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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J1956 Injection, levofloxacin, 250 mg HCPCS · Treatment
Classification Treatment Injections and Infusions (nononcologic) (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 3,320 services ▼ 24.1% YoY · 460 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3K · $0.77 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
8
Named-group FFS services
3,236
FFS of Medicare
49%
Services YoY
-24.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,220 services

3,236 observed fee-for-service (45%) · ~3,984 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 — J1956 (CY2024)

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

Named-group submitted charges
$22K
Named-group allowed amount
$3K
Named-group Medicare payments
$2K
Avg charge / svc
$7
Avg allowed / svc
$1
Avg payment / svc
$1
Average charge per group
$2 8 groups · avg submitted charge / service $56
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by J1956 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 J1956 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 PCCC OF VOLUSIA LLC NEW SMYRNA BEACH FL NURSE PRACTITIONER 13 2,482 $7,446 $3 premium 91.8% (386) 423-0505
2 TRICOUNTY PHYSICIANS LLC THE VILLAGES FL NURSE PRACTITIONER 4 223 $446 $2 premium 8.2% (352) 561-6299
3 MED SOLUTIONS, LLC WOODLAND PARK NJ INTERNAL MEDICINE 2 162 $1,137 $7 premium 100.0% (973) 785-3455
4 BRADFORD FAMILY HEALTHCARE PC SCOTTSBORO AL FAMILY PRACTICE 4 140 $3,500 $25 premium 100.0% (256) 259-0734
5 KEOWEE PRIMARY CARE AND INTERNAL MEDICINE PC SENECA SC NURSE PRACTITIONER 11 113 $6,328 $56 premium 100.0% (864) 885-0058
6 OMID VESAL, MD, MEDICAL CORPORATION IRVINE CA FAMILY PRACTICE 2 55 $1,404 $26 premium 100.0% (949) 222-2722
7 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 38 $950 $25 premium 100.0%
8 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 23 $400 $17 premium 100.0% (901) 683-0055

*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 →