- Market sizeThe volume of this code in the market for the year: an all-Medicare estimate scaled from the observed fee-for-service count where one can be drawn, otherwise the narrower count the row names. ~7,350,036 all-Medicare services · est. (3,531,905 observed FFS). The #2 state market of 34 by est. all-Medicare volume.
- Billing groupsHow many named billing organizations billed this code in the market, and the services they billed between them. Billing that falls under CMS's 11-beneficiary disclosure floor is absent from the published record. 12 groups bill J1756 in Texas — 3,353,703 observed fee-for-service services (at the ≥11-beneficiary disclosure floor).
- GrowthHow this code's volume changed year over year and over five years. A change between two years of the record, never a projection of what comes next. Down 17.7% year over year; +57.6% over five years, #10 of 28 by five-year growth.
- Market structureHow much of the state's named-group volume the five largest billing groups hold, banded: under 40% fragmented, 40–60% moderately concentrated, 60–80% concentrated, 80%+ highly concentrated. Our bands, not a regulator's. Not shown for markets under 11 billing groups, or where named groups cover under 25% of the state's disclosed volume — both published floors. Highly concentrated — 12 billing groups, the top five holding 97% of named-group volume.
- Medicare paymentWhat Medicare paid for this code in the market over the year, and the payment per service. Observed fee-for-service payments only: Medicare Advantage is paid by capitation and is not counted.Medicare's payments for J1756 in Texas in 2023, and this market's payment per service against the national rate. Explore — see what Medicare pays for this →
This market's Overview — its estimated all-Medicare volume, national benchmarks, and what the field charges and is paid — is part of Explore.
The groups in this market that bill this code, ranked by volume, are part of a Deep Dive.
The clinicians in this market who bill this code, ranked by volume, are part of a Deep Dive.
The codes the same organizations bill alongside this one are part of a Deep Dive.
J1756 is not priced under the Physician Fee Schedule, so there is no schedule rate to compare against. Codes that pay similarly cannot be listed.
The groups built like this code's billers, in the same state, with no published volume on it, are part of a Deep Dive.
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