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Market snapshot

J1453 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J1453 — Injection, fosaprepitant, 1 mg

Billing groups
176
Named-group FFS services
10,257,054
FFS of Medicare
49%
Services YoY
-1.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~20,769,811 services

10,257,054 observed fee-for-service (49%) · ~10,512,757 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; 1 state without payer-mix data excluded. How we scale

Top states — J1453 (CY2024)

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

Named-group submitted charges
$43.5M
Named-group allowed amount
$1.4M
Named-group Medicare payments
$1.1M
Avg charge / svc
$4
Avg allowed / svc
$0
Avg payment / svc
$0
Average charge per group
$0 176 groups · avg submitted charge / service $10
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Specialty market — Registered Dietitian Or Nutrition Professional: 15,300 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Registered Dietitian Or Nutrition Professional across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J1453 services, CY2024
#Physician group City St Specialty Providers J1453 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 NORTH SHORE INFUSION LTD SKOKIE IL REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 5 15,300 $8,130 $1 premium 2.0% (847) 492-3040

*"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 →