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Market snapshot

J7674 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J7674 — Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg

Billing groups
15
Named-group FFS services
29,498
FFS of Medicare
49%
Services YoY
+0.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~60,117 services

29,498 observed fee-for-service (49%) · ~30,619 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 — J7674 (CY2024)

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

Named-group submitted charges
$279K
Named-group allowed amount
$34K
Named-group Medicare payments
$27K
Avg charge / svc
$9
Avg allowed / svc
$1
Avg payment / svc
$1
Average charge per group
$1 15 groups · avg submitted charge / service $811
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J7674 services, CY2024
#Physician group City St Specialty Providers J7674 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 EL PASO PULMONARY ASSOCIATION EL PASO TX PULMONARY DISEASE 15 6,700 $11,390 $2 premium 60.9% (915) 532-2477
2 THE PULMONARY AND SLEEP CONSULTANTS LLC JEFFERSON CITY TN NURSE PRACTITIONER 3 3,454 $18,530 $5 premium 48.7% (865) 471-2573
3 HH PHYSICIANS NETWORK HUNTSVILLE AL PULMONARY DISEASE 105 3,451 $3,451 $1 premium 100.0% (256) 265-8553
4 NORMAN REGIONAL PROVIDERS SPECIALTY CARE NORMAN OK NURSE PRACTITIONER 162 3,322 $9,406 $3 premium 100.0% (405) 307-5700
5 MASS LUNG AND ALLERGY PC LEOMINSTER MA PULMONARY DISEASE 13 2,740 $8,500 $3 premium 100.0% (978) 466-2692
6 RICARDO ABREU, M.D., PA WESLACO TX PULMONARY DISEASE 29 2,700 $2,700 $1 premium 24.5% (956) 447-5557
7 STATCARE OUTPATIENT LLC KNOXVILLE TN PULMONARY DISEASE 41 2,000 $3,100 $2 premium 28.2%
8 RIVER VALLEY PULMONARY CONSULTANTS, PA EL PASO TX PULMONARY DISEASE 4 1,600 $2,720 $2 premium 14.5% (915) 999-4009
9 CHRISTOPHER L JOHN LITTLE ROCK AR PULMONARY DISEASE 2 1,200 $900 $1 premium 79.3% (501) 407-0200
10 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 960 $2,880 $3 premium 100.0%
11 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 564 $1,128 $2 premium 53.1% (217) 544-6464
12 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 498 $996 $2 premium 46.9% (630) 933-4800
13 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 217 $173,656 $800 premium 100.0% (904) 953-2000
14 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 49 $39,749 $811 premium 100.0% (800) 603-0558
15 SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS PC SAVANNAH GA PULMONARY DISEASE 23 43 $45 $1 premium 100.0% (912) 629-2290

*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 →