NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J0131 Injection, acetaminophen, not otherwise specified,10 mg HCPCS · Treatment
Classification Treatment Injections and Infusions (nononcologic) (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 62,786 services ▲ 101.6% YoY · 457 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2K · $0.04 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
12
Named-group FFS services
47,979
FFS of Medicare
49%
Services YoY
+101.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~94,962 services

47,979 observed fee-for-service (51%) · ~46,983 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 — J0131 (CY2024)

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

Named-group submitted charges
$284K
Named-group allowed amount
$2K
Named-group Medicare payments
$2K
Avg charge / svc
$6
Avg allowed / svc
$0
Avg payment / svc
$0
Average charge per group
$1 12 groups · avg submitted charge / service $100
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: group size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by J0131 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort J0131 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 ARTHRITIS AND OSTEOPOROSIS ASSOCIATES TOMS RIVER NJ INTERNAL MEDICINE 3 18,500 $38,300 $2 premium 99.8% (732) 780-7650
2 FOUNDATION FOR SICKLE CELL DISEASE RESEARCH HOMESTEAD FL HEMATOLOGY/ONCOLOGY 4 10,136 $8,557 $1 premium 90.2% (954) 397-3251
3 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 8,900 $44,500 $5 premium 67.9% (631) 751-3000
4 ANNA K IMPERATO MD PLLC MANHASSET NY RHEUMATOLOGY 2 3,600 $18,000 $5 premium 27.5% (516) 365-1700
5 SPCSA PLLC SAN ANTONIO TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 3 1,802 $36,040 $20 premium 54.8%
6 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 1,200 $2,400 $2 premium 13.6%
7 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 1,200 $1,100 $1 premium 100.0% (984) 215-5556
8 FLORIDA SINUS AND SNORING SPECIALISTS, LLC FORT LAUDERDALE FL PHYSICIAN ASSISTANT 6 1,100 $110,000 $100 premium 9.8% (954) 983-1211
9 GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC WINTER PARK CA PHYSICIAN ASSISTANT 90 916 $1,461 $2 premium 13.9% (407) 801-8400
10 MSKCC RADIOLOGY GROUP NEW YORK NY DIAGNOSTIC RADIOLOGY 199 426 $4,260 $10 premium 3.2% (646) 888-5300
11 NORTH TEXAS INSTITUTE OF NEUROLOGY AND HEADACHE, PA FRISCO TX NEUROLOGY 5 187 $18,700 $100 premium 5.7% (942) 403-8184
12 HEALTHCARE PARTNERS OF SARATOGA LTD MALTA NY PHYSICIAN ASSISTANT 68 12 $750 $63 premium 0.1% (518) 289-2020

*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 →