Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2023

Medicare Part B FFS · CY2023 · as published by CMS

J7050 Infusion, normal saline solution, 250 cc HCPCS · Treatment

Classification Treatment › Injections and Infusions (nononcologic) (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 446,210 services ▼ 6.3% YoY · 99,887 beneficiaries (CY2024, Medicare FFS)

Medicare paid $227K · $0.51 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

501

Named groups billing this code

Named-group FFS services

277,361

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

-6.3%

FFS enrollment -2.2%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~549,753 services

277,360 observed fee-for-service (50%) · ~272,393 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 — J7050 (CY2024)

CA 125,803 FL 62,896 NY 49,225 TX 24,676 NC 16,740

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

Billed → allowed → paid

Named-group submitted charges

$4.2M

Named-group allowed amount

$176K

Named-group Medicare payments

$139K

Avg charge / svc

$15

Avg allowed / svc

Avg payment / svc

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Average charge per group

$1–7

$7–14

$14–21

$21–28

$28–35

$35–41

$41–48

$48+

$1 501 groups · avg submitted charge / service $452

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by J7050 services, highest first, CY2023
#	Physician group locked column	City locked column	St locked column	Specialty locked column	Providers locked column	J7050 svcs	Submitted charges locked column	Avg charge locked column	Medicare $ locked column	Share* locked column	Phone
1	THE REGENTS OF THE UNIVERSITY OF CALIFORNIA	LOS ANGELES	CA	INTERNAL MEDICINE	1424	22,206	$222,090	$10	premium	14.9%	(310) 825-7922
2	GULF COAST INFECTIOUS DISEASES INC	PENSACOLA	FL	INFECTIOUS DISEASE	4	8,399	$83,990	$10	premium	13.1%	(850) 549-4755
3	POINTE WEST INFECTIOUS DISEASES P L	BRADENTON	FL	INFECTIOUS DISEASE	9	8,197	$90,167	$11	premium	12.8%	(941) 746-2711
4	KLEYNBERG MEDICAL CLINIC INC	LOS ANGELES	CA	HEMATOLOGY/ONCOLOGY	2	6,440	$6,440	$1	premium	4.3%	(323) 965-9995
5	SPRINGFIELD CLINIC, LLP	SPRINGFIELD	IL	NURSE PRACTITIONER	686	5,674	$28,370	$5	premium	34.6%	(217) 544-6464

That's the top 5 of 501 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →