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Market snapshot

J1306 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J1306 — Injection, inclisiran, 1 mg

Billing groups
202
Named-group FFS services
8,038,632
FFS of Medicare
49%
Services YoY
+104.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~16,271,881 services

8,038,632 observed fee-for-service (49%) · ~8,233,249 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 — J1306 (CY2024)

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

Named-group submitted charges
$244.8M
Named-group allowed amount
$96.0M
Named-group Medicare payments
$76.2M
Avg charge / svc
$30
Avg allowed / svc
$12
Avg payment / svc
$9
Average charge per group
$12 202 groups · avg submitted charge / service $72
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Specialty market — Cardiovascular Disease (Cardiology): 961,937 services across 22 groups; top group 53%. See Cardiovascular Disease (Cardiology) across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J1306 services, CY2024
#Physician group City St Specialty Providers J1306 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 LIVWELL HEALTH LLC SCOTTSDALE AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 507,488 $10,651,822 $21 premium 74.0% (602) 688-2248
2 MALCOLM S POND MD INC AND CHIAYU CHEN MD PTR CARDIOLOGY ASSOCIATES RIVERSIDE CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 95,708 $2,679,824 $28 premium 5.3% (951) 686-3600
3 GEORGIA HEART INSTITUTE LLC GAINESVILLE GA CARDIOVASCULAR DISEASE (CARDIOLOGY) 128 75,828 $1,440,732 $19 premium 12.7% (770) 534-2020
4 APEX CARDIOLOGY OF SILICON VALLEY A MEDICAL PARTNERSHIP SAN JOSE CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 37,772 $491,036 $13 premium 2.1% (408) 369-7500
5 HEALTHONE HEART CARE LLC AURORA CO CARDIOVASCULAR DISEASE (CARDIOLOGY) 46 36,874 $1,126,720 $31 premium 13.2% (303) 750-0822
6 DIPTI ITCHHAPORIA MEDICAL CORPORATION NEWPORT BEACH CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 31,240 $468,600 $15 premium 1.7% (949) 548-6634
7 CARDIOVASCULAR CARE INC LOS ALAMITOS CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 26,056 $325,700 $12 premium 1.5% (562) 594-1772
8 PROVIDENCE MEDICAL GROUP, LLC TERRE HAUTE IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 25 19,028 $416,060 $22 premium 29.3% (812) 232-5936
9 ADVANCED CARDIOVASCULAR CONSULTANTS INC CHARDON OH CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 18,460 $369,200 $20 premium 10.1% (440) 285-2300
10 CATHOLIC HEALTH INITIATIVES-IOWA CORP WEST DES MOINES IA CARDIOVASCULAR DISEASE (CARDIOLOGY) 113 15,906 $270,561 $17 premium 22.0% (515) 358-8000
11 CENTRAL ARKANSAS HEART CENTER CONWAY AR CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 13,511 $174,400 $13 premium 20.9% (501) 205-8389
12 CALIFORNIA CARDIOVASCULAR CARE MEDICAL GROUP, INC PASADENA CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 11,360 $181,760 $16 premium 0.6% (626) 577-7050
13 HUDSON VALLEY CARDIOVASCULAR PRACTICE PC POUGHKEEPSIE NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 72 10,792 $312,968 $29 premium 2.2% (845) 473-1188
14 ST DAVIDS HEART AND VASCULAR PLLC AUSTIN TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 199 10,224 $296,496 $29 premium 0.7% (512) 899-2028
15 PECONIC CARDIOLOGY PC RIVERHEAD NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 19 9,372 $346,764 $37 premium 1.9% (631) 727-7773
16 ADVANCED HEART CARE ASSOCIATES -PLON,SPACCAVENTO AND SHEHATA M.D.S. LT LAS VEGAS NV CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 8,520 $110,760 $13 premium 4.2% 7027340808250
17 ECM TVCC LLC FLORENCE AL CARDIOVASCULAR DISEASE (CARDIOLOGY) 12 7,384 $168,946 $23 premium 3.5% (256) 766-2118
18 SOUTH PALM CARDIOVASCULAR ASSOCIATES LLC DELRAY BEACH FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 13 7,102 $190,622 $27 premium 0.5% (561) 515-0080
19 SAN JOAQUIN CARDIOLOGY MEDICAL GROUP INC STOCKTON CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 8 6,248 $139,160 $22 premium 0.3% (209) 464-7681
20 ARETAEUS TELEMEDICINE INC WILLITS CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 19 4,828 $138,343 $29 premium 0.3% (707) 459-6801
21 HEART CENTER OF SOUTHERN MARYLAND, L.L.P. CLINTON MD CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 4,828 $62,764 $13 premium 1.2% (301) 645-4793
22 NORTH MISSISSIPPI CLINICS LLC TUPELO MS CARDIOVASCULAR DISEASE (CARDIOLOGY) 21 3,408 $44,304 $13 premium 1.2% (662) 620-6800

*"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 →