CCW)Chronic Kidney Disease
Providers with it in panel (2024)968,375
Avg. share of those panels31.5%
Where these numbers come from. Everything on this page is computed from CMS's public Medicare Physician & Other Practitioners — by Provider file for 2024, the most recent year released. CMS reports, for each provider, the share of their Medicare patient panel carrying each of 25 chronic-condition classes. "Est. patients" is panel size × that share, so a patient who sees three providers counts in three panels — these are panel-level estimates, not unique patient counts. Panel-prevalence estimate — these are providers whose patients carry this condition class, not providers who billed this exact code. Prevalence shares are top-coded at 75% and suppressed for small panels — a missing value never means zero. The data covers traditional Medicare fee-for-service only (no commercial insurance, no Medicare Advantage), and CMS suppresses low-volume lines before publishing. The code description is CMS's own ICD-10-CM wording. Comorbidity figures are ecological estimates from panel composition, not patient records. Prospect 811 organizes public data; it doesn't add to or alter it. Not affiliated with or endorsed by CMS. Full detail on the data page.

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