Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J1576 Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg HCPCS · Treatment

Classification Treatment › Injections and Infusions (nononcologic) › Injection - Immune Globulin (CMS RBCS)

First observed 2023

National scale 214,290 services ▲ 474.7% YoY · 378 beneficiaries (CY2024, Medicare FFS)

Medicare paid $11.3M · $52.74 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named groups billing this code

Named-group FFS services

117,380

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

+474.7%

FFS enrollment -2.2%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~209,856 services

117,380 observed fee-for-service (56%) · ~92,476 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 — J1576 (CY2024)

TN 89,890 AZ 48,440 MD 44,800 NE 15,390 FL 6,060

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

Billed → allowed → paid

Named-group submitted charges

$28.9M

Named-group allowed amount

$7.8M

Named-group Medicare payments

$6.2M

Avg charge / svc

$246

Avg allowed / svc

$66

Avg payment / svc

$53

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Average charge per group

$132–147

$147–162

$162–178

$178–193

$193–208

$208–224

$224–239

$239–254

$132 8 groups · avg submitted charge / service $254

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by J1576 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	J1576 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	TRI-STATE NEUROLOGY PLLC	MEMPHIS	TN	NEUROLOGY	4	54,350	$13,804,900	$254	premium	60.5%	(901) 820-0141
2	DANIEL HEXTER MD PA	ANNAPOLIS	MD	NEUROLOGY	7	32,210	$8,181,340	$254	premium	71.9%	(410) 266-9694
3	SANGJIN OH MD PA	GLEN BURNIE	MD	NEUROLOGY	2	12,590	$3,197,860	$254	premium	28.1%	(410) 761-3900
4	SEMMES-MURPHEY CLINIC PC	MEMPHIS	TN	NEUROSURGERY	65	6,620	$1,681,480	$254	premium	7.4%	(901) 522-7700
5	ONCOLOGY SAN ANTONIO	SAN ANTONIO	TX	HEMATOLOGY/ONCOLOGY	5	3,500	$465,960	$133	premium	100.0%	(210) 490-2707
6	MISSISSIPPI ASTHMA AND ALLERGY CLINIC PA	JACKSON	MS	ALLERGY/IMMUNOLOGY	15	3,440	$873,760	$254	premium	100.0%	(601) 354-4836
7	HEM ONC ASSOCIATES OF THE TREASURE COAST, PA	PORT SAINT LUCIE	FL	HEMATOLOGY/ONCOLOGY	6	3,010	$397,320	$132	premium	49.7%	(772) 335-5666
8	CANCER PARTNERS OF NEBRASKA PC	LINCOLN	NE	MEDICAL ONCOLOGY	30	1,660	$297,700	$179	premium	10.8%	(402) 420-6090

*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 →