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Market snapshot

J7042 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J7042 — 5% dextrose/normal saline (500 ml = 1 unit)

Billing groups
16
Named-group FFS services
1,605
FFS of Medicare
49%
Services YoY
-61.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,342 services

1,605 observed fee-for-service (48%) · ~1,737 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 — J7042 (CY2024)

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

Named-group submitted charges
$26K
Named-group allowed amount
$2K
Named-group Medicare payments
$2K
Avg charge / svc
$16
Avg allowed / svc
$1
Avg payment / svc
$1
Average charge per group
$3 16 groups · avg submitted charge / service $148
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J7042 services, CY2024
#Physician group City St Specialty Providers J7042 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 BRAIN AND SPINE MEDICAL SERVICES PLLC WILLIAMSVILLE NY PHYSICIAN ASSISTANT 56 618 $1,873 $3 premium 38.5% (716) 631-3555
2 NORTHSTAR ANESTHESIA III PA FORT WORTH TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 396 142 $4,305 $30 premium 30.9% (817) 926-2544
3 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 131 $1,965 $15 premium 100.0%
4 Y J LEE MD CORP LOS ANGELES CA INTERNAL MEDICINE 2 106 $6,360 $60 premium 15.0% (213) 383-9388
5 MEDICAL HEALING CENTER, LLC TALLAHASSEE FL NURSE PRACTITIONER 3 93 $1,860 $20 premium 11.4% (850) 309-1665
6 SOUTHEASTERN MEDICAL PA SUNSET BEACH NC PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 81 $2,025 $25 premium 100.0% (910) 575-5750
7 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 78 $312 $4 premium 9.5% (239) 561-9622
8 LIVWELL HEALTH LLC SCOTTSDALE AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 71 $568 $8 premium 100.0% (602) 688-2248
9 ONCOLOGY ASSOCIATES OF OREGON P C EUGENE OR PHYSICIAN ASSISTANT 47 67 $1,072 $16 premium 100.0% (541) 683-5001
10 ILLINOIS CANCER SPECIALISTS ARLINGTON HEIGHTS IL HEMATOLOGY/ONCOLOGY 29 53 $795 $15 premium 20.9% (847) 259-4482
11 HEM ONC ASSOCIATES OF THE TREASURE COAST, PA PORT SAINT LUCIE FL HEMATOLOGY/ONCOLOGY 6 50 $250 $5 premium 6.1% (772) 335-5666
12 BAILEY FOOT AND ANKLE SPECIALISTS, PC PLAINFIELD IL PODIATRY 3 35 $350 $10 premium 13.8% (815) 230-2255
13 OCEAN LIFE MEDICAL GROUP INC Santa Clarita CA EMERGENCY MEDICINE 2 29 $4,300 $148 premium 4.1%
14 ANDREW W MERRITT MD INC LAGUNA HILLS CA PHYSICAL MEDICINE AND REHABILITATION 2 25 $118 $5 premium 3.5% (949) 900-1300
15 NOVEL MEDICINE PC REGO PARK NY INTERNAL MEDICINE 3 13 $130 $10 premium 0.8% (718) 896-7777
16 KARA HEALTH INC FORT WAYNE IN INTERNAL MEDICINE 2 13 $52 $4 premium 100.0% (260) 353-1444

*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 →