NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg HCPCS · Treatment
Classification Treatment Injections and Infusions (nononcologic) Injection - Colony Stimulating Factors (CMS RBCS)
First observed 2022
National scale 41,891 services ▼ 84.8% YoY · 1,830 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.2M · $52.31 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
25
Named-group FFS services
34,799
FFS of Medicare
49%
Services YoY
-84.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~67,298 services

34,799 observed fee-for-service (52%) · ~32,499 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 — J2506 (CY2024)

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

Named-group submitted charges
$34.8M
Named-group allowed amount
$2.3M
Named-group Medicare payments
$1.8M
Avg charge / svc
$1,001
Avg allowed / svc
$66
Avg payment / svc
$52
Average charge per group
$0 25 groups · avg submitted charge / service $1,925
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by J2506 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 J2506 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 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 4,932 $7,121,808 $1,444 premium 100.0%
2 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 3,828 $5,160,144 $1,348 premium 88.4%
3 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 3,060 $416,160 $136 premium 78.9% (908) 273-4300
4 ROCKY MOUNTAIN CANCER CENTERS LLP COLORADO SPRINGS CO NURSE PRACTITIONER 129 3,012 $4,349,328 $1,444 premium 90.9% (719) 577-2555
5 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 2,916 $2,394,036 $821 premium 71.7%
6 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 2,496 $2,882,880 $1,155 premium 80.6% (314) 747-3000
7 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 2,256 $1,371,211 $608 premium 32.6% (650) 723-4000
8 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 1,788 $336,939 $188 premium 25.8% (626) 256-4673
9 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 1,272 $699,600 $550 premium 77.9%
10 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 1,020 $1,842,528 $1,806 premium 14.7% (858) 455-9100
11 BLOOD AND CANCER CENTER INC CANFIELD OH HEMATOLOGY/ONCOLOGY 4 972 $1 $0 premium 48.2% (330) 533-3040
12 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK NC PHYSICIAN ASSISTANT 123 960 $1,386,240 $1,444 premium 58.0%
13 MINNESOTA ONCOLOGY HEMATOLOGY PA EDINA MN PHYSICIAN ASSISTANT 135 684 $987,696 $1,444 premium 72.2% (952) 928-2900
14 NEXUS HEALTH SANTA FE NM NURSE PRACTITIONER 32 660 $953,040 $1,444 premium 100.0% (505) 670-8292
15 PROVIDENCE MEDICAL INSTITUTE TORRANCE CA INTERNAL MEDICINE 339 552 $172,224 $312 premium 8.0% (310) 303-7496
16 CITY OF HOPE MEDICAL GROUP OF ARIZONA LLC GOODYEAR AZ NURSE PRACTITIONER 157 552 $234,518 $425 premium 54.1% (623) 207-3000
17 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 480 $308,160 $642 premium 29.0% (910) 296-0941
18 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 444 $854,915 $1,925 premium 22.0%
19 MEDICAL ONCOLOGY HEMATOLOGY CONSULTANTS PA NEWARK DE HEMATOLOGY/ONCOLOGY 33 432 $623,808 $1,444 premium 49.3% (302) 366-1200
20 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 432 $463,440 $1,073 premium 65.5% (843) 792-1414
21 ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C PEORIA IL NURSE PRACTITIONER 62 420 $344,820 $821 premium 10.3% (309) 243-3000
22 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 372 $413,571 $1,112 premium 5.4%
23 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 372 $490,145 $1,318 premium 5.4% (415) 476-1000
24 OCALA ONCOLOGY CENTER PL OCALA FL NURSE PRACTITIONER 23 360 $519,840 $1,444 premium 100.0% (352) 732-4032
25 TMC MEDICAL NETWORK TUCSON AZ NURSE PRACTITIONER 273 228 $329,232 $1,444 premium 22.4% (520) 324-4230
26 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO MI NURSE PRACTITIONER 4339 228 $187,188 $821 premium 100.0%
27 LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP LOS ANGELES CA HEMATOLOGY/ONCOLOGY 51 71 $3,952 $56 premium 1.0% (213) 977-1214

*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 →