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Market snapshot

J2468 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J2468 — Injection, palonosetron hydrochloride (avyxa), not therapeutically equivalent to j2469, 25 micrograms

Billing groups
5
Named-group FFS services
4,982
FFS of Medicare
49%
Services YoY
Estimated all-Medicare volume FFS + estimated MA estimate
~9,512 services

4,982 observed fee-for-service (52%) · ~4,530 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 — J2468 (CY2024)

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

Named-group submitted charges
$2.4M
Named-group allowed amount
$319K
Named-group Medicare payments
$254K
Avg charge / svc
$486
Avg allowed / svc
$64
Avg payment / svc
$51
Average charge per group
$125 5 groups · avg submitted charge / service $702
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J2468 services, CY2024
#Physician group City St Specialty Providers J2468 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 2,962 $2,080,320 $702 premium 100.0%
2 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNO CA HEMATOLOGY/ONCOLOGY 62 1,020 $147,900 $145 premium 100.0% (559) 326-1222
3 BIRMINGHAM HEMATOLOGY ONCOLOGY ASSOC LLC BIRMINGHAM AL MEDICAL ONCOLOGY 31 410 $51,250 $125 premium 100.0% (205) 592-5077
4 CANCER PARTNERS OF NEBRASKA PC LINCOLN NE MEDICAL ONCOLOGY 30 350 $47,950 $137 premium 12.9% (402) 420-6090
5 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 240 $91,402 $381 premium 100.0% (210) 593-5700

*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 →