Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J2765 Injection, metoclopramide hcl, up to 10 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 1,859 services · est. · 339 FFS beneficiaries (CY2024, all-Medicare estimate) — 936 observed fee-for-service services

Medicare paid $1K · est. · $0.76 avg / service, national — $715 observed FFS

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

Billing groups

Named groups billing this code

Named-group all-Medicare svcs · est.

942

Scaled from 470 observed FFS services.

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

+43.3%

All-Medicare est. · observed FFS +39.7%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~942 services

470 observed fee-for-service (50%) · ~472 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — J2765 (CY2024)

NY 759 FL 584 VA 494 CA 22

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

Billed → allowed → paid

Named-group submitted charges

$2K

Named-group allowed amount

$450

Named-group Medicare payments

$713 · est.

— $355 observed FFS

Avg charge / svc

Avg allowed / svc

Avg payment / svc

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Average charge per group

$3–4

$4–5

$5–7

$7–8

$8–10

$10–11

$11–12

$12+

$3 5 groups · avg submitted charge / service $16

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — each panel renders gated on the free tier.

See it in full: nuclear heart imaging (78452) in Arizona is open as a live example — every paid panel, on real data.

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by J2765 services, highest first, CY2024
#	Physician group locked column	City locked column	St locked column	Specialty locked column	Providers locked column	J2765 svcs	Submitted charges locked column	Avg charge locked column	Medicare $ locked column	Share of state* locked column	Phone
1	NOVACURE CONSULTANTS PC	ALEXANDRIA	VA	HEMATOLOGY/ONCOLOGY	2	306	$830	$3	premium	100.0%	(703) 780-2216
2	QUALITY HEALTH CARE INC OF FLORIDA	SEBASTIAN	FL	INTERNAL MEDICINE	2	111	$333	$3	premium	43.4%	(772) 228-8480
3	EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS	PENSACOLA	FL	PHYSICIAN ASSISTANT	12	22	$132	$6	premium	8.6%	—
4	FLORIDIAN EMERGENCY SPECIALISTS LLC	CRESTVIEW	FL	EMERGENCY MEDICINE	21	20	$80	$4	premium	7.8%	(850) 689-8100
5	SCRIPPS HEALTH	LA JOLLA	CA	PHYSICIAN ASSISTANT	1431	11	$173	$16	premium	100.0%	(858) 455-9100

*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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →