NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J0490 Injection, belimumab, 10 mg HCPCS · Treatment
Classification Treatment Injections and Infusions (nononcologic) Injection - Monoclonal Antibodies (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 199,234 services ▼ 10.3% YoY · 624 beneficiaries (CY2024, Medicare FFS)
Medicare paid $7.7M · $38.72 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
17
Named-group FFS services
165,238
FFS of Medicare
49%
Services YoY
-10.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~310,356 services

165,238 observed fee-for-service (53%) · ~145,118 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 — J0490 (CY2024)

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

Named-group submitted charges
$16.0M
Named-group allowed amount
$7.9M
Named-group Medicare payments
$6.3M
Avg charge / svc
$97
Avg allowed / svc
$48
Avg payment / svc
$38
Average charge per group
$30 17 groups · avg submitted charge / service $164
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by J0490 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 J0490 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 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 38,853 $6,388,327 $164 premium 100.0%
2 PIEDMONT ARTHRITIS CLINIC PA GREENVILLE SC RHEUMATOLOGY 8 20,082 $1,204,920 $60 premium 63.2% (864) 235-8396
3 ARTHRITIS AND PAIN ASSOCIATES OF PRINCE GEORGES COUNTY PC GREENBELT MD RHEUMATOLOGY 17 12,024 $1,072,071 $89 premium 100.0% (301) 345-5600
4 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE SC RHEUMATOLOGY 47 11,689 $1,168,900 $100 premium 36.8% (843) 572-4840
5 RHEUMATOLOGY ASSOCIATES OF LI LLP SMITHTOWN NY RHEUMATOLOGY 10 10,581 $848,640 $80 premium 55.9% (631) 360-7778
6 ARTHRITIS AND OSTEOPOROSIS MEDICAL CENTER, INC LA PALMA CA PHYSICIAN ASSISTANT 9 10,084 $304,101 $30 premium 100.0% 7146701340236
7 PIEDMONT RHEUMATOLOGY CONSULTANTS PC ATLANTA GA RHEUMATOLOGY 4 8,704 $957,440 $110 premium 100.0% (404) 351-2551
8 ALLEGRA ARTHRITIS ASSOCIATES PC RED BANK NJ PHYSICIAN ASSISTANT 7 7,670 $460,200 $60 premium 52.9% (732) 842-3600
9 ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES P C PHOENIX AZ RHEUMATOLOGY 41 7,402 $481,130 $65 premium 49.0% (480) 443-8400
10 ARTHRITIS AND RHEUMATOLOGY ASSOCIATES OF SOUTH JERSEY PC VINELAND NJ RHEUMATOLOGY 5 6,823 $721,925 $106 premium 47.1% (856) 749-9090
11 ARTHRITIS HEALTH ASSOCIATES PLLC SYRACUSE NY RHEUMATOLOGY 5 6,170 $370,756 $60 premium 32.6% (315) 475-7669
12 COMPREHENSIVE RHEUMATOLOGY CARE PLLC HENDERSONVILLE TN PHYSICIAN ASSISTANT 4 6,060 $453,750 $75 premium 45.8% (615) 822-5660
13 INFUSEABLE HEALTHCARE, LLC SCOTTSDALE WI GASTROENTEROLOGY 2 6,051 $541,863 $90 premium 100.0% (480) 927-3800
14 JOSHUA P JUNE DO LANSING MI RHEUMATOLOGY 5 5,948 $386,620 $65 premium 100.0% (517) 272-9700
15 RHEUMATIC DISEASE ASSOCIATES,LTD WILLOW GROVE PA RHEUMATOLOGY 16 3,857 $250,705 $65 premium 49.9% 2156576776438
16 DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN SYRACUSE NY NURSE PRACTITIONER 281 2,188 $229,740 $105 premium 11.6% (315) 464-5240
17 ARTHRITIS AND OSTEOPOROSIS CONSULTANTS OF THE CAROLINAS PA CHARLOTTE NC RHEUMATOLOGY 13 1,052 $116,772 $111 premium 100.0% (704) 342-0252

*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 →