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Market snapshot

J0278 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J0278 — Injection, amikacin sulfate, 100 mg

Billing groups
8
Named-group FFS services
6,682
FFS of Medicare
49%
Services YoY
+7.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~13,754 services

6,682 observed fee-for-service (49%) · ~7,072 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 — J0278 (CY2024)

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

Named-group submitted charges
$87K
Named-group allowed amount
$5K
Named-group Medicare payments
$4K
Avg charge / svc
$13
Avg allowed / svc
$1
Avg payment / svc
$1
Average charge per group
$2 8 groups · avg submitted charge / service $40
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J0278 services, CY2024
#Physician group City St Specialty Providers J0278 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 INTEGRATED MEDICAL PROFESSIONALS PLLC SEAFORD NY UROLOGY 98 4,140 $43,207 $10 premium 94.7% (516) 520-8080
2 CONRAD PEARSON CLINIC PC SOUTHAVEN TN UROLOGY 21 551 $2,204 $4 premium 100.0% (662) 349-1964
3 INFECTIOUS DISEASE CONSULTANTS PC SUWANEE GA INFECTIOUS DISEASE 11 534 $15,630 $29 premium 100.0% (678) 347-2153
4 UROLOGY GROUP PA MIDLAND PARK NJ UROLOGY 8 530 $13,825 $26 premium 100.0% 2014447070216
5 CONRAD PEARSON CLINIC PC SOUTHAVEN MS UROLOGY 21 305 $1,220 $4 premium 100.0% (662) 349-1964
6 GREEN CLINIC LLC RUSTON LA NURSE PRACTITIONER 33 255 $1,275 $5 premium 100.0% (318) 255-3690
7 PROSTATE ONCOLOGY SPECIALISTS, INC. MARINA DEL REY CA HEMATOLOGY/ONCOLOGY 3 190 $7,600 $40 premium 12.9% (310) 827-7707
8 LAKE CUMBERLAND PHYSICIAN PRACTICES LLC SOMERSET KY PHYSICIAN ASSISTANT 46 117 $1,472 $13 premium 100.0% (606) 451-8644
9 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 60 $100 $2 premium 43.5% (713) 242-2222

*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 →