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Market snapshot

J7626 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J7626 — Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg

Billing groups
14
Named-group FFS services
392
FFS of Medicare
49%
Services YoY
-1.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~820 services

392 observed fee-for-service (48%) · ~428 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 — J7626 (CY2024)

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

Named-group submitted charges
$4K
Named-group allowed amount
$442
Named-group Medicare payments
$313
Avg charge / svc
$10
Avg allowed / svc
$1
Avg payment / svc
$1
Average charge per group
$2 14 groups · avg submitted charge / service $27
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J7626 services, CY2024
#Physician group City St Specialty Providers J7626 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 FAMILY MEDICAL AND URGENT CARE CLINIC OF MCDONOUGH, LLC MCDONOUGH GA NURSE PRACTITIONER 21 83 $913 $11 premium 100.0% (770) 288-2822
2 ARIZONA MEDICAL SPECIALTY GROUP LLC TUCSON AZ NURSE PRACTITIONER 5 53 $612 $12 premium 100.0% (520) 800-8229
3 ROSWELL FAMILY CARE LLC ROSWELL NM NURSE PRACTITIONER 5 34 $156 $5 premium 100.0% (575) 622-5705
4 MARK A PEREZ MD LLC LAS VEGAS NV FAMILY PRACTICE 2 32 $64 $2 premium 100.0% (702) 384-7669
5 DOCTORS URGENT CARE LLC MURFREESBORO TN EMERGENCY MEDICINE 3 32 $480 $15 premium 66.7% 615624664310
6 INTENSIVIST MEDICINE OF AK LLC ANCHORAGE WA INTERNAL MEDICINE 6 31 $93 $3 premium 100.0% (907) 276-1131
7 HEALTH FIRST PRIVIA MEDICAL GROUP INDIALANTIC FL NURSE PRACTITIONER 235 24 $61 $3 premium 100.0% (321) 312-3501
8 PIH HEALTH PHYSICIANS WHITTIER CA INTERNAL MEDICINE 606 18 $234 $13 premium 6.0% (562) 698-0811
9 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 17 $459 $27 premium 5.6% (925) 296-9720
10 JACKSON CLINIC PA JACKSON TN NURSE PRACTITIONER 183 16 $240 $15 premium 33.3% (731) 422-0213
11 ST FRANCIS URGENT CARE LLC MONROE LA PHYSICIAN ASSISTANT 13 15 $195 $13 premium 100.0% (318) 966-6220
12 DAVE FAMILY MEDICAL SERVICES PC NEW ROCHELLE NY FAMILY PRACTICE 2 13 $143 $11 premium 20.6% (914) 633-7200
13 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 13 $52 $4 premium 4.3% (805) 681-7500
14 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 11 $186 $17 premium 3.7% (916) 983-7476

*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 →