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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
96416 Administration of prolonged chemotherapy into vein CPT · Chemotherapy treatment
Classification Treatment › Chemotherapy › Chemotherapy Administration (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 7,574 services ▼ 3.2% YoY · 2,208 beneficiaries (CY2024, Medicare FFS)
Medicare paid $788K · $104.03 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
39
Named-group FFS services
6,013
FFS of Medicare
49%
Services YoY
-3.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~11,857 services

6,013 observed fee-for-service (51%) · ~5,844 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 — 96416 (CY2024)
CA 2,203 NE 734 SC 663 NY 607 MD 474

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

Named-group submitted charges
$3.3M
Named-group allowed amount
$775K
Named-group Medicare payments
$618K
Avg charge / svc
$556
Avg allowed / svc
$129
Avg payment / svc
$103
Average charge per group
$225 39 groups · avg submitted charge / service $1,309
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 96416 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 732 $958,188 $1,309 33.2% (310) 825-7922
2 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNO CA HEMATOLOGY/ONCOLOGY 62 486 $199,260 $410 22.1% (559) 326-1222
3 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 368 $202,400 $550 55.5% (803) 744-4900
4 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 338 $209,560 $620 55.7% (212) 746-5454
5 NEBRASKA HEMATOLOGY-ONCOLOGY PC LINCOLN NE PHYSICIAN ASSISTANT 19 292 $116,479 $399 39.8% (402) 484-4900
6 HEMATOLOGY AND ONCOLOGY CONSULTANTS PC OMAHA NE HEMATOLOGY/ONCOLOGY 4 290 $108,750 $375 39.5% 40257235353575
7 GULF COAST INFECTIOUS DISEASES INC PENSACOLA FL INFECTIOUS DISEASE 4 267 $60,075 $225 85.3% (850) 549-4755
8 UNIVERSITY CANCER AND BLOOD CENTER LLC ATHENS GA NURSE PRACTITIONER 56 259 $148,000 $571 69.8% (706) 353-2990
9 CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. GRAND RAPIDS MI HEMATOLOGY/ONCOLOGY 112 197 $64,923 $330 48.9% (616) 954-9800
10 MEDICAL ONCOLOGY ASSOCIATES OF WYOMING VALLEY, PC KINGSTON PA MEDICAL ONCOLOGY 2 181 $67,875 $375 59.2% (570) 288-7231
11 MONTEREY BAY ONCOLOGY A MEDICAL CORPORATION MONTEREY CA HEMATOLOGY/ONCOLOGY 10 181 $65,338 $361 8.2% (831) 375-4105
12 PROFESSIONAL SERVICE FUND OF DEBORAH HEART AND LUNG CENTER BROWNS MILLS NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 121 163 $64,385 $395 44.9% (609) 893-6611
13 BRAZOS VALLEY HEMATOLOGY ONCOLOGY ASSOCIATES PA COLLEGE STATION TX HEMATOLOGY/ONCOLOGY 6 143 $42,900 $300 100.0% (979) 776-2000
14 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 135 $51,975 $385 28.5% —
15 TRI-COUNTY HEMATOLOGY AND ONCOLOGY ASSOCIATES INC MASSILLON OH HEMATOLOGY/ONCOLOGY 6 130 $30,992 $238 83.9% (330) 478-0001
16 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 129 $58,050 $450 77.2% (479) 361-2585
17 ANDERSON ONCOLOGY-HEMATOLOGY CLINIC PA ANDERSON SC HEMATOLOGY/ONCOLOGY 4 128 $38,841 $303 19.3% (864) 512-1658
18 THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY CONCORD SC PHYSICIAN ASSISTANT 600 121 $112,167 $927 18.3% (704) 403-3000
19 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACK NJ HEMATOLOGY/ONCOLOGY 153 115 $84,640 $736 31.7% (201) 996-2210
20 OGDEN CLINIC SPECIALTY SERVICES LLC OGDEN UT PHYSICIAN ASSISTANT 133 103 $33,990 $330 100.0% (801) 475-3800
21 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 96 $25,920 $270 23.8% (248) 477-0552
22 NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS LTD ALBUQUERQUE NM DIAGNOSTIC RADIOLOGY 67 85 $67,101 $789 50.3% (505) 842-8171
23 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL MD HEMATOLOGY/ONCOLOGY 99 85 $62,560 $736 17.9% (301) 982-9800
24 OMID S. SHAYE, M.D., A MEDICAL CORPORATION WEST HILLS CA HEMATOLOGY/ONCOLOGY 3 76 $22,367 $294 3.4% (818) 346-1773
25 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE GA HEMATOLOGY/ONCOLOGY 333 74 $36,704 $496 19.9% (260) 484-8830
26 MARIN CANCER CARE, INC. GREENBRAE CA MEDICAL ONCOLOGY 13 73 $32,047 $439 3.3% (415) 925-5000
27 FREDERICK HEALTH MEDICAL GROUP LLC FREDERICK MD PHYSICIAN ASSISTANT 202 70 $19,932 $285 14.8% (240) 215-6310
28 BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION BRYN MAWR PA NURSE PRACTITIONER 134 66 $21,780 $330 21.6% (610) 527-3800
29 CANCER AND BLOOD SPECIALTY CLINIC LOS ALAMITOS CA HEMATOLOGY/ONCOLOGY 17 62 $18,247 $294 2.8% (562) 598-9745
30 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE LA HEMATOLOGY/ONCOLOGY 333 57 $28,272 $496 100.0% (260) 484-8830
31 TITAN HEALTH PARTNERS LLC EAST BRUNSWICK NJ HEMATOLOGY/ONCOLOGY 92 55 $34,925 $635 15.2% (732) 390-7750
32 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 47 $28,247 $601 100.0% (952) 993-3123
33 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 46 $25,703 $559 2.1% —
34 THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY CONCORD NC PHYSICIAN ASSISTANT 600 46 $42,642 $927 100.0% (704) 403-3000
35 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE NV HEMATOLOGY/ONCOLOGY 333 46 $22,816 $496 100.0% (260) 484-8830
36 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 46 $22,816 $496 14.7% (260) 484-8830
37 PENN STATE HEALTH MEDICAL GROUP LLC CAMP HILL PA PHYSICIAN ASSISTANT 700 40 $11,718 $293 13.1% (717) 972-4250
38 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY AR PHYSICIAN ASSISTANT 559 38 $17,100 $450 22.8% (605) 755-7200
39 NORTH SHORE INFUSION LTD SKOKIE IL REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 5 38 $15,446 $406 33.6% (847) 492-3040
40 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL OH HEMATOLOGY/ONCOLOGY 99 25 $18,400 $736 16.1% (301) 982-9800
41 SHENANDOAH ONCOLOGY PC WINCHESTER VA NURSE PRACTITIONER 22 20 $15,160 $758 100.0% (540) 662-1108
42 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL PA HEMATOLOGY/ONCOLOGY 99 19 $13,984 $736 6.2% (301) 982-9800
43 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 17 $4,590 $270 4.2% (313) 916-2600
44 HEMATOLOGY-ONCOLOGY ASSOCIATES OF CNY, PC EAST SYRACUSE NY NURSE PRACTITIONER 61 15 $5,340 $356 2.5% (315) 472-7504
45 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 13 $13,234 $1,018 11.5% —

*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 →