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Market snapshot

J0872 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

Billing groups
10
Named-group FFS services
2,484,205
FFS of Medicare
49%
Services YoY
Estimated all-Medicare volume FFS + estimated MA estimate
~5,667,640 services

2,484,205 observed fee-for-service (44%) · ~3,183,435 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 — J0872 (CY2024)

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

Named-group submitted charges
$3.0M
Named-group allowed amount
$579K
Named-group Medicare payments
$461K
Avg charge / svc
$1
Avg allowed / svc
$0
Avg payment / svc
$0
Average charge per group
$1 10 groups · avg submitted charge / service $2
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Specialty market — Infectious Disease: 664,012 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Infectious Disease across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J0872 services, CY2024
#Physician group City St Specialty Providers J0872 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 HOUSTON CENTER FOR INFECTIOUS DISEASES PA THE WOODLANDS TX INFECTIOUS DISEASE 9 427,881 $351,015 $1 premium 100.0% (281) 444-1303
2 DONNA M O'NEILL M.D. P.C. JACKSON MI INFECTIOUS DISEASE 2 100,750 $100,750 $1 premium 35.5% (517) 788-4781
3 GULF COAST INFECTIOUS DISEASES INC PENSACOLA FL INFECTIOUS DISEASE 4 54,501 $54,501 $1 premium 3.0% (850) 549-4755
4 ESSEX COUNTY INFECTIOUS DISEASE BLOOMFIELD NJ INFECTIOUS DISEASE 3 41,900 $31,075 $1 premium 100.0% (973) 748-4583
5 INFECTIOUS DISEASE ASSOCIATES PA BOCA RATON FL INFECTIOUS DISEASE 7 38,980 $38,980 $1 premium 2.2% (561) 393-8224

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →