Medicare procedure market data by CPT code & state

+ Build a code basket

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J2353 Injection, octreotide, depot form for intramuscular injection, 1 mg HCPCS · Treatment

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

First observed 2013 — start of our 12-year window; the code predates it

National scale 17,060 services ▼ 12.2% YoY · 183 beneficiaries (CY2024, Medicare FFS)

Medicare paid $2.8M · $164.98 avg / service, national

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

Billing groups

Named-group FFS services

17,060

FFS of Medicare

49%

Services YoY

-12.2%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~33,446 services

17,060 observed fee-for-service (51%) · ~16,386 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 — J2353 (CY2024)

IL 6,460 AR 2,560 MO 1,800 WI 1,740 FL 1,700

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

Named-group submitted charges

$9.6M

Named-group allowed amount

$3.5M

Named-group Medicare payments

$2.8M

Avg charge / svc

$563

Avg allowed / svc

$207

Avg payment / svc

$165

Average charge per group

$486–520

$520–555

$555–590

$590–624

$624–659

$659–694

$694–728

$728+

$486 11 groups · avg submitted charge / service $789

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

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 →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by J2353 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	J2353 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	NORTHWESTERN MEDICAL FACULTY FOUNDATION	CHICAGO	IL	NURSE PRACTITIONER	4339	3,490	$1,758,960	$504	premium	54.0%	—
2	ILLINOIS CANCER SPECIALISTS	ARLINGTON HEIGHTS	IL	HEMATOLOGY/ONCOLOGY	29	2,970	$1,706,010	$574	premium	46.0%	(847) 259-4482
3	CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC	LITTLE ROCK	AR	HEMATOLOGY/ONCOLOGY	90	2,560	$1,565,000	$611	premium	100.0%	—
4	WASHINGTON UNIVERSITY	SAINT LOUIS	MO	NURSE PRACTITIONER	3070	1,800	$874,500	$486	premium	100.0%	(314) 747-3000
5	DEAN HEALTH SYSTEMS INC	MADISON	WI	PHYSICIAN ASSISTANT	1200	1,740	$962,220	$553	premium	100.0%	(608) 260-2900
6	FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC	FORT MYERS	FL	HEMATOLOGY/ONCOLOGY	437	1,230	$633,450	$515	premium	72.4%	(239) 561-9622
7	SOUTHWEST CANCER CARE LLC	SIERRA VISTA	AZ	NURSE PRACTITIONER	6	1,060	$670,980	$633	premium	74.6%	(520) 220-5020
8	ROSWELL PARK CANCER INSTITUTE	BUFFALO	NY	NURSE PRACTITIONER	502	920	$463,680	$504	premium	100.0%	(716) 845-2300
9	MAYO CLINIC JACKSONVILLE	JACKSONVILLE	FL	NURSE PRACTITIONER	1587	470	$346,346	$737	premium	27.6%	(904) 953-2000
10	THE WEST CLINIC P.C.	GERMANTOWN	TN	NURSE PRACTITIONER	113	460	$337,805	$734	premium	100.0%	(901) 683-0055
11	MAYO CLINIC ARIZONA	PHOENIX	AZ	PHYSICIAN ASSISTANT	1635	360	$284,117	$789	premium	25.4%	(800) 603-0558

*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 →