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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J1170 Injection, hydromorphone, up to 4 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 82,391 services ▼ 36.4% YoY · 1,094 beneficiaries (CY2024, Medicare FFS)
Medicare paid $233K · $2.82 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
20
Named-group FFS services
42,971
FFS of Medicare
49%
Services YoY
-36.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~91,707 services

42,971 observed fee-for-service (47%) · ~48,736 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 — J1170 (CY2024)

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

Named-group submitted charges
$305K
Named-group allowed amount
$156K
Named-group Medicare payments
$122K
Avg charge / svc
$7
Avg allowed / svc
$4
Avg payment / svc
$3
Average charge per group
$3 20 groups · avg submitted charge / service $36
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by J1170 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 J1170 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 COMMONWEALTH PAIN ASSOCIATES PLLC LOUISVILLE KY NURSE PRACTITIONER 159 22,410 $112,050 $5 premium 64.5% (502) 855-7200
2 PIONEER SPORTS AND SPINE PLLC GILBERT AZ NURSE PRACTITIONER 2 7,405 $22,265 $3 premium 82.0% (480) 249-5525
3 COMPREHENSIVE PAIN MANAGEMENT SERVICES INC WEST PALM BEACH FL INTERVENTIONAL PAIN MANAGEMENT 2 2,535 $90,150 $36 premium 44.6% (561) 845-7432
4 FOX CHASE PAIN MANAGEMENT ASSOCIATES PC TREVOSE PA PAIN MANAGEMENT 6 2,423 $12,115 $5 premium 20.5% (267) 288-5601
5 FOUNDATION FOR SICKLE CELL DISEASE RESEARCH HOMESTEAD FL HEMATOLOGY/ONCOLOGY 4 2,118 $9,656 $5 premium 37.3% (954) 397-3251
6 COMPREHENSIVE REHABILITATION AND PAIN SPECIALISTS PLLC THORNTON CO PHYSICAL MEDICINE AND REHABILITATION 11 1,417 $23,922 $17 premium 98.9% 3038445000104
7 SPACE CITY PAIN SPECIALISTS BAYTOWN TX INTERVENTIONAL PAIN MANAGEMENT 3 1,413 $8,125 $6 premium 20.4% (281) 338-4443
8 SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES INC WEST HOLLYWOOD CA INTERNAL MEDICINE 8 1,000 $10,000 $10 premium 40.9% (323) 525-1111
9 BERMAN AND PITMAN LTD RENO NV NURSE PRACTITIONER 12 968 $4,910 $5 premium 100.0% (775) 689-5410
10 DAYTON PAIN CENTER LLC DAYTON OH INTERVENTIONAL PAIN MANAGEMENT 10 766 $7,660 $10 premium 100.0% (937) 222-2233
11 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 144 $1,008 $7 premium 5.9% (858) 455-9100
12 REDDING PAIN MEDICINE REDDING CA NURSE PRACTITIONER 2 102 $357 $4 premium 4.2% (530) 247-3733
13 MICHIGAN PAIN SPECIALISTS, PLLC ANN ARBOR MI PHYSICIAN ASSISTANT 8 82 $1,033 $13 premium 100.0% (734) 373-7246
14 SOUTHERN PAIN AND REGENERATIVE MEDICINE PC MEMPHIS TN DIAGNOSTIC RADIOLOGY 5 63 $798 $13 premium 100.0% (901) 350-0678
15 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 59 $472 $8 premium 2.4% (916) 681-8852
16 COLORADO SPRINGS INTERVENTIONAL PAIN MANAGEMENT PC COLORADO SPGS CO INTERVENTIONAL PAIN MANAGEMENT 3 16 $480 $30 premium 1.1% (719) 228-9440
17 MTV IR PLLC DALLAS TX DIAGNOSTIC RADIOLOGY 2 14 $183 $13 premium 0.2% (469) 458-9800
18 PHYSICIANS OF CAPE COD HOSPITAL HYANNIS MA NURSE PRACTITIONER 318 12 $60 $5 premium 26.7% (774) 552-6000
19 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 12 $43 $4 premium 100.0% (803) 744-4900
20 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 12 $158 $13 premium 0.2% (210) 450-7044

*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 →