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Market snapshot

96401 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

96401 — Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle

Billing groups
797
Named-group FFS services
576,601
FFS of Medicare
49%
Services YoY
+16.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,159,853 services

576,601 observed fee-for-service (50%) · ~583,252 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 96401 (CY2024)

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$114.3M
Named-group allowed amount
$40.5M
Named-group Medicare payments
$31.7M
Avg charge / svc
$198
Avg allowed / svc
$70
Avg payment / svc
$55
Average charge per group
$40 797 groups · avg submitted charge / service $728
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 96401 services, CY2024
#Physician group City St Specialty Providers 96401 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 20,742 $4,377,731 $211 premium 24.5%
2 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES LLC NAPLES FL RHEUMATOLOGY 75 17,343 $3,200,838 $185 premium 11.4% (239) 596-5220
3 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 14,030 $2,898,897 $207 premium 9.2% (239) 561-9622
4 ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES P C PHOENIX AZ RHEUMATOLOGY 41 11,215 $1,334,533 $119 premium 39.6% (480) 443-8400
5 MICHAEL D. KOHEN MD PA DAYTONA BEACH FL ALLERGY/IMMUNOLOGY 3 6,851 $1,294,839 $189 premium 4.5% (386) 252-1632
6 METRO INFECTIOUS DISEASE CONSULTANTS LLC BURR RIDGE IL INFECTIOUS DISEASE 396 6,380 $1,148,551 $180 premium 20.6% (888) 220-6432
7 CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 9 6,155 $1,149,405 $187 premium 10.2% (310) 659-7878
8 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL MD HEMATOLOGY/ONCOLOGY 99 5,489 $1,157,515 $211 premium 14.1% (301) 982-9800
9 TRABECULAR MEDICAL GROUP, LLC VOORHEES NJ RHEUMATOLOGY 19 5,065 $553,245 $109 premium 11.0% (856) 424-5005
10 RHEUMATIC DISEASE ASSOCIATES,LTD WILLOW GROVE PA RHEUMATOLOGY 16 4,991 $1,198,560 $240 premium 10.9% 2156576776438
11 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 4,686 $1,167,418 $249 premium 12.0%
12 PIEDMONT ARTHRITIS CLINIC PA GREENVILLE SC RHEUMATOLOGY 8 4,612 $562,664 $122 premium 26.5% (864) 235-8396
13 ROCKY MOUNTAIN CANCER CENTERS LLP COLORADO SPRINGS CO NURSE PRACTITIONER 129 4,409 $903,845 $205 premium 36.6% (719) 577-2555
14 RHEUMATOLOGY ASSOCIATES OF LI LLP SMITHTOWN NY RHEUMATOLOGY 10 4,123 $1,030,750 $250 premium 13.9% (631) 360-7778
15 VIRGINIA CANCER SPECIALISTS, P.C. FAIRFAX VA HEMATOLOGY/ONCOLOGY 76 3,913 $1,698,242 $434 premium 10.0% (703) 280-5390
16 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 3,910 $951,117 $243 premium 23.4% (615) 385-3751
17 EAST SIDE ONCOLOGY ASSOCIATES PLLC DBA AMERICAN INFUSION CENTER NEW YORK NY NURSE PRACTITIONER 9 3,832 $1,459,611 $381 premium 12.9% (212) 879-3496
18 ADVOCARE, LLC HADDONFIELD NJ NURSE PRACTITIONER 384 3,818 $1,063,641 $279 premium 8.3% (856) 354-2211
19 ANNAPOLIS RHEUMATOLOGY LLC ANNAPOLIS MD RHEUMATOLOGY 18 3,803 $503,316 $132 premium 9.8% (410) 897-1941
20 RHEUMATOLOGY ASSOCIATES AND SUBSIDIARY DALLAS TX RHEUMATOLOGY 23 3,754 $816,865 $218 premium 4.4% (214) 540-0700
21 SOUTHEASTERN RHEUMATOLOGY ALLIANCE GAINESVILLE GA RHEUMATOLOGY 23 3,610 $1,083,000 $300 premium 22.7% (770) 531-3711
22 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 3,543 $482,611 $136 premium 2.3% (352) 693-3378
23 EDMUND J. MACLAUGHLIN, MD, LLC EASTON MD RHEUMATOLOGY 6 3,485 $331,075 $95 premium 9.0% (410) 819-6545
24 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACK NJ HEMATOLOGY/ONCOLOGY 153 3,483 $714,015 $205 premium 7.6% (201) 996-2210
25 LARRY K. BROADWELL, M.D., A MEDICAL CORPORATION SHREVEPORT LA RHEUMATOLOGY 10 3,432 $637,000 $186 premium 28.7% (318) 221-0399
26 CANCER CENTER OF KANSAS PA WICHITA KS HEMATOLOGY/ONCOLOGY 27 3,295 $675,475 $205 premium 47.8% (316) 262-4467
27 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 3,294 $1,469,124 $446 premium 10.6%
28 ARTHRITIS ASSOCIATES OF S FLORIDA DELRAY BEACH FL RHEUMATOLOGY 6 3,234 $323,400 $100 premium 2.1% (561) 495-0600
29 WEITZNER YONKER AND KAINE MD PA SARASOTA FL RHEUMATOLOGY 17 3,093 $431,800 $140 premium 2.0% 94136507701028
30 IOWA ARTHRITIS AND OSTEOPOROSIS CENTER PC URBANDALE IA RHEUMATOLOGY 15 2,999 $524,825 $175 premium 31.7% (515) 270-7222
31 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 2,963 $1,025,198 $346 premium 46.5% (507) 284-2511
32 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 2,875 $454,250 $158 premium 1.9% (941) 366-1888
33 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 2,805 $566,610 $202 premium 9.0% (630) 469-9200
34 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 2,792 $620,710 $222 premium 9.4% (631) 751-3000
35 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC HURRICANE UT NURSE PRACTITIONER 41 2,728 $612,907 $225 premium 59.8% (435) 635-0174
36 VIPUL JOSHI, MD PA BRANDON FL NURSE PRACTITIONER 7 2,714 $1,044,890 $385 premium 1.8% (813) 651-4441
37 ALLIANCE CANCER SPECIALISTS P.C. LANGHORNE PA HEMATOLOGY/ONCOLOGY 44 2,667 $546,735 $205 premium 5.8% (215) 750-5050
38 ARTHRITIS AND OSTEOPOROSIS CONSULTANTS OF THE CAROLINAS PA CHARLOTTE NC RHEUMATOLOGY 13 2,654 $464,425 $175 premium 16.6% (704) 342-0252
39 METRO INFECTIOUS DISEASE CONSULTANTS LLC BURR RIDGE MI INFECTIOUS DISEASE 396 2,629 $473,501 $180 premium 27.2% (888) 220-6432
40 INFUSION SOLUTIONS OF DELAWARE DOVER DE INTERNAL MEDICINE 6 2,616 $235,440 $90 premium 26.4% (302) 674-4627
41 ARTHRITIS AND RHEUMATIC DISEASES WILLIAMSBURG VA NURSE PRACTITIONER 4 2,606 $416,800 $160 premium 6.6% (757) 585-2194
42 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 2,547 $611,280 $240 premium 9.0% (800) 603-0558
43 ALLEGRA ARTHRITIS ASSOCIATES PC RED BANK NJ PHYSICIAN ASSISTANT 7 2,488 $373,200 $150 premium 5.4% (732) 842-3600
44 ONCOLOGY SPECIALTIES, P.C. HUNTSVILLE AL NURSE PRACTITIONER 93 2,475 $501,941 $203 premium 24.4% (256) 705-4224
45 ARTHRITIS AND RHEUMATOLOGY ASSOCIATES OF PALM BEACH INC BOYNTON BEACH FL RHEUMATOLOGY 7 2,448 $232,560 $95 premium 1.6% (561) 439-1800
46 RHEUMATOLOGY ASSOCIATES, P.C. INDIANAPOLIS IN RHEUMATOLOGY 7 2,390 $413,470 $173 premium 21.0% (317) 844-6444
47 ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C PEORIA IL NURSE PRACTITIONER 62 2,384 $775,354 $325 premium 7.7% (309) 243-3000
48 SUNSHINE RHEUMATOLOGY AND ARTHRITIS CENTER LLC SUN CITY CENTER FL RHEUMATOLOGY 10 2,360 $456,904 $194 premium 1.5% (813) 333-5080
49 R.S. VENUTURUPALLI, M.D. INC BEVERLY HILLS CA RHEUMATOLOGY 7 2,360 $589,750 $250 premium 3.9% 3106520010120
50 JACKSON ONCOLOGY ASSOCIATES JACKSON MS HEMATOLOGY/ONCOLOGY 11 2,321 $382,965 $165 premium 29.2% (601) 974-5600
51 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 2,313 $340,011 $147 premium 13.3% (843) 497-5929
52 ARTHRITIS AND OSTEOPOROSIS CLINIC OF BRAZOS VALLEY COLLEGE STATION TX PHYSICIAN ASSISTANT 3 2,298 $484,555 $211 premium 2.7% (979) 696-8000
53 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE SC RHEUMATOLOGY 47 2,297 $344,550 $150 premium 13.2% (843) 572-4840
54 ALLISON CURTIS KINGSLEY MEOZ MICHAEL AND SANCHEZ PC LAS VEGAS NV NURSE PRACTITIONER 71 2,250 $461,250 $205 premium 46.1% (702) 952-2140
55 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 2,185 $712,310 $326 premium 7.0%
56 RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS, PLLC SAN ANTONIO TX NURSE PRACTITIONER 17 2,181 $370,770 $170 premium 2.6% (210) 265-8851
57 LAFAYETTE ARTHRITIS AND ENDOCRINE CLINIC APMC LAFAYETTE LA NURSE PRACTITIONER 12 2,087 $168,075 $81 premium 17.5% 3372377801206
58 NORTHWEST RHEUMATOLOGY SPECIALISTS SC ELK GROVE VILLAGE IL RHEUMATOLOGY 6 2,073 $466,425 $225 premium 6.7% (847) 364-0800
59 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES-TX PLLC EL PASO TX NURSE PRACTITIONER 28 2,065 $390,096 $189 premium 2.4% (915) 317-1660
60 RHEUMATOLOGY SPECIALISTS OF PADUCAH PLLC PADUCAH KY PHYSICIAN ASSISTANT 3 2,029 $338,843 $167 premium 30.9% (270) 408-6100
61 VIRGINIA CANCER INSTITUTE INCORPORATED NORTH CHESTERFIELD VA HEMATOLOGY/ONCOLOGY 50 2,023 $323,610 $160 premium 5.2% (804) 330-7990
62 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 2,021 $333,465 $165 premium 2.4% (512) 346-6611
63 NEW YORK ONCOLOGY HEMATOLOGY PC ALBANY NY NURSE PRACTITIONER 83 1,950 $362,700 $186 premium 6.6% (518) 262-6696
64 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 1,876 $660,352 $352 premium 1.2% (904) 953-2000
65 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 1,874 $299,840 $160 premium 18.1% (479) 361-2585
66 SELECT PHYSICAL THERAPY HOLDINGS INC EAGLE RIVER DC ORTHOPEDIC SURGERY 2158 1,873 $374,600 $200 premium 55.2% (907) 694-8085
67 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 1,834 $882,154 $481 premium 3.0% (310) 825-7922
68 ARTHIRITIS AND OSTEOPOROSIS NORTHERN VIRGINIA INC MANASSAS VA RHEUMATOLOGY 3 1,776 $484,080 $273 premium 4.5% (703) 361-3255
69 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 1,746 $491,640 $282 premium 10.5% (901) 683-0055
70 RHEUMATOLOGY AND OSTEOPOROSIS SERVICES, P.C. LINCOLN NE NURSE PRACTITIONER 10 1,741 $330,790 $190 premium 23.2% (402) 464-9000
71 TRISTATE ARTHRITIS AND RHEUMATOLOGY PSC CRESTVIEW HILLS KY RHEUMATOLOGY 9 1,716 $343,200 $200 premium 26.1% (859) 331-3100
72 KENNETH E STARK MD PA TAVARES FL RHEUMATOLOGY 2 1,711 $116,117 $68 premium 1.1% (352) 373-7735
73 THE ARTHRITIS AND DIABETES CLINIC INC MONROE LA NURSE PRACTITIONER 4 1,694 $186,340 $110 premium 14.2% (318) 388-5830
