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 groups billing this code
Named-group FFS services

42,473,846

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+10.8%

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

~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.

Billed → allowed → paid
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
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
$5 310 groups · avg submitted charge / service $50
Market analyticsPlatform Methods →

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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 HEALTHNOMIC PARTNERS LLC LAS VEGAS CA RHEUMATOLOGY 23 5,205 $76,888 $15 0.1% (702) 476-2287
2 SOUTHEASTERN RHEUMATOLOGY ALLIANCE GAINESVILLE SC RHEUMATOLOGY 23 5,600 $84,000 $15 0.3% (770) 531-3711
3 CARBON HEALTH MEDICAL GROUP OF KANSAS PA KANSAS CITY KS NURSE PRACTITIONER 11 6,000 $90,000 $15 1.0% (816) 281-5397
4 TRUMAN MEDICAL CENTER INCORPORATED KANSAS CITY MO NURSE PRACTITIONER 247 6,000 $108,000 $18 0.7% (816) 404-7000
5 RHEUMATOLOGY CARE SPECIALISTS GLEN MILLS PA NURSE PRACTITIONER 4 6,400 $102,400 $16 0.2% (610) 558-4800
6 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 6,800 $136,000 $20 0.1% (863) 680-7780
7 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 6,800 $102,000 $15 1.3% —
8 OWENSBORO HEALTH MEDICAL GROUP INC OWENSBORO KY NURSE PRACTITIONER 467 8,000 $96,000 $12 0.4% —
9 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 9,600 $181,184 $19 0.6% (865) 938-3627
10 PARDO FORSTOT BACA AND ALBOUKREK PA BOCA RATON FL RHEUMATOLOGY 6 10,600 $106,000 $10 0.1% (561) 955-7100
11 ARTHRITIS GROUP PC LANGHORNE PA RHEUMATOLOGY 7 11,000 $121,000 $11 0.3% (215) 752-8680
12 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 11,800 $236,000 $20 0.1% (813) 745-4673
13 CAROLINA ARTHRITIS ASSOCIATES PA WILMINGTON SC RHEUMATOLOGY 5 13,600 $193,000 $14 0.8% (910) 762-1182
14 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 13,600 $217,600 $16 0.7% (910) 295-5511
15 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 14,400 $100,800 $7 0.7% (910) 662-6000
16 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 14,400 $230,400 $16 0.1% (321) 434-8878
17 MARC J HIRSH MD PA DELRAY BEACH CT RHEUMATOLOGY 9 15,200 $316,160 $21 4.4% (561) 819-3100
18 INFUSION EXPRESS OF TENNESSEE PC BRENTWOOD MI NURSE PRACTITIONER 42 15,600 $229,320 $15 4.5% (615) 510-6002
19 CASS COUNTY MEMORIAL HOSPITAL ATLANTIC IA NURSE PRACTITIONER 65 16,800 $151,200 $9 3.8% (712) 243-3250
20 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 17,200 $258,000 $15 1.6% (770) 536-9864
21 CLINICA LAS AMERICAS GUAYNABO, INC BAYAMON PR GENERAL PRACTICE 50 17,400 $83,868 $5 100.0% (787) 789-1996
22 PARKVIEW HEALTH SYSTEM INC FORT WAYNE IN NURSE PRACTITIONER 1310 20,000 $200,000 $10 2.5% (260) 425-5900
23 AFFILIATED HOSPITALISTS PLC PHOENIX AZ INTERNAL MEDICINE 84 20,800 $249,600 $12 1.5% (602) 445-0751
24 RHEUMATOLOGY ASSOCIATES LTD E NORRITON PA RHEUMATOLOGY 5 21,600 $324,000 $15 0.5% 61027727504
25 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 22,000 $462,000 $21 0.2% (239) 561-9622
26 FORT BEND RHEUMATOLOGY ASSOCIATES PLLC SUGAR LAND TX RHEUMATOLOGY 3 22,000 $440,000 $20 0.3% (281) 980-1742
27 ADVANCED SPECIALTY CARE, P.C. DANBURY CT PHYSICIAN ASSISTANT 24 22,400 $761,600 $34 6.4% (203) 830-4700
28 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC PHYSICIAN ASSISTANT 2360 22,400 $560,000 $25 1.2% (704) 667-1000
29 HQ INFUSION CENTER LLC HOUSTON TX NURSE PRACTITIONER 2 22,400 $672,067 $30 0.3% (832) 500-3727
30 R.S. VENUTURUPALLI, M.D. INC BEVERLY HILLS CA RHEUMATOLOGY 7 22,400 $470,400 $21 0.5% 3106520010120
31 INNOVATIVE INFUSIONS LLC AUSTIN TX NURSE PRACTITIONER 106 22,800 $1,142,156 $50 0.3% (512) 261-4800
32 GUILLERMO VALENZUELA MD PA PLANTATION FL RHEUMATOLOGY 3 23,217 $214,512 $9 0.2% (954) 476-2338
33 STEVEN BAAK MD LLC BRIDGETON MO NURSE PRACTITIONER 4 23,600 $424,800 $18 2.6% (314) 942-6464
34 NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS LTD ALBUQUERQUE NM DIAGNOSTIC RADIOLOGY 67 23,800 $415,094 $17 7.0% (505) 842-8171
35 FALLS MEDICAL SPECIALISTS, LLC LUTHERVILLE MD RHEUMATOLOGY 3 24,800 $223,200 $9 1.6% (410) 583-2789
36 SAGE INFUSION, LLC TAMPA CO NURSE PRACTITIONER 43 25,200 $126,832 $5 4.5% (813) 775-9997
37 ARTHRITIS CENTERS OF TEXAS, P.A. DALLAS AR RHEUMATOLOGY 4 27,200 $126,796 $5 2.9% (214) 823-6503
38 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 27,200 $408,000 $15 1.4% (910) 341-1540
39 NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER, LLC HACKETTSTOWN NJ PHYSICIAN ASSISTANT 30 28,200 $448,800 $16 0.8% (908) 684-3005
40 LEBANON INTERNAL MEDICINE ASSOCIATES PC LEBANON PA PHYSICIAN ASSISTANT 17 28,600 $343,200 $12 0.7% (717) 273-6706
41 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 28,800 $882,036 $31 5.4% —
42 PHYSIOTHERAPY ASSOCIATES INC SOUTH DENNIS MA ORTHOPEDIC SURGERY 1373 29,010 $870,300 $30 8.0% (508) 385-4212
43 APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BOONE NC DIAGNOSTIC RADIOLOGY 154 29,402 $646,844 $22 1.5% (828) 262-4100
44 BON SECOURS ST FRANCIS XAVIER HOSPITAL INC CHARLESTON SC ANESTHESIOLOGY 210 29,600 $324,000 $11 1.7% (843) 402-1436
45 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 29,800 $745,000 $25 1.1% —
46 KIRAN FARHEEN PLLC KATY TX INTERNAL MEDICINE 4 30,000 $450,000 $15 0.4% (978) 384-2827
47 CENTER FOR RHEUMATIC DISEASES AND OSTEOPOROSIS P.A. ROCKVILLE MD RHEUMATOLOGY 4 30,600 $321,300 $10 1.9% (301) 230-5888
48 FAITH HEALTHCARE INC MONTICELLO KY NURSE PRACTITIONER 17 32,400 $388,800 $12 1.5% (606) 425-5768
49 CARROLL ARTHRITIS LLC WESTMINSTER MD RHEUMATOLOGY 3 32,400 $388,800 $12 2.0% —
50 HEART OF GEORGIA RHEUMATOLOGY LLC MACON GA NURSE PRACTITIONER 4 32,800 $492,000 $15 3.1% 4787423704200
51 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 32,801 $590,418 $18 5.7% (785) 354-9591
52 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 33,605 $1,063,826 $32 0.5% —
53 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 34,000 $408,000 $12 0.5% (903) 606-5560
54 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 34,200 $444,600 $13 1.2% (847) 459-1160
55 SAGE INFUSION, LLC TAMPA FL NURSE PRACTITIONER 43 34,400 $167,764 $5 0.3% (813) 775-9997
56 CAROLINA ARTHRITIS CENTER PA GREENVILLE NC NURSE PRACTITIONER 5 35,200 $422,400 $12 1.8% (252) 321-8474
57 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES VA LLC COLONIAL HEIGHTS VA PHYSICIAN ASSISTANT 12 35,600 $448,400 $13 1.2% (804) 526-6062
58 CUMBERLAND VALLEY RHEUMATOLOGY, P.C. CHAMBERSBURG PA NURSE PRACTITIONER 2 35,800 $289,980 $8 0.9% (717) 267-2065
59 RHEUMATOLOGY ASSOCIATES, PLLC LOUISVILLE TN RHEUMATOLOGY 7 35,800 $268,500 $8 2.4% (502) 893-3963
60 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 36,000 $464,040 $13 3.6% (801) 261-8346
61 H2 REHABILITATION SERVICES OF KENTUCKY, LLC BEREA KY ORTHOPEDIC SURGERY 194 36,000 $432,000 $12 1.7% (859) 956-1055
62 ADVANCED RHEUMATOLOGY PC LANSING MI RHEUMATOLOGY 2 36,001 $331,200 $9 10.3% (517) 908-3600
63 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG NJ PHYSICIAN ASSISTANT 1060 36,200 $905,000 $25 1.0% (717) 782-2100
64 EMPOWERED ARTHRITIS AND RHEUMATOLOGY CENTER PLLC CARY NC PHYSICIAN ASSISTANT 4 36,400 $492,871 $14 1.9% —
65 CAROLINA RHEUMATOLOGY AND NEUROLOGY MYRTLE BEACH SC RHEUMATOLOGY 6 36,400 $592,500 $16 2.1% (843) 692-0968
66 TEXOMA ARTHRITIS CLINIC, P.A. MCKINNEY TX RHEUMATOLOGY 3 36,400 $1,084,275 $30 0.5% (972) 547-9700
67 ORTHOPAEDICS AND RHEUMATOLOGY OF THE NORTH SHORE SC SKOKIE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 37,000 $370,000 $10 1.3% (847) 869-7233
68 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 37,200 $736,560 $20 0.9% (916) 983-7476
69 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 37,600 $620,400 $16 0.6% —
70 COSTA ORTHOPEDICS LLC EATONTOWN NJ PHYSICIAN ASSISTANT 3 38,400 $458,400 $12 1.0% (732) 440-7322
71 EMERALD COAST RHEUMATOLOGY LLC LYNN HAVEN FL NURSE PRACTITIONER 10 38,401 $830,088 $22 0.4% (850) 215-6400
72 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 38,600 $540,400 $14 0.9% (805) 681-7500
73 KNOXVILLE RHEUMATOLOGY PLLC KNOXVILLE TN NURSE PRACTITIONER 3 38,800 $349,200 $9 2.6% (865) 246-6580
74 CAROLINA RHEUMATOLOGY AND INTERNAL MEDICINE PA FAYETTEVILLE NC PHYSICIAN ASSISTANT 4 38,800 $513,200 $13 2.0% (910) 920-1450
75 INFUSEABLE HEALTHCARE, LLC SCOTTSDALE WI GASTROENTEROLOGY 2 39,200 $364,366 $9 40.3% (480) 927-3800
76 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES-NC PLLC DAVIDSON NC NURSE PRACTITIONER 2 39,600 $526,000 $13 2.1% (704) 255-6167
77 NORTH CLINIC PA MAPLE GROVE MN PHYSICIAN ASSISTANT 53 40,000 $476,540 $12 100.0% (763) 587-7900
78 COMPREHENSIVE RHEUMATOLOGY CARE PLLC HENDERSONVILLE TN PHYSICIAN ASSISTANT 4 40,000 $400,000 $10 2.7% (615) 822-5660
79 ALAN J KIVITZ MD PC DUNCANSVILLE PA RHEUMATOLOGY 7 40,000 $622,400 $16 1.0% (814) 693-0300
80 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES-GA, LLC SNELLVILLE GA RHEUMATOLOGY 5 40,000 $499,400 $12 3.7% (770) 972-1022
81 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES-CA PC FRESNO CA RHEUMATOLOGY 13 40,400 $608,000 $15 1.0% (559) 732-9900
82 PIEDMONT HEALTHCARE PA STATESVILLE NC PHYSICIAN ASSISTANT 226 40,400 $404,000 $10 2.1% (704) 838-8210
83 SEATTLE RHEUMATOLOGY ASSOCIATES PLLC SEATTLE WA RHEUMATOLOGY 9 40,402 $456,012 $11 16.5% (206) 844-6001
84 RHEUMATOLOGY SERVICES MEDICAL GROUP SAN LUIS OBISPO CA NURSE PRACTITIONER 9 40,800 $489,600 $12 1.0% 6616958385118
85 ARTHRITIS AND RHEUMATOLOGY CENTER PC ROSWELL GA RHEUMATOLOGY 22 40,800 $1,020,000 $25 3.8% (770) 284-3150
86 TODER RHEUMATOLOGY AND OSTEOPOROSIS CENTER, P.C. JOHNSTON RI RHEUMATOLOGY 2 41,600 $748,800 $18 27.1% (401) 421-6011
87 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 41,600 $231,538 $6 3.3% (914) 241-1050
88 ALLERGY AND RHEUMATOLOGY ASSOCIATES LLC ST PETERSBURG FL INTERNAL MEDICINE 2 42,000 $672,000 $16 0.4% (727) 319-4535
89 BORIS D RATINER, MD, INC TARZANA CA RHEUMATOLOGY 6 42,000 $378,000 $9 1.0% (818) 996-4077
90 POTTSTOWN MEDICAL SPECIALISTS INC POTTSTOWN PA FAMILY PRACTICE 39 42,400 $381,600 $9 1.0% (484) 945-0075
91 NORMAN B. GAYLIS M.D. PA AVENTURA FL RHEUMATOLOGY 4 43,200 $408,000 $9 0.4% (305) 652-6676
92 ADVANCED RHEUMATOLOGY AND ARTHRITIS RESEARCH CENTER PC CRANBERRY TWP PA RHEUMATOLOGY 2 43,204 $955,088 $22 1.1% (724) 935-9355
93 THINK AKSARBEN LLC OMAHA NE FAMILY PRACTICE 73 43,600 $392,400 $9 8.5% (402) 991-7000
94 TRIAD HEALTH SERVICES LLC YOUNGSTOWN OH PHYSICIAN ASSISTANT 256 43,801 $876,020 $20 4.2% (330) 729-8000
95 ERIC PING CHIANG RHEUMATOLOGY CONSULTANT INC. CORPUS CHRISTI TX NURSE PRACTITIONER 3 44,400 $799,200 $18 0.7% (713) 464-7555
96 SSK PHYSICIAN ASSOCIATES LUFKIN TX NURSE PRACTITIONER 2 44,800 $1,851,584 $41 0.7% (936) 634-4422
97 OPTUMCARE COLORADO MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 193 45,000 $640,800 $14 8.1% (719) 635-5148
98 METRO INFECTIOUS DISEASE CONSULTANTS LLC BURR RIDGE FL INFECTIOUS DISEASE 396 45,600 $1,168,416 $26 0.4% (888) 220-6432
99 ENG KLASHMAN AND MEHDI A PARTNERSHIP OF PROFESSIONAL CORPORATIONS TORRANCE CA RHEUMATOLOGY 3 45,601 $396,949 $9 1.1% (310) 373-0340
100 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM MA NURSE PRACTITIONER 803 46,000 $460,000 $10 12.6% (978) 741-4133

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 →