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

J2796 Injection, romiplostim, 10 micrograms HCPCS · Treatment

Classification Treatment › Injections and Infusions (nononcologic) › Platelet Stimulating Agent (CMS RBCS)

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

National scale 63,213 services ▲ 5.8% YoY · 345 beneficiaries (CY2024, Medicare FFS)

Medicare paid $4.9M · $77.38 avg / service, national

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

Billing groups

Named-group FFS services

51,233

FFS of Medicare

49%

Services YoY

+5.8%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~99,096 services

51,233 observed fee-for-service (52%) · ~47,863 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 — J2796 (CY2024)

NY 12,809 CA 11,993 KS 9,103 FL 7,436 SD 6,710

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

Named-group submitted charges

$12.0M

Named-group allowed amount

$5.0M

Named-group Medicare payments

$4.0M

Avg charge / svc

$235

Avg allowed / svc

$97

Avg payment / svc

$77

Average charge per group

$95–123

$123–150

$150–178

$178–206

$206–234

$234–261

$261–289

$289+

$95 11 groups · avg submitted charge / service $345

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.

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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 J2796 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	J2796 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	NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC	SMITHTOWN	NY	NURSE PRACTITIONER	462	12,809	$3,074,160	$240	premium	100.0%	(631) 751-3000
2	CANCER CENTER OF KANSAS PA	WICHITA	KS	HEMATOLOGY/ONCOLOGY	27	6,673	$1,823,636	$273	premium	73.3%	(316) 262-4467
3	CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC	FRESNO	CA	HEMATOLOGY/ONCOLOGY	62	5,521	$1,159,410	$210	premium	46.0%	(559) 326-1222
4	NEBRASKA HEMATOLOGY-ONCOLOGY PC	LINCOLN	NE	PHYSICIAN ASSISTANT	19	5,520	$1,904,020	$345	premium	100.0%	(402) 484-4900
5	MICHAEL P SHERMAN MD PHD A MEDICAL CORPORATION	WALNUT CREEK	CA	HEMATOLOGY/ONCOLOGY	13	5,117	$1,048,985	$205	premium	42.7%	(925) 939-9610
6	MEDICAL SPECIALISTS OF THE PALM BEACHES INC	ATLANTIS	FL	INTERNAL MEDICINE	120	4,178	$533,837	$128	premium	56.2%	(561) 295-6962
7	FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC	FORT MYERS	FL	HEMATOLOGY/ONCOLOGY	437	3,258	$641,826	$197	premium	43.8%	(239) 561-9622
8	ILLINOIS CANCER SPECIALISTS	ARLINGTON HEIGHTS	IL	HEMATOLOGY/ONCOLOGY	29	2,555	$650,988	$255	premium	100.0%	(847) 259-4482
9	SOUTHWEST CANCER CARE LLC	SIERRA VISTA	AZ	NURSE PRACTITIONER	6	2,273	$656,897	$289	premium	100.0%	(520) 220-5020
10	HUNTERDON HEMATOLOGY ONCOLOGY, LLC	FLEMINGTON	NJ	HEMATOLOGY/ONCOLOGY	7	1,504	$269,037	$179	premium	50.3%	(908) 237-1201
11	KLEYNBERG MEDICAL CLINIC INC	LOS ANGELES	CA	HEMATOLOGY/ONCOLOGY	2	1,355	$128,725	$95	premium	11.3%	(323) 965-9995
12	CANCER CENTER OF KANSAS PA	WICHITA	MN	HEMATOLOGY/ONCOLOGY	27	470	$126,584	$269	premium	100.0%	(316) 262-4467

*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 →