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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J0485 Injection, belatacept, 1 mg HCPCS · Treatment
Classification Treatment Injections and Infusions (nononcologic) Injection - Immune Globulin (CMS RBCS)
First observed 2018
National scale 1.16M services ▲ 24.0% YoY · 417 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3.4M · $2.97 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
11
Named-group FFS services
945,214
FFS of Medicare
49%
Services YoY
+24.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,745,203 services

945,214 observed fee-for-service (54%) · ~799,989 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 — J0485 (CY2024)

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

Named-group submitted charges
$8.5M
Named-group allowed amount
$3.5M
Named-group Medicare payments
$2.8M
Avg charge / svc
$9
Avg allowed / svc
$4
Avg payment / svc
$3
Average charge per group
$5 11 groups · avg submitted charge / service $23
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by J0485 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 J0485 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 INFECTIOUS DISEASE ASSOCIATES OF CENTRAL VIRGINIA LLC LYNCHBURG VA INFECTIOUS DISEASE 6 246,258 $1,158,944 $5 premium 100.0% (434) 947-3900
2 METRO INFECTIOUS DISEASE CONSULTANTS LLC BURR RIDGE IL INFECTIOUS DISEASE 396 161,905 $1,130,574 $7 premium 69.7% (888) 220-6432
3 INTRAMED PLUS INFUSION AND MEDICAL CENTER, LLC NORTH CHARLESTON SC NURSE PRACTITIONER 4 116,500 $899,578 $8 premium 71.5% (843) 763-2080
4 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 80,000 $960,000 $12 premium 62.0%
5 METRO INFECTIOUS DISEASE CONSULTANTS LLC BURR RIDGE IN INFECTIOUS DISEASE 396 71,501 $499,296 $7 premium 100.0% (888) 220-6432
6 NORTH TEXAS INFECTIOUS DISEASES CONSULTANTS DALLAS TX INFECTIOUS DISEASE 11 48,550 $555,898 $11 premium 30.8% (214) 823-2533
7 PALMETTO INFUSION SERVICES LLC CHARLOTTE SC NURSE PRACTITIONER 59 46,500 $1,082,390 $23 premium 28.5% (704) 200-9482
8 HORIZON INFUSIONS, LLC CRESTVIEW HILLS OH NURSE PRACTITIONER 7 41,750 $323,319 $8 premium 51.9% (513) 619-9223
9 INNOVATIVE INFUSIONS LLC AUSTIN TX NURSE PRACTITIONER 106 38,602 $537,570 $14 premium 24.5% (512) 261-4800
10 PALMETTO INFUSION SERVICES LLC CHARLOTTE GA NURSE PRACTITIONER 59 27,000 $628,484 $23 premium 100.0% (704) 200-9482
11 MEDSTAR URGENT CARE LLC WALDORF MD PHYSICIAN ASSISTANT 294 25,020 $174,719 $7 premium 100.0% (301) 932-5960
12 IVX HEALTH OF ARKANSAS INC LITTLE ROCK AR NURSE PRACTITIONER 5 20,250 $230,040 $11 premium 100.0% (501) 604-6604
13 TEXAS CENTERS FOR INFECTIOUS DISEASE ASSOCIATES PA FORT WORTH TX INFECTIOUS DISEASE 17 14,128 $308,471 $22 premium 9.0% (817) 810-9810
14 INTRAMED PLUS INFUSION AND MEDICAL CENTER, LLC NORTH CHARLESTON FL NURSE PRACTITIONER 4 7,250 $55,274 $8 premium 100.0% (843) 763-2080

*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 →