NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J1611 Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg HCPCS · Treatment
Classification Treatment Injections and Infusions (nononcologic) (CMS RBCS)
First observed 2023
National scale 5,742 services ▲ 283.1% YoY · 5,286 beneficiaries (CY2024, Medicare FFS)
Medicare paid $550K · $95.80 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
5
Named-group FFS services
4,954
FFS of Medicare
49%
Services YoY
+283.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~11,439 services

4,954 observed fee-for-service (43%) · ~6,485 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 — J1611 (CY2024)

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

Named-group submitted charges
$2.5M
Named-group allowed amount
$596K
Named-group Medicare payments
$475K
Avg charge / svc
$504
Avg allowed / svc
$120
Avg payment / svc
$96
Average charge per group
$417 5 groups · avg submitted charge / service $563
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by J1611 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 J1611 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 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 2,553 $1,438,082 $563 premium 97.9% (904) 953-2000
2 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 1,498 $624,760 $417 premium 86.1% (507) 284-2511
3 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 325 $149,077 $459 premium 53.3% (800) 603-0558
4 MAYO CLINIC ROCHESTER AL NURSE PRACTITIONER 4896 241 $100,461 $417 premium 100.0% (507) 284-2511
5 MAYO CLINIC JACKSONVILLE JACKSONVILLE AZ NURSE PRACTITIONER 1587 239 $134,627 $563 premium 39.2% (904) 953-2000
6 BOISE RADIOLOGY GROUP PLLC BOISE FL DIAGNOSTIC RADIOLOGY 62 37 $20,842 $563 premium 1.4% (208) 381-2094
7 MAYO CLINIC ARIZONA PHOENIX CA PHYSICIAN ASSISTANT 1635 35 $16,016 $458 premium 68.6% (800) 603-0558
8 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 26 $14,222 $547 premium 100.0%

*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 →