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Market snapshot

J7612 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J7612 — Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg

Billing groups
2
Named-group FFS services
353
FFS of Medicare
49%
Services YoY
+68.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~757 services

353 observed fee-for-service (47%) · ~404 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 — J7612 (CY2024)

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

Named-group submitted charges
$1K
Named-group allowed amount
$89
Named-group Medicare payments
$69
Avg charge / svc
$4
Avg allowed / svc
$0
Avg payment / svc
$0
Average charge per group
$1 2 groups · avg submitted charge / service $5
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J7612 services, CY2024
#Physician group City St Specialty Providers J7612 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 251 $1,255 $5 premium 86.3% (212) 263-9700
2 ADVENTIST HEALTH SYSTEM SUNBELT, INC. ORLANDO FL NURSE PRACTITIONER 211 102 $69 $1 premium 100.0% (407) 851-6478

*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 →