NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J1745 Injection, infliximab, excludes biosimilar, 10 mg HCPCS · Treatment
Classification Treatment › Injections and Infusions (nononcologic) › Injection - Monoclonal Antibodies (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 5.58M services ▼ 0.4% YoY · 31,833 beneficiaries (CY2024, Medicare FFS)
Medicare paid $137.0M · $24.57 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
388
Named-group FFS services
4,001,346
FFS of Medicare
49%
Services YoY
-0.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~8,046,166 services

4,001,346 observed fee-for-service (50%) · ~4,044,820 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 — J1745 (CY2024)
TX 388,156 PA 331,749 FL 329,600 NC 316,654 NY 253,011

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

Named-group submitted charges
$544.7M
Named-group allowed amount
$124.2M
Named-group Medicare payments
$98.3M
Avg charge / svc
$136
Avg allowed / svc
$31
Avg payment / svc
$25
Average charge per group
$32 388 groups · avg submitted charge / service $684
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers J1745 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 118,548 $45,679,477 $385 65.6% —
2 COLUMBUS ARTHRITIS CENTER, INC. COLUMBUS OH PHYSICIAN ASSISTANT 19 78,724 $13,483,630 $171 40.4% —
3 ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES P C PHOENIX AZ RHEUMATOLOGY 41 73,621 $9,484,725 $129 44.1% (480) 443-8400
4 ARTHRITIS AND RHEUMATOLOGY CONSULTANTS PA EDINA MN RHEUMATOLOGY 12 70,550 $10,300,300 $146 42.3% (952) 893-1959
5 ARTHRITIS HEALTH ASSOCIATES PLLC SYRACUSE NY RHEUMATOLOGY 5 65,335 $3,766,875 $58 25.8% (315) 475-7669
6 ARTHRITIS AND RHEUMATIC DISEASES WILLIAMSBURG VA NURSE PRACTITIONER 4 53,253 $2,130,120 $40 22.6% (757) 585-2194
7 TRABECULAR MEDICAL GROUP, LLC VOORHEES NJ RHEUMATOLOGY 19 52,750 $2,478,405 $47 33.5% (856) 424-5005
8 PALMETTO INFUSION SERVICES LLC CHARLOTTE SC NURSE PRACTITIONER 59 45,691 $12,764,113 $279 23.9% (704) 200-9482
9 ARTHRITIS SPECIALISTS, LTD. NORTH CHESTERFIELD VA RHEUMATOLOGY 5 44,321 $5,318,520 $120 18.8% 8043231401309
10 INNOVATIVE INFUSIONS LLC AUSTIN TX NURSE PRACTITIONER 106 44,005 $18,212,336 $414 11.3% (512) 261-4800
11 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 43,376 $2,515,808 $58 26.0% (612) 871-1145
12 METRO INFECTIOUS DISEASE CONSULTANTS LLC BURR RIDGE IL INFECTIOUS DISEASE 396 40,172 $8,456,460 $211 19.9% (888) 220-6432
13 ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS OF GREEN BAY SC GREEN BAY WI ORTHOPEDIC SURGERY 50 39,870 $2,790,900 $70 38.0% —
14 ARTHRITIS NORTHWEST PLLC SPOKANE WA PHYSICIAN ASSISTANT 9 39,104 $3,257,420 $83 22.6% (509) 838-6500
15 RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS, PLLC SAN ANTONIO TX NURSE PRACTITIONER 17 37,591 $3,007,280 $80 9.7% (210) 265-8851
16 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY MO RHEUMATOLOGY 16 37,290 $10,864,830 $291 22.4% (913) 258-2116
17 PIEDMONT ARTHRITIS CLINIC PA GREENVILLE SC RHEUMATOLOGY 8 36,970 $3,697,000 $100 19.3% (864) 235-8396
18 KENTUCKIANA CENTER FOR BETTER BONE AND JOINT HEALTH, PLLC LOUISVILLE KY PHYSICIAN ASSISTANT 4 36,073 $1,298,399 $36 52.3% (502) 583-5836
19 ARTHRITIS AND RHEUMATOLOGY ASSOCIATES OF SOUTH JERSEY PC VINELAND NJ RHEUMATOLOGY 5 35,628 $3,562,300 $100 22.6% (856) 749-9090
20 ARTHRITIS AND OSTEOPOROSIS CONSULTANTS OF THE CAROLINAS PA CHARLOTTE NC RHEUMATOLOGY 13 35,152 $4,138,860 $118 11.1% (704) 342-0252
21 ARTHRITIS GROUP PC LANGHORNE PA RHEUMATOLOGY 7 34,712 $4,686,120 $135 10.5% (215) 752-8680
22 COLORADO ARTHRITIS CENTER ENGLEWOOD CO RHEUMATOLOGY 7 33,245 $2,209,390 $66 19.0% (303) 788-1312
23 CAROLINA ARTHRITIS CENTER PA GREENVILLE NC NURSE PRACTITIONER 5 30,310 $3,031,000 $100 9.6% (252) 321-8474
24 INLAND RHEUMATOLOGY AND OSTEOPOROSIS MEDICAL GROUP INC UPLAND CA RHEUMATOLOGY 4 29,810 $1,559,000 $52 11.8% (909) 982-0099
25 INFECTIOUS DISEASE ASSOCIATES OF CENTRAL VIRGINIA LLC LYNCHBURG VA INFECTIOUS DISEASE 6 28,573 $3,933,898 $138 12.1% (434) 947-3900
26 RHEUMATIC DISEASE CENTER PHYSICIANS SC DES PLAINES IL RHEUMATOLOGY 4 28,252 $1,412,600 $50 14.0% (847) 800-0998
27 RHEUMATIC DISEASE ASSOCIATES,LTD WILLOW GROVE PA RHEUMATOLOGY 16 27,890 $3,582,900 $128 8.4% 2156576776438
28 RHEUMATIC DISEASE CENTER GLENDALE WI RHEUMATOLOGY 8 27,703 $4,155,450 $150 26.4% (414) 351-4009
29 PREMIER HEALTHCARE ASSOCIATES, INC. RICHMOND VA RHEUMATOLOGY 6 27,407 $2,192,560 $80 11.6% (804) 288-7901
30 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 25,560 $3,195,000 $125 7.8% (904) 398-7205
31 OHI WEST MEDICAL GROUP II LLC ZEPHYRHILLS FL NURSE PRACTITIONER 417 24,710 $4,394,000 $178 7.5% (813) 751-3375
32 ARTHRITIS AND RHEUMATISM ASSOCIATES PL CLEARWATER FL RHEUMATOLOGY 5 24,350 $3,141,150 $129 7.4% (727) 443-6400
33 DENVER ARTHRITIS CLINIC PC LONE TREE CO RHEUMATOLOGY 11 24,020 $1,525,270 $64 13.7% 3033942828126
34 RHEUMATOLOGY ASSOCIATES OF NORTH ALABAMA, PC HUNTSVILLE AL RHEUMATOLOGY 10 23,950 $1,796,250 $75 23.0% (256) 551-6510
35 VIRGINIA PHYSICIANS INC MIDLOTHIAN VA FAMILY PRACTICE 93 23,495 $1,948,278 $83 10.0% (804) 744-0200
36 INFUSION ASSOCIATES PLLC GRAND RAPIDS MI NURSE PRACTITIONER 18 23,460 $2,178,724 $93 31.1% (616) 954-0600
37 RHEUMATOLOGY AND INTERNAL MEDICINE ASSOCIATES PC WILMINGTON MA INTERNAL MEDICINE 3 23,346 $3,735,360 $160 29.5% (978) 988-9700
38 INFUSION EXPRESS OF TENNESSEE PC BRENTWOOD TN NURSE PRACTITIONER 42 22,520 $2,413,598 $107 13.9% (615) 510-6002
39 BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION BRYN MAWR PA NURSE PRACTITIONER 134 21,890 $2,517,350 $115 6.6% (610) 527-3800
40 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES-CA PC FRESNO CA RHEUMATOLOGY 13 21,870 $3,499,200 $160 8.6% (559) 732-9900
41 MIDWEST REGIONAL ALLERGY, ASTHMA, ARTHRITIS AND OSTEOPOROSIS CENTER JOPLIN MO NURSE PRACTITIONER 2 21,680 $2,601,600 $120 13.0% (417) 624-0050
42 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 21,537 $2,775,033 $129 10.7% —
43 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN TN GASTROENTEROLOGY 154 21,118 $3,378,880 $160 13.1% (901) 755-9110
44 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 21,082 $3,478,530 $165 68.3% (801) 261-8346
45 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 20,335 $3,029,915 $149 10.1% (630) 469-9200
46 IOWA ARTHRITIS AND OSTEOPOROSIS CENTER PC URBANDALE IA RHEUMATOLOGY 15 20,090 $2,188,550 $109 24.6% (515) 270-7222
47 THEERAPOL PRASERTSUNTARASAI MD PA LUBBOCK TX NURSE PRACTITIONER 5 19,728 $2,370,000 $120 5.1% (806) 589-1778
48 GASTROENTEROLOGY SPECIALTIES PC LINCOLN NE GASTROENTEROLOGY 51 19,670 $3,206,210 $163 19.2% (402) 465-4545
49 CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 9 19,406 $2,113,001 $109 7.7% (310) 659-7878
50 NORTHWEST RHEUMATOLOGY ASSOCIATES, PC PORTLAND OR RHEUMATOLOGY 6 18,650 $1,316,760 $71 20.2% (503) 297-3384
51 PHYSICIANS CLINIC OF IOWA PC CEDAR RAPIDS IA NURSE PRACTITIONER 132 18,410 $2,209,200 $120 22.5% (319) 247-3010
52 ARTHRITIS CONSULTANTS INC SAINT LOUIS MO NURSE PRACTITIONER 6 18,211 $587,541 $32 11.0% (314) 567-5100
53 MISSISSIPPI ARTHRITIS CLINIC PLLC JACKSON MS NURSE PRACTITIONER 8 17,690 $2,211,250 $125 29.3% (601) 362-6900
54 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 17,677 $5,650,649 $320 9.2% (843) 792-1414
55 IDAHO ARTHRITIS AND OSTEOPOROSIS CENTER PC MERIDIAN ID RHEUMATOLOGY 6 17,620 $2,643,000 $150 51.1% (208) 887-9500
56 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES LLC NAPLES FL RHEUMATOLOGY 75 17,601 $1,657,551 $94 5.3% (239) 596-5220
57 WEST FLORIDA MEDICAL CENTER CLINIC PA PENSACOLA FL PHYSICIAN ASSISTANT 109 17,600 $2,024,000 $115 5.3% (850) 474-8000
58 RHEUMATOLOGY CLINIC LLC MEDFORD OR RHEUMATOLOGY 3 17,376 $955,680 $55 18.8% (541) 773-2233
59 SELECT PHYSICAL THERAPY OF WEST DENVER LIMITED PARTNERSHIP LOVELAND CO ORTHOPEDIC SURGERY 443 17,171 $678,000 $39 9.8% (970) 667-7755
60 ARTHRITIS AND OSTEOPOROSIS ASSOCIATES, LLP LUBBOCK TX PHYSICIAN ASSISTANT 6 17,096 $3,419,200 $200 4.4% (806) 771-2400
61 ARTHRITIS ASSOCIATES HIXSON TN RHEUMATOLOGY 4 16,992 $1,699,200 $100 10.5% (423) 826-0800
62 OREGON HEALTHCARE RESOURCES LLC EUGENE OR PHYSICIAN ASSISTANT 135 16,818 $1,048,947 $62 18.2% (541) 463-2390
63 RHEUMATOLOGY ASSOCIATES, P.C. INDIANAPOLIS IN RHEUMATOLOGY 7 16,660 $932,960 $56 23.1% (317) 844-6444
64 ST PAUL RHEUMATOLOGY P A EAGAN MN RHEUMATOLOGY 4 16,510 $1,778,787 $108 9.9% (651) 644-4277
65 CAROLINA ARTHRITIS ASSOCIATES PA WILMINGTON NC RHEUMATOLOGY 5 16,344 $1,760,167 $108 5.2% (910) 762-1182
66 ORTHOMIDWEST, PLLC CHICAGO IL PHYSICIAN ASSISTANT 542 16,324 $4,211,334 $258 8.1% (877) 632-6637
67 TOLEDO CLINIC INCORPORATED TOLEDO OH NURSE PRACTITIONER 217 16,310 $2,691,150 $165 8.4% (419) 874-3246
68 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 16,237 $2,435,550 $150 5.1% (919) 684-8111
69 SOUTHEASTERN RHEUMATOLOGY ALLIANCE GAINESVILLE GA RHEUMATOLOGY 23 15,816 $1,739,760 $110 15.8% (770) 531-3711
70 RHEUMATOLOGY SERVICES MEDICAL GROUP SAN LUIS OBISPO CA NURSE PRACTITIONER 9 15,700 $2,041,000 $130 6.2% 6616958385118
71 WEST SUBURBAN CTR FOR ARTHRITIS WAUKESHA WI RHEUMATOLOGY 5 15,399 $1,081,233 $70 14.7% (262) 785-0777
72 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 15,180 $1,222,120 $81 16.4% (541) 382-2811
73 MID-AMERICA RHEUMATOLOGY CONSULTANTS OVERLAND PARK KS RHEUMATOLOGY 4 15,160 $2,728,800 $180 19.9% 9136619980135
74 HERITAGE HEALTH SERVICES LLC OKLAHOMA CITY OK RHEUMATOLOGY 15 15,083 $2,036,205 $135 8.3% (405) 608-8060
75 RHEUMATOLOGY ASSOCIATES OF LI LLP SMITHTOWN NY RHEUMATOLOGY 10 14,840 $2,226,000 $150 5.9% (631) 360-7778
76 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE SC RHEUMATOLOGY 47 14,825 $1,630,750 $110 7.8% (843) 572-4840
77 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 14,575 $1,457,500 $100 9.2% (800) 825-5391
78 GREENSBORO RHEUMATOLOGY PA GREENSBORO NC RHEUMATOLOGY 4 14,470 $2,112,620 $146 4.6% (336) 617-6568
79 THE POLYCLINIC PLLC SEATTLE WA DIAGNOSTIC RADIOLOGY 371 14,460 $1,720,740 $119 8.4% (206) 309-1760
80 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 14,290 $3,686,820 $258 5.6% —
81 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 14,210 $1,692,700 $119 4.3% —
82 ARTHRITIS SPECIALTY CENTER,INC POCATELLO ID PHYSICIAN ASSISTANT 6 14,177 $850,620 $60 41.1% (208) 234-1300
83 EDMUND J. MACLAUGHLIN, MD, LLC EASTON MD RHEUMATOLOGY 6 13,970 $698,500 $50 8.0% (410) 819-6545
84 KANSAS GASTROENTEROLOGY LLC WICHITA KS PHYSICIAN ASSISTANT 20 13,840 $1,148,720 $83 18.1% (316) 928-8930
85 ARTHRITIS CONSULTANTS PA COLUMBIA SC INTERNAL MEDICINE 2 13,190 $1,187,100 $90 6.9% (803) 765-1550
86 OPTUM CARE WASHINGTON PLLC EVERETT WA PHYSICIAN ASSISTANT 695 13,170 $2,587,905 $196 7.6% (425) 339-5442
87 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC PHYSICIAN ASSISTANT 2360 13,110 $3,120,180 $238 4.1% (704) 667-1000
88 CTRA PLLC WEST LAKE HILLS TX RHEUMATOLOGY 5 12,924 $828,500 $64 3.3% (512) 518-4992
89 ARTHRITIS ASSOCIATES OF S FLORIDA DELRAY BEACH FL RHEUMATOLOGY 6 12,710 $1,271,000 $100 3.9% (561) 495-0600
90 INFUSEABLE HEALTHCARE, LLC SCOTTSDALE WI GASTROENTEROLOGY 2 12,590 $804,975 $64 12.0% (480) 927-3800
91 MULTIGROUP PHYSICIAN PRACTICE OF TEXAS DALLAS TX NURSE PRACTITIONER 13 12,540 $944,759 $75 3.2% (972) 598-0000
92 HOSKINSON HEALTH AND WELLNESS CLINIC LLC GILLETTE WY INTERNAL MEDICINE 57 12,460 $1,241,500 $100 100.0% (307) 387-9850
93 PREMIER PHYSICIANS CENTERS INC WESTLAKE OH INTERNAL MEDICINE 46 12,060 $1,448,250 $120 6.2% (440) 333-3332
94 WEITZNER YONKER AND KAINE MD PA SARASOTA FL RHEUMATOLOGY 17 11,967 $1,316,370 $110 3.6% 94136507701028
95 NORMAN B. GAYLIS M.D. PA AVENTURA FL RHEUMATOLOGY 4 11,900 $784,640 $66 3.6% (305) 652-6676
96 ARTHRITIS AND RHEUMATOLOGY CLINICS OF KANSAS LLC WICHITA KS RHEUMATOLOGY 11 11,850 $1,777,500 $150 15.5% 31661248151280
97 GALEN MEDICAL GROUP, PC CHATTANOOGA TN NURSE PRACTITIONER 123 11,790 $2,063,250 $175 7.3% (423) 643-2500
98 ARTHRITIS AND OSTEOPOROSIS ASSOCIATES TOMS RIVER NJ INTERNAL MEDICINE 3 11,770 $1,177,000 $100 7.5% (732) 780-7650
99 WV MEDICAL SERVICES PC NORTHPORT AL RHEUMATOLOGY 7 11,740 $1,067,400 $91 11.3% (205) 750-0030
100 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 11,687 $1,881,607 $161 6.7% —

Showing the top 100 of 388 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →