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Market snapshot

J0585 nationwide CY2023

Medicare Part B FFS · CY2023 · as published by CMS

J0585 — Injection, onabotulinumtoxina, 1 unit

Billing groups
1,133
Named-group FFS services
27,671,810
FFS of Medicare
49%
Services YoY
+6.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~54,307,881 services

27,671,810 observed fee-for-service (51%) · ~26,636,071 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2023) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — J0585 (CY2024)

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

Named-group submitted charges
$397.3M
Named-group allowed amount
$168.6M
Named-group Medicare payments
$133.7M
Avg charge / svc
$14
Avg allowed / svc
$6
Avg payment / svc
$5
Average charge per group
$0 1,133 groups · avg submitted charge / service $75
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Specialty market — Anesthesiology: 173,912 services across 13 groups; top group 37%. See Anesthesiology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J0585 services, CY2023
#Physician group City St Specialty Providers J0585 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 STONY BROOK ANAESTHESIOLOGY UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY ANESTHESIOLOGY 87 64,472 $1,621,235 $25 premium 1.8% (631) 444-2975
2 ADVANCED PAIN AND BACK INSTITUTE INC CHICAGO IL ANESTHESIOLOGY 2 23,600 $354,000 $15 premium 1.7% (312) 702-1313
3 MODERN PAIN AND SPINE PC ALBUQUERQUE NM ANESTHESIOLOGY 5 14,995 $179,940 $12 premium 9.4% (505) 800-7246
4 JEFFREY B GLASER MD MEDICAL ENCINO CA ANESTHESIOLOGY 3 13,600 $163,200 $12 premium 0.2% (818) 501-7246
5 AHURA HEALTHCARE CORPORATION CORONA CA ANESTHESIOLOGY 3 11,200 $112,000 $10 premium 0.2% (888) 873-6220
6 INTERVENTIONAL PAIN SOLUTIONS PC CHICO CA ANESTHESIOLOGY 8 7,000 $105,000 $15 premium 0.1% (530) 343-4757
7 SOLAR HEALTH, P.A. DALLAS TX ANESTHESIOLOGY 19 6,845 $100,100 $15 premium 0.3% (972) 636-5727
8 PAIN AND WELLNESS CENTER PEABODY MA ANESTHESIOLOGY 10 6,100 $73,689 $12 premium 0.5% (978) 826-7230
9 THE SPINE AND PAIN CENTER LLC TULSA OK ANESTHESIOLOGY 4 6,000 $90,900 $15 premium 1.2% (918) 255-7246
10 KAUAI MEDICAL CLINIC LIHUE HI ANESTHESIOLOGY 152 6,000 $156,000 $26 premium 10.7% (808) 245-1500
11 CEP AMERICA - ANESTHESIA PC DES MOINES CA ANESTHESIOLOGY 839 5,800 $58,000 $10 premium 0.1% (515) 247-3121
12 CORVALLIS MEDICAL GROUP LLC CORVALLIS OR ANESTHESIOLOGY 5 5,700 $171,285 $30 premium 1.1% (541) 286-4742
13 CAPITAL MEDICAL CENTER SPECIALTY PHYSICIANS LLC OLYMPIA WA ANESTHESIOLOGY 102 2,600 $48,100 $18 premium 0.3% (360) 704-4743

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →