NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J0872 Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg HCPCS · Treatment
Classification Treatment Injections and Infusions (nononcologic) (CMS RBCS)
First observed 2024
National scale 5.29M services · est. · 326 FFS beneficiaries (CY2024, all-Medicare estimate) — 2.64M observed fee-for-service services
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Data year CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Market overview
Market Brief J0872
The whole of J0872, written up and sourced.

The Brief is a national document for J0872. Its findings page carries one finding per chapter, each opening the chapter that prints its figure and the table behind it — like these, from the United States, CY2024, the market on this page.

  1. 1Size and growth. The national market for J0872 ran ~5,287,810 all-Medicare services (estimated), 2,637,395 observed fee-for-service in CY2024. 10 billing groups and 18 clinicians bill it.
  2. 2Payment. Half the field lists between $1 and $1 per service; the median group lists $1. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. FL, TX, MI and OR lead the state markets — together 98% of state-market volume.
Estimated all-Medicare volume estimate
FFS + estimated MA

~5,287,810 services

2,637,395 observed fee-for-service (50%) · ~2,650,415 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Average charge

$1

per service, submitted list amounts — not payments · named-group basis, observed FFS
Average payment

$0

per service, Medicare paid amounts — not charges · all disclosed claims, observed FFS basis
Charge-to-payment ratio

6.6×

average list $1 vs average Medicare payment $0 per service · named-group basis
What they charge

Half the field lists between $1 and $1

Submitted charges are provider-set list amounts, not payments · median $1 (named groups)
Every group, one dot10 billing groups · median $1

The same field as one dot per billing group: where the cluster sits, and how far the tail reaches

$0$1$2average submitted charge per service, per billing groupmedian $1
One dot per billing group, J0872 nationwide CY2024 — average submitted charge per service, provider-set list amounts, not payments. The axis caps near the 95th percentile so the cluster is legible; groups beyond it draw at the cap in accent and are counted on the chart.
Where the market isobserved FFS services by state · CY2024
MEVTNHWAIDMTNDMNWIILMI: 283500MINYMARIOR: 82500ORNVWYSDIAINOHPANJ: 41900NJCTCAUTCONEMOKYWVVAMDDEAZNMKSARTNNCSCDCOKLAMSALGAHIAKTX: 427881TXFL: 1801614FL
Shaded low→high on observed fee-for-service services billed from each state · the /stats tile grid, at national scope. Shading ranks the states rather than spacing them along the range, so neighbouring shades mean adjacent RANKS, not equal gaps — the key names the lowest and highest; each tile carries its own figure.

Open a state market: FL · TX · MI · OR · NJ — the group ranking lives in the Provider groups tab. Territories bill too; the tile grid draws the 50 states and DC.

Every group in this market, placed by list charge against volume

The whole field, one canvas10 groups · bubble = services
100,000One billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing group$1$2$5$7$10+Average submitted charge per service — list amounts, not paymentsServices per group — J0872, CY2024
One mark per physician group, J0872 nationwide CY2024 — marks are unnamed here: a mark’s position is its average list charge, and that figure is part of the platform. Submitted charges are provider-set list amounts, not payments.

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