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Market snapshot

J3262 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J3262 — Injection, tocilizumab, 1 mg

Billing groups
240
Named-group FFS services
26,136,902
FFS of Medicare
49%
Services YoY
+17.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~52,236,096 services

26,136,901 observed fee-for-service (50%) · ~26,099,195 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 — J3262 (CY2024)

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

Named-group submitted charges
$292.4M
Named-group allowed amount
$153.2M
Named-group Medicare payments
$121.7M
Avg charge / svc
$11
Avg allowed / svc
$6
Avg payment / svc
$5
Average charge per group
$6 240 groups · avg submitted charge / service $50
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Specialty market — Family Practice: 1,148,374 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Family Practice across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J3262 services, CY2024
#Physician group City St Specialty Providers J3262 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 VIRGINIA PHYSICIANS INC MIDLOTHIAN VA FAMILY PRACTICE 93 514,898 $4,633,839 $9 premium 26.4% (804) 744-0200
2 WESTERN MONTANA CLINIC PC MISSOULA MT FAMILY PRACTICE 44 219,436 $2,194,360 $10 premium 91.2% (406) 721-5600
3 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 196,440 $1,571,520 $8 premium 38.5% (601) 264-6000
4 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 73,520 $1,176,320 $16 premium 1.9%
5 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 68,720 $648,400 $9 premium 3.2% (512) 346-6611
6 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 65,120 $976,800 $15 premium 23.2% (501) 562-4838
7 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 10,240 $194,560 $19 premium 1.0%

*"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 →