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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J0692 Injection, cefepime hydrochloride, 500 mg HCPCS · Treatment
Classification Treatment Injections and Infusions (nononcologic) (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 78,793 services ▲ 6.3% YoY · 1,709 beneficiaries (CY2024, Medicare FFS)
Medicare paid $78K · $1.00 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
25
Named-group FFS services
59,566
FFS of Medicare
49%
Services YoY
+6.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~131,960 services

59,566 observed fee-for-service (45%) · ~72,394 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 — J0692 (CY2024)

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

Named-group submitted charges
$1.8M
Named-group allowed amount
$74K
Named-group Medicare payments
$59K
Avg charge / svc
$30
Avg allowed / svc
$1
Avg payment / svc
$1
Average charge per group
$2 25 groups · avg submitted charge / service $120
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by J0692 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 J0692 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 DISEASES ASSOCIATES OF NORTH CENTRAL FLORIDA LLC OCALA FL NURSE PRACTITIONER 4 7,844 $941,280 $120 premium 14.0% (352) 622-2020
2 POINTE WEST INFECTIOUS DISEASES P L BRADENTON FL INFECTIOUS DISEASE 9 6,176 $129,696 $21 premium 11.0% (941) 746-2711
3 EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A. FORT WALTON BEACH FL NURSE PRACTITIONER 34 5,456 $21,006 $4 premium 9.7% (850) 862-3979
4 INFECTIOUS DISEASES CONSULTANTS, P.A. PORT CHARLOTTE FL INFECTIOUS DISEASE 3 5,284 $52,820 $10 premium 9.4% 9416132800210
5 GULF COAST INFECTIOUS DISEASES INC PENSACOLA FL INFECTIOUS DISEASE 4 4,235 $42,350 $10 premium 7.5% (850) 549-4755
6 INFECTIOUS DISEASES ASSOCIATES PA SARASOTA FL INFECTIOUS DISEASE 17 4,084 $171,300 $42 premium 7.3% 9413669060281
7 OCALA INFECTIOUS DISEASE AND WOUND CENTER, INC OCALA FL NURSE PRACTITIONER 7 3,696 $7,170 $2 premium 6.6% (352) 401-7552
8 METRO ID ASSOCIATES LTD LLP HOUSTON TX INTERNAL MEDICINE 4 3,626 $163,170 $45 premium 35.2%
9 SOUTH JERSEY INFECTIOUS DISEASE SOMERS POINT NJ INFECTIOUS DISEASE 2 3,243 $37,798 $12 premium 83.5% (609) 927-6662
10 MARIE ALIXE KIMA GAINESVILLE FL INFECTIOUS DISEASE 3 2,851 $128,295 $45 premium 5.1% (352) 378-9100
11 NORTH BROWARD HOSPITAL DISTRICT FORT LAUDERDALE GA NURSE PRACTITIONER 181 1,974 $7,600 $4 premium 100.0% (954) 763-6655
12 INFECTIOUS DISEASE ASSOCIATES PA BOCA RATON FL INFECTIOUS DISEASE 7 1,762 $17,492 $10 premium 3.1% (561) 393-8224
13 OREGON ONCOLOGY SPECIALISTS LLP SALEM OR PHYSICIAN ASSISTANT 41 1,410 $6,401 $5 premium 84.0% (503) 485-0350
14 HOUSTON CENTER FOR INFECTIOUS DISEASES PA THE WOODLANDS TX INFECTIOUS DISEASE 9 1,264 $6,320 $5 premium 12.3% (281) 444-1303
15 CHRISTOPHER D. CORTES, MD, INC. DELRAY BEACH FL NURSE PRACTITIONER 4 1,156 $17,340 $15 premium 2.1% (561) 498-4440
16 MOHAMED ERRITOUNI MD INC DELRAY BEACH FL NURSE PRACTITIONER 5 909 $13,635 $15 premium 1.6% (561) 501-4266
17 ID CONSULTANTS INC BOYNTON BEACH FL INFECTIOUS DISEASE 6 799 $1,768 $2 premium 1.4% (561) 735-4829
18 INFUCARE MEDICAL GROUP OF CALIFORNIA INC PALM DESERT CA INFECTIOUS DISEASE 3 778 $14,164 $18 premium 100.0% (844) 243-7833
19 DESERT HEALTHCARE SERVICES LLC YUMA AZ NURSE PRACTITIONER 5 710 $3,550 $5 premium 100.0% (928) 345-6860
20 PCCC OF VOLUSIA LLC NEW SMYRNA BEACH FL NURSE PRACTITIONER 13 702 $3,510 $5 premium 1.3% (386) 423-0505
21 KIM MEDICAL OF NEW YORK PLLC PLAINVIEW NY EMERGENCY MEDICINE 13 592 $3,552 $6 premium 66.7% (833) 433-2273
22 ROCKY MOUNTAIN INFECTIOUS DISEASES CASPER WV INFECTIOUS DISEASE 6 402 $3,160 $8 premium 100.0% 30723487003
23 ROCKY MOUNTAIN INFECTIOUS DISEASES CASPER WY INFECTIOUS DISEASE 6 392 $3,069 $8 premium 100.0% 30723487003
24 COASTAL CAROLINA HEALTH CARE PA NEW BERN NC PHYSICIAN ASSISTANT 122 110 $1,265 $12 premium 7.2% (252) 634-3278
25 CITY MEDICAL OF UPPER EAST SIDE PLLC NEW YORK NY PHYSICIAN ASSISTANT 657 67 $402 $6 premium 7.5% (212) 271-4364
26 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 44 $176 $4 premium 1.1% (908) 273-4300

*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 →