NEVVI Medicare utilization intelligence
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Market snapshot

J1201 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J1201 — Injection, cetirizine hydrochloride, 0.5 mg

Billing groups
10
Named-group FFS services
32,073
FFS of Medicare
49%
Services YoY
+130.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~70,948 services

32,073 observed fee-for-service (45%) · ~38,875 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 — J1201 (CY2024)

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

Named-group submitted charges
$827K
Named-group allowed amount
$466K
Named-group Medicare payments
$371K
Avg charge / svc
$26
Avg allowed / svc
$15
Avg payment / svc
$12
Average charge per group
$20 10 groups · avg submitted charge / service $45
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J1201 services, CY2024
#Physician group City St Specialty Providers J1201 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 FLORIDA MEDICAL SPECIALISTS LLC SARASOTA FL INTERNAL MEDICINE 123 8,140 $244,200 $30 premium 45.3%
2 EMERALD COAST ONCOLOGY AND HEMATOLOGY ASSOC., P.A. FORT WALTON BEACH FL HEMATOLOGY/ONCOLOGY 7 6,880 $135,027 $20 premium 38.3% (850) 863-3148
3 COLORADO ARTHRITIS CENTER ENGLEWOOD CO RHEUMATOLOGY 7 5,220 $126,180 $24 premium 100.0% (303) 788-1312
4 NC IMMUNOLOGY PC MOORESVILLE NC ALLERGY/IMMUNOLOGY 2 3,236 $74,428 $23 premium 82.2% (704) 873-5055
5 COLORADO ARTHRITIS CENTER ENGLEWOOD IN RHEUMATOLOGY 7 2,880 $68,430 $24 premium 100.0% (303) 788-1312
6 AUGUSTA ONCOLOGY ASSOCIATES PC AUGUSTA GA HEMATOLOGY/ONCOLOGY 36 2,461 $73,830 $30 premium 86.0% 7067361830213
7 ALLERGY IMMUNOLOGY ASSOCIATES INC MAYFIELD HEIGHTS OH ALLERGY/IMMUNOLOGY 7 1,620 $40,800 $25 premium 100.0% (216) 381-3333
8 EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A. FORT WALTON BEACH FL NURSE PRACTITIONER 34 535 $24,027 $45 premium 3.0% (850) 862-3979
9 NORTH BROWARD HOSPITAL DISTRICT FORT LAUDERDALE GA NURSE PRACTITIONER 181 400 $17,964 $45 premium 14.0% (954) 763-6655
10 VALLEY TUMOR MEDICAL GROUP A MEDICAL CORPORATION PALMDALE FL HEMATOLOGY/ONCOLOGY 4 360 $13,200 $37 premium 2.0% (661) 208-4790
11 GREG E EUDY MD PC BIRMINGHAM AL NURSE PRACTITIONER 3 341 $8,525 $25 premium 100.0% (205) 263-0093

*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 →