NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) HCPCS · Treatment
Classification Treatment › Injections and Infusions (nononcologic) › Injection - Tumor Necrosis Factor Blocker (CMS RBCS)
First observed 2014
National scale 61.17M services ▲ 10.8% YoY · 26,374 beneficiaries (CY2024, Medicare FFS)
Medicare paid $220.1M · $3.60 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
310
Named-group FFS services
42,473,846
FFS of Medicare
49%
Services YoY
+10.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~85,178,083 services

42,473,846 observed fee-for-service (50%) · ~42,704,237 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 — J0717 (CY2024)
FL 10,204,133 TX 6,807,418 CA 4,156,552 PA 4,081,553 NJ 3,741,271

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

Named-group submitted charges
$592.2M
Named-group allowed amount
$192.7M
Named-group Medicare payments
$152.8M
Avg charge / svc
$14
Avg allowed / svc
$5
Avg payment / svc
$4
Average charge per group
$5 310 groups · avg submitted charge / service $50
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers J0717 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES LLC NAPLES FL RHEUMATOLOGY 75 2,123,600 $25,992,800 $12 20.8% (239) 596-5220
2 MICHAEL D. KOHEN MD PA DAYTONA BEACH FL ALLERGY/IMMUNOLOGY 3 1,090,240 $14,173,120 $13 10.7% (386) 252-1632
3 PIEDMONT ARTHRITIS CLINIC PA GREENVILLE SC RHEUMATOLOGY 8 809,200 $16,184,000 $20 46.8% (864) 235-8396
4 SOUTHEASTERN RHEUMATOLOGY ALLIANCE GAINESVILLE GA RHEUMATOLOGY 23 667,263 $10,556,900 $16 62.2% (770) 531-3711
5 ANNAPOLIS RHEUMATOLOGY LLC ANNAPOLIS MD RHEUMATOLOGY 18 620,400 $5,428,500 $9 39.0% (410) 897-1941
6 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC HURRICANE UT NURSE PRACTITIONER 41 544,400 $7,017,316 $13 54.4% (435) 635-0174
7 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY MO RHEUMATOLOGY 16 539,200 $4,852,800 $9 60.3% (913) 258-2116
8 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 505,490 $9,596,710 $19 18.2% (630) 469-9200
9 TRABECULAR MEDICAL GROUP, LLC VOORHEES NJ RHEUMATOLOGY 19 496,840 $4,351,800 $9 13.3% (856) 424-5005
10 ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES P C PHOENIX AZ RHEUMATOLOGY 41 493,401 $5,920,800 $12 36.3% (480) 443-8400
11 ALLEGRA ARTHRITIS ASSOCIATES PC RED BANK NJ PHYSICIAN ASSISTANT 7 488,840 $5,856,480 $12 13.1% (732) 842-3600
12 RHEUMATOLOGY ASSOCIATES OF LI LLP SMITHTOWN NY RHEUMATOLOGY 10 462,040 $5,082,440 $11 36.5% (631) 360-7778
13 ARTHRITIS AND OSTEOPOROSIS CLINIC OF BRAZOS VALLEY COLLEGE STATION TX PHYSICIAN ASSISTANT 3 443,200 $9,807,672 $22 6.5% (979) 696-8000
14 CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 9 436,407 $4,956,801 $11 10.5% (310) 659-7878
15 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 431,200 $5,294,800 $12 15.5% —
16 INLAND RHEUMATOLOGY AND OSTEOPOROSIS MEDICAL GROUP INC UPLAND CA RHEUMATOLOGY 4 409,400 $4,485,800 $11 9.8% (909) 982-0099
17 RHEUMATOLOGY ASSOCIATES, PLLC LOUISVILLE KY RHEUMATOLOGY 7 401,800 $3,013,500 $8 19.0% (502) 893-3963
18 RHEUMATOLOGY ASSOCIATES AND SUBSIDIARY DALLAS TX RHEUMATOLOGY 23 389,400 $5,914,620 $15 5.7% (214) 540-0700
19 ADVOCARE, LLC HADDONFIELD NJ NURSE PRACTITIONER 384 378,860 $9,092,640 $24 10.1% (856) 354-2211
20 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 350,000 $7,000,000 $20 20.2% (843) 497-5929
21 RHEUMATOLOGY SPECIALISTS OF PADUCAH PLLC PADUCAH KY PHYSICIAN ASSISTANT 3 350,000 $7,000,000 $20 16.5% (270) 408-6100
22 WEITZNER YONKER AND KAINE MD PA SARASOTA FL RHEUMATOLOGY 17 346,200 $6,121,300 $18 3.4% 94136507701028
23 BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION BRYN MAWR PA NURSE PRACTITIONER 134 340,811 $3,408,110 $10 8.4% (610) 527-3800
24 NORTHWEST RHEUMATOLOGY SPECIALISTS SC ELK GROVE VILLAGE IL RHEUMATOLOGY 6 339,840 $4,020,307 $12 12.2% (847) 364-0800
25 VIRGINIA PHYSICIANS INC MIDLOTHIAN VA FAMILY PRACTICE 93 321,200 $3,212,000 $10 11.1% (804) 744-0200
26 ARTHRITIS CLINIC, PLLC JACKSON TN RHEUMATOLOGY 2 314,000 $6,280,000 $20 20.9% (731) 664-0002
27 LANCASTER GENERAL MEDICAL GROUP LANCASTER PA PHYSICIAN ASSISTANT 580 311,400 $3,862,400 $12 7.6% —
28 VIPUL JOSHI, MD PA BRANDON FL NURSE PRACTITIONER 7 310,400 $5,276,800 $17 3.0% (813) 651-4441
29 RHEUMATOLOGY ASSOCIATES, P.C. INDIANAPOLIS IN RHEUMATOLOGY 7 308,000 $2,772,000 $9 39.2% (317) 844-6444
30 INFUSION SOLUTIONS OF DELAWARE DOVER DE INTERNAL MEDICINE 6 301,000 $3,010,000 $10 25.9% (302) 674-4627
31 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES OH LLC LIBERTY TOWNSHIP OH RHEUMATOLOGY 6 297,800 $4,296,600 $14 28.6% (513) 779-5610
32 EAST BAY RHEUMATOLOGY MEDICAL GROUP, INC. SAN LEANDRO CA RHEUMATOLOGY 3 297,200 $5,944,000 $20 7.2% (510) 357-1303
33 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 288,000 $4,608,000 $16 19.2% (901) 261-0700
34 JEFFREY L MATHEWS MD A PROFESSIONAL CORPORATION PROVO UT RHEUMATOLOGY 3 285,201 $5,418,800 $19 28.5% 801818194013
35 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 283,600 $2,552,400 $9 7.6% (908) 273-4300
36 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 282,001 $3,218,908 $11 2.8% (352) 693-3378
37 ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER PA ASHEVILLE NC RHEUMATOLOGY 11 280,400 $3,084,400 $11 14.6% (828) 258-9533
38 ARTHIRITIS AND OSTEOPOROSIS NORTHERN VIRGINIA INC MANASSAS VA RHEUMATOLOGY 3 279,200 $2,792,000 $10 9.7% (703) 361-3255
39 RHEUMATIC DISEASE CENTER PHYSICIANS SC DES PLAINES IL RHEUMATOLOGY 4 271,004 $1,964,779 $7 9.7% (847) 800-0998
40 SELECT PHYSICAL THERAPY HOLDINGS INC EAGLE RIVER DC ORTHOPEDIC SURGERY 2158 269,000 $3,228,000 $12 74.9% (907) 694-8085
41 ARTHRITIS SPECIALISTS, LTD. NORTH CHESTERFIELD VA RHEUMATOLOGY 5 266,400 $2,930,400 $11 9.2% 8043231401309
42 MVHE INC DAYTON OH INTERNAL MEDICINE 389 259,200 $3,628,800 $14 24.9% (937) 252-1831
43 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE SC RHEUMATOLOGY 47 259,000 $5,180,000 $20 15.0% (843) 572-4840
44 RHEUMATIC DISEASE ASSOCIATES,LTD WILLOW GROVE PA RHEUMATOLOGY 16 258,000 $2,621,280 $10 6.3% 2156576776438
45 KENTUCKIANA CENTER FOR BETTER BONE AND JOINT HEALTH, PLLC LOUISVILLE KY PHYSICIAN ASSISTANT 4 254,600 $1,276,678 $5 12.0% (502) 583-5836
46 RHEUMATOLOGY SOLUTIONS PLLC WINDCREST TX RHEUMATOLOGY 3 249,600 $2,558,400 $10 3.7% (210) 590-9596
47 ARTHRITIS AND RHEUMATIC DISEASES WILLIAMSBURG VA NURSE PRACTITIONER 4 248,600 $1,516,460 $6 8.6% (757) 585-2194
48 TRISTATE ARTHRITIS AND RHEUMATOLOGY PSC CRESTVIEW HILLS KY RHEUMATOLOGY 9 248,400 $4,148,000 $17 11.7% (859) 331-3100
49 RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS, PLLC SAN ANTONIO TX NURSE PRACTITIONER 17 245,000 $2,940,000 $12 3.6% (210) 265-8851
50 HILLCROFT MEDICAL CLINIC ASSOC SUGAR LAND TX FAMILY PRACTICE 30 237,600 $7,128,000 $30 3.5% (713) 781-4600
51 SUNSHINE RHEUMATOLOGY AND ARTHRITIS CENTER LLC SUN CITY CENTER FL RHEUMATOLOGY 10 237,200 $2,898,000 $12 2.3% (813) 333-5080
52 ARTHRITIS CLINIC INC BROOKSVILLE FL RHEUMATOLOGY 2 226,820 $3,972,500 $18 2.2% (352) 596-6333
53 LAKE CUMBERLAND RHEUMATOLOGY PLLC BOWLING GREEN KY RHEUMATOLOGY 20 226,400 $2,716,800 $12 10.7% (606) 802-2300
54 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 212,804 $1,702,432 $8 5.2% —
55 RHEUMATOLOGY AND ARTHRITIS CARE CENTER PLLC EXTON PA PHYSICIAN ASSISTANT 4 211,601 $2,327,611 $11 5.2% (484) 206-4447
56 RHEUMATOLOGY CENTER OF DELAWARE, LLC DOVER DE NURSE PRACTITIONER 2 208,800 $2,088,000 $10 17.9% (302) 678-7438
57 EDMUND J. MACLAUGHLIN, MD, LLC EASTON MD RHEUMATOLOGY 6 203,600 $2,086,900 $10 12.8% (410) 819-6545
58 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 200,400 $4,004,200 $20 2.9% (214) 220-2468
59 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 197,400 $6,119,400 $31 7.1% —
60 IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC MOBILE AL INTERNAL MEDICINE 167 196,401 $1,964,010 $10 22.9% —
61 RHEUMATOLOGY PARTNERS PLLC LITTLE ROCK AR RHEUMATOLOGY 5 196,400 $2,946,000 $15 20.8% (501) 224-6366
62 WOODLANDS ARTHRITIS CLINIC, PA SHENANDOAH TX RHEUMATOLOGY 4 196,000 $1,960,000 $10 2.9% (936) 273-3900
63 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 193,400 $3,868,000 $20 45.2% (601) 264-6000
64 HERITAGE HEALTH SERVICES LLC OKLAHOMA CITY OK RHEUMATOLOGY 15 191,600 $4,790,000 $25 36.0% (405) 608-8060
65 ARTHRITIS AND RHEUMATOLOGY CLINICAL CENTER OF NORTHERN VIRGINIA, PLLC VIENNA VA RHEUMATOLOGY 3 191,200 $2,103,200 $11 6.6% (703) 734-2222
66 KEN C ARAKAWA M D INC HONOLULU HI PHYSICIAN ASSISTANT 4 187,600 $2,491,328 $13 100.0% (808) 528-3888
67 CRYSTAL ARTHRITIS CENTER, INC. AKRON OH RHEUMATOLOGY 5 183,200 $1,557,200 $8 17.6% (330) 670-4026
68 ARTHRITIS ASSOCIATES ERIE PA RHEUMATOLOGY 4 182,000 $2,548,000 $14 4.5% (814) 868-8531
69 BAY ARTHRITIS INSTITUTE PANAMA CITY FL NURSE PRACTITIONER 3 176,405 $2,116,800 $12 1.7% 8502153062207
70 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES-TX PLLC EL PASO TX NURSE PRACTITIONER 28 175,000 $2,444,600 $14 2.6% (915) 317-1660
71 ARTHRITIS SPECIALTY CENTER,INC POCATELLO ID PHYSICIAN ASSISTANT 6 172,400 $1,896,400 $11 81.6% (208) 234-1300
72 D DENNIS PAYNE JR MD PA HICKORY NC RHEUMATOLOGY 4 169,600 $1,526,400 $9 8.8% (828) 322-1996
73 COLORADO ARTHRITIS CENTER ENGLEWOOD CO RHEUMATOLOGY 7 168,063 $1,435,367 $9 30.3% (303) 788-1312
74 MEDICAL GROUP OF INDIANA LLC MUNCIE IN NURSE PRACTITIONER 11 167,601 $1,676,010 $10 21.3% (765) 717-5399
75 SCENIC CITY RHEUMATOLOGY, PLLC CHATTANOOGA TN NURSE PRACTITIONER 5 164,400 $1,922,000 $12 11.0% (423) 893-6890
76 NAMIETA M. JANSSEN MD PLLC SUGAR LAND TX RHEUMATOLOGY 2 163,600 $1,698,880 $10 2.4% (832) 500-5002
77 RHEUMATOLOGY ASSOCIATES PA STUART FL RHEUMATOLOGY 5 163,200 $1,562,828 $10 1.6% (772) 283-8380
78 NUVANCE HEALTH MEDICAL PRACTICE CT INC DANBURY CT PHYSICIAN ASSISTANT 748 160,600 $5,460,400 $34 46.2% (203) 739-7118
79 ARTHRITIS CONSULTANTS OF NORTH COUNTY A PROFESSIONAL CORPORATION OCEANSIDE CA INTERNAL MEDICINE 3 160,000 $2,235,212 $14 3.8% (760) 724-5800
80 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES -MI PLLC PORT HURON MI RHEUMATOLOGY 7 159,200 $2,229,200 $14 45.6% (810) 985-5000
81 VIVEK MITTAL MD AND MANISHA MITTAL MD INC FRESNO CA GASTROENTEROLOGY 2 158,400 $2,851,200 $18 3.8% (559) 900-4013
82 CTRA PLLC WEST LAKE HILLS TX RHEUMATOLOGY 5 156,802 $1,443,266 $9 2.3% (512) 518-4992
83 RHEUMATOLOGY CONSULTANTS OF DE PA LEWES DE PHYSICIAN ASSISTANT 3 155,240 $2,139,600 $14 13.3% (302) 644-2633
84 BACHMAN AND SCULLY, LTD. RENO NV INTERNAL MEDICINE 4 152,000 $1,520,000 $10 43.3% —
85 LAFAYETTE ARTHRITIS AND ENDOCRINE CLINIC APMC LAFAYETTE LA NURSE PRACTITIONER 12 150,000 $1,343,050 $9 23.1% 3372377801206
86 ARTHRITIS AND RHEUMATISM ASSOCIATES PL CLEARWATER FL RHEUMATOLOGY 5 149,800 $2,696,400 $18 1.5% (727) 443-6400
87 IOWA ARTHRITIS AND OSTEOPOROSIS CENTER PC URBANDALE IA RHEUMATOLOGY 15 145,200 $1,306,800 $9 32.9% (515) 270-7222
88 MID-AMERICA RHEUMATOLOGY CONSULTANTS OVERLAND PARK KS RHEUMATOLOGY 4 143,200 $2,577,600 $18 25.0% 9136619980135
89 THAILA RAMANUJAM M D INC SANTA CRUZ CA RHEUMATOLOGY 4 142,003 $1,404,016 $10 3.4% (831) 462-8960
90 RHEUMATOLOGY CENTER OF NEW JERSEY INC. SOMERVILLE NJ RHEUMATOLOGY 3 141,602 $1,947,000 $14 3.8% (908) 722-5380
91 ARTHRITIS CENTER OF NEBRASKA LINCOLN NE PHYSICIAN ASSISTANT 8 140,800 $1,548,800 $11 27.3% (402) 420-1212
92 RHEUMATOLOGY CARE CENTER LLC HOOVER AL RHEUMATOLOGY 4 140,000 $1,004,928 $7 16.3% (205) 444-4858
93 SHORES RHEUMATOLOGY PC SAINT CLAIR SHORES MI NURSE PRACTITIONER 6 138,200 $1,382,000 $10 39.6% (586) 777-7577
94 NOYDEEN SISTERS MEDICAL GROUP AND CLINICS INC CONWAY AR NURSE PRACTITIONER 9 137,600 $2,064,000 $15 14.5% (501) 209-4040
95 LIRAOC RHEUMATOLOGY PC BABYLON NY RHEUMATOLOGY 4 137,200 $3,430,000 $25 10.8% (631) 376-2663
96 GREG E EUDY MD PC BIRMINGHAM AL NURSE PRACTITIONER 3 134,400 $1,142,400 $8 15.6% (205) 263-0093
97 UNIVERSITY HEALTHCARE ALLIANCE PLEASANTON CA INTERNAL MEDICINE 332 132,800 $2,523,200 $19 3.2% (925) 462-7060
98 MEDICINE AND RHEUMATOLOGY ASSOCIATES LEWES DE INTERNAL MEDICINE 3 132,400 $1,680,400 $13 11.4% (302) 645-6644
99 PRASHANTH R PALWAI, MD PA KINGWOOD TX NURSE PRACTITIONER 4 124,800 $1,872,000 $15 1.8% (281) 319-4700
100 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 124,800 $2,025,600 $16 1.8% (512) 346-6611

Showing the top 100 of 310 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →