Payer Overview

Gold Kidney Hlth Plan Inc Grp operates as a specialized health insurer with a concentrated national footprint, ranking as the #210 US A&H payer by premiums with $45.98M in US premium. The organization reports a US market share of 0% and writes business across 2 states, and it serves an estimated 9.4K members through 3 affiliated subsidiaries. The payer does not hold a #1 position in any state.

As a focused regional player, Gold Kidney Hlth Plan Inc Grp's premium base is concentrated in a small number of states, which shapes its provider contracting leverage and network strategy. The firm's modest scale relative to the national market suggests targeted contracting approaches and selective partnerships to support its membership base and strategic goals.

Premium by Scope

Gold Kidney Hlth Plan Inc Grp's premium is exclusively reported in the US States & DC scope, accounting for 100.00% of its documented premium. There is no reported premium in US territories or foreign markets, indicating the payer's operations are confined to the U.S. mainland. For providers evaluating this payer, the concentration in the US states suggests negotiations and network decisions should focus on its active states rather than international or territorial considerations.

National Market Footprint

Gold Kidney Hlth Plan Inc Grp's premium is concentrated in a very small set of states, with $38.5M written in AZ and $7.46M in FL, totaling $45.98M nationally. The estimated member base of 9.4K is similarly concentrated, with roughly 8.59K members in AZ and 847 in FL. This concentration means the payer's negotiating leverage with providers will be regionally focused, and provider organizations should prioritize contracting and operational alignment in AZ to reach the majority of the payer's membership.

Given the uneven distribution, national provider networks will see limited exposure to this payer outside its key states. Health systems and multi-state groups should weigh the administrative effort of contracting against the membership density in AZ and FL; investments in network integration will likely yield the most return in Arizona where the payer's presence is strongest.

State-by-State Market Position

Gold Kidney Hlth Plan Inc Grp shows its strongest presence in the West/Southwest, driven by a dominant premium share in Arizona. The Southeast has a much smaller footprint represented by Florida. No meaningful presence is reported in the Northeast, Midwest, or Northwest regions. For multi-state provider groups, this geographic concentration implies that network inclusion with Gold Kidney Hlth Plan Inc Grp will primarily affect operations in the Southwest, notably Arizona, and to a far lesser extent Florida.

The payer's top state, AZ, accounts for the bulk of premiums and members, indicating that contracting strategy and care management programs should be prioritized there. With $38.5M in AZ premium versus $7.46M in FL, the payer's resource allocation and provider incentives will likely reflect that split, favoring initiatives in the state with the larger membership base.

Estimated Member Demographics

Nationally, the largest age bands for GOLD KIDNEY HLTH PLAN INC GRP are 6–18 (1,469 members), 55–64 (1,313 members), 35–44 (1,311 members), and 45–54 (1,264 members). This indicates a strong presence among both older children/adolescents and middle-aged adults, with a notable concentration in the pre-senior adult population.

Arizona, the payer's primary market, closely mirrors the national age distribution, while Florida, though much smaller in total membership, shows a slightly higher proportion of older adults (55–64, 65–74, 75+) relative to its total. However, the overall member base is still predominantly working-age adults and older children, rather than seniors.

Estimated Members by State

GOLD KIDNEY HLTH PLAN INC GRP's estimated national membership is 9,441, with a striking concentration in Arizona (8,594 members), which accounts for over 90% of the payer's total insured population. Florida, the only other state with a reported presence, has an estimated 847 members.

This geographic concentration aligns with the payer's market share, as Arizona is also where GOLD KIDNEY HLTH PLAN INC GRP holds its highest market share (0.18%) and premium volume. Florida, despite being a large insurance market, represents a much smaller footprint for the payer, both in terms of market share (0.01%) and member count. For providers, this means that contracting opportunities and patient volume with this payer are overwhelmingly centered in Arizona, with only limited impact in Florida.