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Market snapshot

J3247 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J3247 — Injection, secukinumab, intravenous, 1 mg

Billing groups
22
Named-group FFS services
398,373
FFS of Medicare
49%
Services YoY
Estimated all-Medicare volume FFS + estimated MA estimate
~823,213 services

398,373 observed fee-for-service (48%) · ~424,840 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 — J3247 (CY2024)

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

Named-group submitted charges
$16.7M
Named-group allowed amount
$6.9M
Named-group Medicare payments
$5.5M
Avg charge / svc
$42
Avg allowed / svc
$17
Avg payment / svc
$14
Average charge per group
$20 22 groups · avg submitted charge / service $124
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J3247 services, CY2024
#Physician group City St Specialty Providers J3247 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS, PLLC SAN ANTONIO TX NURSE PRACTITIONER 17 55,625 $2,280,625 $41 premium 100.0% (210) 265-8851
2 PIEDMONT ARTHRITIS CLINIC PA GREENVILLE SC RHEUMATOLOGY 8 36,750 $1,212,750 $33 premium 100.0% (864) 235-8396
3 WEITZNER YONKER AND KAINE MD PA SARASOTA FL RHEUMATOLOGY 17 35,369 $957,793 $27 premium 40.4% 94136507701028
4 CLAYTON MEDICAL ASSOCIATES PC SAINT LOUIS MO PHYSICIAN ASSISTANT 5 33,509 $1,390,000 $41 premium 57.9% (314) 645-4434
5 ROGER KORNU MD PC TUSTIN CA NURSE PRACTITIONER 3 27,000 $1,188,000 $44 premium 65.9% (714) 406-4461
6 ANNA K IMPERATO MD PLLC MANHASSET NY RHEUMATOLOGY 2 23,500 $822,500 $35 premium 100.0% (516) 365-1700
7 ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES P C PHOENIX AZ RHEUMATOLOGY 41 18,699 $654,465 $35 premium 100.0% (480) 443-8400
8 LARRY K. BROADWELL, M.D., A MEDICAL CORPORATION SHREVEPORT LA RHEUMATOLOGY 10 16,625 $2,064,891 $124 premium 100.0% (318) 221-0399
9 STEVEN BAAK MD LLC BRIDGETON MO NURSE PRACTITIONER 4 15,750 $969,255 $62 premium 27.2% (314) 942-6464
10 EMPOWER RHEUMATOLOGY LLC OVERLAND PARK KS PHYSICIAN ASSISTANT 4 14,875 $788,375 $53 premium 100.0% (913) 210-5400
11 RHEUMATOLOGY CARE CENTER LLC HOOVER AL RHEUMATOLOGY 4 14,399 $379,146 $26 premium 100.0% (205) 444-4858
12 CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 9 14,000 $448,000 $32 premium 34.1% (310) 659-7878
13 RHEUMATOLOGY AND ARTHRITIS CARE CENTER PLLC EXTON PA PHYSICIAN ASSISTANT 4 13,375 $708,875 $53 premium 41.7% (484) 206-4447
14 ARTHRITIS AND RHEUMATISM ASSOCIATES PL CLEARWATER FL RHEUMATOLOGY 5 12,625 $505,000 $40 premium 14.4% (727) 443-6400
15 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 11,864 $414,925 $35 premium 100.0%
16 INFUSION SOLUTIONS OF DELAWARE DOVER DE INTERNAL MEDICINE 6 11,000 $220,000 $20 premium 100.0% (302) 674-4627
17 ALLEGRA ARTHRITIS ASSOCIATES PC RED BANK NJ PHYSICIAN ASSISTANT 7 9,850 $284,875 $29 premium 100.0% (732) 842-3600
18 SOUTHEASTERN RHEUMATOLOGY ALLIANCE GAINESVILLE GA RHEUMATOLOGY 23 7,875 $456,750 $58 premium 100.0% (770) 531-3711
19 ARTHRITIS AND OSTEOPOROSIS TREATMENT CENTER PA ORANGE PARK FL NURSE PRACTITIONER 3 7,750 $310,000 $40 premium 8.8% (904) 276-0001
20 ORTHOPAEDICS AND RHEUMATOLOGY OF THE NORTH SHORE SC SKOKIE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 7 7,625 $305,000 $40 premium 26.0% (847) 869-7233
21 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 5,231 $141,655 $27 premium 6.0% (813) 745-4673
22 RHEUMATIC DISEASE ASSOCIATES,LTD WILLOW GROVE PA RHEUMATOLOGY 16 5,077 $170,587 $34 premium 15.8% 2156576776438

*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 →