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Market snapshot

J3111 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J3111 — Injection, romosozumab-aqqg, 1 mg

Billing groups
416
Named-group FFS services
20,470,881
FFS of Medicare
49%
Services YoY
+35.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~41,770,550 services

20,470,881 observed fee-for-service (49%) · ~21,299,669 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 — J3111 (CY2024)

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

Named-group submitted charges
$452.6M
Named-group allowed amount
$218.9M
Named-group Medicare payments
$173.9M
Avg charge / svc
$22
Avg allowed / svc
$11
Avg payment / svc
$8
Average charge per group
$10 416 groups · avg submitted charge / service $71
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Specialty market — Endocrinology: 162,751 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Endocrinology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J3111 services, CY2024
#Physician group City St Specialty Providers J3111 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 VIRGINIA ENDOCRINOLOGY AND OSTEOPOROSIS CENTER MIDLOTHIAN VA ENDOCRINOLOGY 15 67,830 $765,643 $11 premium 8.9% (804) 423-3636
2 ENDOCRINE CLINIC OF SOUTHEAST TEXAS BEAUMONT TX ENDOCRINOLOGY 4 43,890 $987,525 $22 premium 1.7% (409) 835-9834
3 DARIUS A SCHNEIDER MD APC LA JOLLA CA ENDOCRINOLOGY 2 26,041 $522,667 $20 premium 0.8% (858) 622-7200
4 AMER AL-KARADSHEH, M.D., P.A HOUSTON PA ENDOCRINOLOGY 9 13,230 $146,790 $11 premium 0.7%
5 PALM BEACH DIABETES AND ENDOCRINE SPECIALISTS PA WEST PALM BCH FL ENDOCRINOLOGY 18 11,760 $201,331 $17 premium 0.3% (561) 659-6336

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →