{"procedure":{"code_type":"CPT","code":"90965","lay_name":"Monthly home dialysis care, age 12-19","blurb":"Covers a full month of provider management for a home dialysis patient aged 12 through 19; the price is for one complete month of service.","slug":"cpt-90965-monthly-home-dialysis-care-age-12-19","description":"Esrd Svc Home Dialysis Full Month 12-19 Yr Old","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"236","label":"Nonhospital-based care (e.g., home health care, hospice)","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2025-06-25","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":146,"n_usable":133,"n_not_usable":0,"n_labelled":10,"n_no_cash":3,"n_estimated":0,"n_states":30,"cash_p10":321.08,"cash_p20":416.5,"cash_p25":494.2,"cash_p50":861.0,"cash_p75":1022.85,"cash_p80":1147.0,"cash_p90":1588.0,"cash_mean_trimmed":766.82,"gross_p50":1270.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":2,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":1,"p20":null,"p50":null,"p80":null},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":15,"p20":1016.0,"p50":1016.0,"p80":1016.0},{"state":"IL","n":9,"p20":null,"p50":null,"p80":null},{"state":"KS","n":4,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":19,"p20":43.95,"p50":531.0,"p80":531.0},{"state":"MN","n":2,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":8,"p20":null,"p50":null,"p80":null},{"state":"OH","n":6,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":861.0,"p50":861.0,"p80":861.0},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":10,"p20":265.24,"p50":321.08,"p80":362.96},{"state":"SC","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":3,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":3,"p20":null,"p50":null,"p80":null},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":114,"p20":407.16,"p50":861.0,"p80":1052.77},{"key":"childrens","n":10,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":9,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":9,"p20":null,"p50":null,"p80":null},{"key":"government","n":14,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":110,"p20":407.16,"p50":854.0,"p80":1052.77}],"affiliation":[{"key":"affiliated","n":114,"p20":407.16,"p50":717.75,"p80":1052.77},{"key":"independent","n":19,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":252.38,"hi":314.71,"n":7},{"lo":314.71,"hi":392.43,"n":8},{"lo":392.43,"hi":489.35,"n":12},{"lo":489.35,"hi":610.21,"n":18},{"lo":610.21,"hi":760.91,"n":11},{"lo":760.91,"hi":948.83,"n":23},{"lo":948.83,"hi":1183.16,"n":22},{"lo":1183.16,"hi":1475.37,"n":10},{"lo":1475.37,"hi":1839.74,"n":5},{"lo":1839.74,"hi":2294.1,"n":6}],"previous":null},"inpatient":null},"related":[{"code_type":"CPT","code":"97535","lay_name":"Self-care and daily living skills training, each 15 min","slug":"cpt-97535-self-care-and-daily-living-skills-training-each-15-min"},{"code_type":"CPT","code":"99308","lay_name":"Follow-up nursing home visit, low level","slug":"cpt-99308-follow-up-nursing-home-visit-low-level"},{"code_type":"CPT","code":"99309","lay_name":"Follow-up nursing home visit, moderate level","slug":"cpt-99309-follow-up-nursing-home-visit-moderate-level"},{"code_type":"CPT","code":"99307","lay_name":"Follow-up nursing home visit, brief level","slug":"cpt-99307-follow-up-nursing-home-visit-brief-level"},{"code_type":"CPT","code":"99305","lay_name":"First nursing home visit, moderate-complexity level","slug":"cpt-99305-first-nursing-home-visit-moderate-complexity-level"},{"code_type":"CPT","code":"99306","lay_name":"First nursing home visit by a doctor, most involved level","slug":"cpt-99306-first-nursing-home-visit-by-a-doctor-most-involved-level"},{"code_type":"CPT","code":"99304","lay_name":"First nursing home visit, straightforward level","slug":"cpt-99304-first-nursing-home-visit-straightforward-level"},{"code_type":"CPT","code":"99315","lay_name":"Nursing home discharge visit, 30 minutes or less","slug":"cpt-99315-nursing-home-discharge-visit-30-minutes-or-less"},{"code_type":"CPT","code":"99310","lay_name":"Follow-up nursing home visit, most involved level","slug":"cpt-99310-follow-up-nursing-home-visit-most-involved-level"},{"code_type":"CPT","code":"99316","lay_name":"Nursing home discharge visit, more than 30 minutes","slug":"cpt-99316-nursing-home-discharge-visit-more-than-30-minutes"},{"code_type":"CPT","code":"99348","lay_name":"Home visit with a returning patient, low complexity","slug":"cpt-99348-home-visit-with-a-returning-patient-low-complexity"},{"code_type":"CPT","code":"99349","lay_name":"Home visit with a returning patient, moderate complexity","slug":"cpt-99349-home-visit-with-a-returning-patient-moderate-complexity"}]}