74 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE MD RHEUMATOLOGY 56 1,674 $641,142 $383 premium 4.3% (301) 942-7600
75 VIRGINIA PHYSICIANS INC MIDLOTHIAN VA FAMILY PRACTICE 93 1,672 $267,520 $160 premium 4.3% (804) 744-0200
76 VERO ORTHOPAEDICS II PA VERO BEACH FL PHYSICIAN ASSISTANT 49 1,667 $241,715 $145 premium 1.1% (772) 257-3608
77 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 1,654 $233,214 $141 premium 1.1% (321) 434-8878
78 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES OH LLC LIBERTY TOWNSHIP OH RHEUMATOLOGY 6 1,649 $311,661 $189 premium 13.8% (513) 779-5610
79 ARTHRITIS SPECIALISTS, LTD. NORTH CHESTERFIELD VA RHEUMATOLOGY 5 1,635 $245,250 $150 premium 4.2% 8043231401309
80 LEBANON INTERNAL MEDICINE ASSOCIATES PC LEBANON PA PHYSICIAN ASSISTANT 17 1,623 $137,955 $85 premium 3.5% (717) 273-6706
81 HEMATOLOGY-ONCOLOGY ASSOCIATES OF CNY, PC EAST SYRACUSE NY NURSE PRACTITIONER 61 1,583 $318,183 $201 premium 5.3% (315) 472-7504
82 RHEUMATOLOGY ASSOCIATES PA STUART FL RHEUMATOLOGY 5 1,581 $149,491 $95 premium 1.0% (772) 283-8380
83 ARTHRITIS CLINIC, PLLC JACKSON TN RHEUMATOLOGY 2 1,570 $369,970 $236 premium 9.4% (731) 664-0002
84 MARC J HIRSH MD PA DELRAY BEACH FL RHEUMATOLOGY 9 1,559 $361,891 $232 premium 1.0% (561) 819-3100
85 ARTHRITIS AND RHEUMATISM ASSOCIATES PL CLEARWATER FL RHEUMATOLOGY 5 1,553 $260,904 $168 premium 1.0% (727) 443-6400
86 RHEUMATOLOGY SOLUTIONS PLLC WINDCREST TX RHEUMATOLOGY 3 1,547 $171,841 $111 premium 1.8% (210) 590-9596
87 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNO CA HEMATOLOGY/ONCOLOGY 62 1,541 $342,102 $222 premium 2.6% (559) 326-1222
88 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 1,535 $376,075 $245 premium 1.8% (214) 220-2468
89 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 1,525 $509,350 $334 premium 2.5% (415) 600-1020
90 RHEUMATOLOGY CARE CENTER LLC HOOVER AL RHEUMATOLOGY 4 1,511 $177,920 $118 premium 14.9% (205) 444-4858
91 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 1,499 $355,053 $237 premium 2.5% (626) 256-4673
92 EAST BAY RHEUMATOLOGY MEDICAL GROUP, INC. SAN LEANDRO CA RHEUMATOLOGY 3 1,492 $298,400 $200 premium 2.5% (510) 357-1303
93 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 1,471 $195,456 $133 premium 8.8% (901) 261-0700
94 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 1,468 $303,876 $207 premium 18.5% (601) 264-6000
95 CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. GRAND RAPIDS MI HEMATOLOGY/ONCOLOGY 112 1,464 $278,128 $190 premium 15.1% (616) 954-9800
96 RHEUMATOLOGY CENTER OF NEW JERSEY INC. SOMERVILLE NJ RHEUMATOLOGY 3 1,429 $357,250 $250 premium 3.1% (908) 722-5380
97 KENTUCKIANA CENTER FOR BETTER BONE AND JOINT HEALTH, PLLC LOUISVILLE KY PHYSICIAN ASSISTANT 4 1,422 $126,526 $89 premium 21.7% (502) 583-5836
98 MINNESOTA ONCOLOGY HEMATOLOGY PA EDINA MN PHYSICIAN ASSISTANT 135 1,413 $534,114 $378 premium 22.2% (952) 928-2900
99 BAY ARTHRITIS INSTITUTE PANAMA CITY FL NURSE PRACTITIONER 3 1,405 $164,385 $117 premium 0.9% 8502153062207
100 NORMAN B. GAYLIS M.D. PA AVENTURA FL RHEUMATOLOGY 4 1,397 $139,700 $100 premium 0.9% (305) 652-6676

Showing the top 100 of 797 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →