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Market snapshot

J3111 nationwide CY2023

Medicare Part B FFS · CY2023 · as published by CMS

J3111 — Injection, romosozumab-aqqg, 1 mg

Billing groups
346
Named-group FFS services
15,058,613
FFS of Medicare
49%
Services YoY
+35.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~29,506,646 services

15,058,613 observed fee-for-service (51%) · ~14,448,033 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2023) — 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
$310.4M
Named-group allowed amount
$149.5M
Named-group Medicare payments
$118.7M
Avg charge / svc
$21
Avg allowed / svc
$10
Avg payment / svc
$8
Average charge per group
$10 346 groups · avg submitted charge / service $66
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Specialty market — Neurosurgery: 98,490 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Neurosurgery across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J3111 services, CY2023
#Physician group City St Specialty Providers J3111 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 SEMMES-MURPHEY CLINIC PC MEMPHIS TN NEUROSURGERY 65 98,490 $2,363,760 $24 premium 15.9% (901) 522-7700

*"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 →