Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J2406 Injection, oritavancin (kimyrsa), 10 mg HCPCS · Treatment

Classification Treatment › Injections and Infusions (nononcologic) (CMS RBCS)

First observed 2022

National scale 93,761 services ▲ 3.6% YoY · 480 beneficiaries (CY2024, Medicare FFS)

Medicare paid $3.0M · $32.20 avg / service, national

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

Billing groups

Named-group FFS services

68,740

FFS of Medicare

49%

Services YoY

+3.6%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~154,602 services

68,740 observed fee-for-service (44%) · ~85,862 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 — J2406 (CY2024)

FL 50,141 GA 15,600 TX 14,700 MI 8,880 TN 4,440

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

Named-group submitted charges

$8.5M

Named-group allowed amount

$2.8M

Named-group Medicare payments

$2.2M

Avg charge / svc

$124

Avg allowed / svc

$41

Avg payment / svc

$32

Average charge per group

$110–114

$114–119

$119–123

$123–127

$127–132

$132–136

$136–140

$140+

$110 5 groups · avg submitted charge / service $150

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.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by J2406 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	J2406 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	EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A.	FORT WALTON BEACH	FL	NURSE PRACTITIONER	34	46,360	$5,757,912	$124	premium	92.5%	(850) 862-3979
2	NORTH BROWARD HOSPITAL DISTRICT	FORT LAUDERDALE	GA	NURSE PRACTITIONER	181	9,120	$1,132,704	$124	premium	58.5%	(954) 763-6655
3	INFECTIOUS DISEASE CONSULTANTS PC	SUWANEE	GA	INFECTIOUS DISEASE	11	6,480	$712,087	$110	premium	41.5%	(678) 347-2153
4	ADVANCED DIAGNOSTIC IMAGING PC	NASHVILLE	TN	NURSE PRACTITIONER	534	4,440	$551,448	$124	premium	100.0%	(615) 612-2146
5	JEREMIAH GRAFF DPM P A	PLANO	TX	PODIATRY	7	2,340	$351,000	$150	premium	15.9%	(972) 403-7733

*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 →