NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg HCPCS · Treatment
Classification Treatment › Injections and Infusions (nononcologic) (CMS RBCS)
First observed 2023
National scale 192,853 services ▲ 152.8% YoY · 921 beneficiaries (CY2024, Medicare FFS)
Medicare paid $7K · $0.03 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

9

Named groups billing this code
Named-group FFS services

97,078

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+152.8%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~170,198 services

97,078 observed fee-for-service (57%) · ~73,120 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 — J0612 (CY2024)
VA 130,100 AZ 24,171 FL 12,879 IL 8,914 TX 7,103

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

Billed → allowed → paid
Named-group submitted charges
$179K
Named-group allowed amount
$5K
Named-group Medicare payments
$4K
Avg charge / svc
$2
Avg allowed / svc
$0
Avg payment / svc
$0
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$0 9 groups · avg submitted charge / service $250
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers J0612 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 60,100 $125,705 $2 46.2% (434) 924-5959
2 SOUTHWEST CANCER CARE LLC SIERRA VISTA AZ NURSE PRACTITIONER 6 20,704 $5,176 $0 85.7% (520) 220-5020
3 ILLINOIS CANCER SPECIALISTS ARLINGTON HEIGHTS IL HEMATOLOGY/ONCOLOGY 29 8,600 $8,600 $1 96.5% (847) 259-4482
4 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 5,500 $5,500 $1 77.4% —
5 ONCOLOGY SAN ANTONIO SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 5 1,489 $1,489 $1 21.0% (210) 490-2707
6 ERIK LUNDQUIST MD INC TEMECULA CA FAMILY PRACTICE 3 398 $7,960 $20 8.6% 9513834333826
7 NORTHSTAR ANESTHESIA III PA FORT WORTH TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 396 114 $2,040 $18 1.6% (817) 926-2544
8 HELIXONA IRVINE CA FAMILY PRACTICE 2 87 $843 $10 1.9% (949) 257-2644
9 XBODY HEALTH AND WELLNESS PA WAYNE NJ NURSE PRACTITIONER 8 86 $21,500 $250 100.0% (973) 692-9780

*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 →