Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J9000 Injection, doxorubicin hydrochloride, 10 mg HCPCS · Chemotherapy treatment

Classification Treatment › Chemotherapy › Chemotherapeutic Agent (CMS RBCS)

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

National scale 5,868 services ▼ 37.6% YoY · 380 beneficiaries (CY2024, Medicare FFS)

Medicare paid $15K · $2.62 avg / service, national

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

Billing groups

Named-group FFS services

5,414

FFS of Medicare

49%

Services YoY

-37.6%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~10,943 services

5,414 observed fee-for-service (49%) · ~5,529 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 — J9000 (CY2024)

TX 1,096 FL 505 VA 445 MN 443 CA 388

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

Named-group submitted charges

$173K

Named-group allowed amount

$18K

Named-group Medicare payments

$14K

Avg charge / svc

$32

Avg allowed / svc

Avg payment / svc

Average charge per group

$7–15

$15–22

$22–30

$30–38

$38–46

$46–53

$53–61

$61+

$7 18 groups · avg submitted charge / service $90

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

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 →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by J9000 services, highest first, CY2024
#	Physician group activate to sort	City activate to sort	St activate to sort	Specialty activate to sort	Providers activate to sort	J9000 svcs sorted descending — activate to reverse	Submitted charges activate to sort	Avg charge activate to sort	Medicare $ locked column	Share* activate to sort	Phone
1	TEXAS ONCOLOGY PA	DALLAS	TX	PHYSICIAN ASSISTANT	995	768	$41,472	$54	premium	70.1%	—
2	MAYO CLINIC	ROCHESTER	MN	NURSE PRACTITIONER	4896	443	$11,710	$26	premium	100.0%	(507) 284-2511
3	SANT P CHAWLA M D INC	SANTA MONICA	CA	HEMATOLOGY	4	388	$17,442	$45	premium	100.0%	(310) 552-9999
4	NORTHWESTERN MEDICAL FACULTY FOUNDATION	CHICAGO	IL	NURSE PRACTITIONER	4339	371	$9,275	$25	premium	100.0%	—
5	STATE UNIVERSITY OF IOWA	IOWA CITY	IA	PHYSICIAN ASSISTANT	1902	348	$2,784	$8	premium	100.0%	(319) 678-8201
6	AMERICAN ONCOLOGY PARTNERS PA	FORT WAYNE	GA	HEMATOLOGY/ONCOLOGY	333	348	$18,678	$54	premium	100.0%	(260) 484-8830
7	ONCOLOGY SPECIALTIES, P.C.	HUNTSVILLE	AL	NURSE PRACTITIONER	93	336	$3,360	$10	premium	100.0%	(256) 705-4224
8	COASTAL BEND CANCER CENTER, PA	CORPUS CHRISTI	TX	HEMATOLOGY/ONCOLOGY	6	328	$2,945	$9	premium	29.9%	(361) 887-0067
9	JACKSON ONCOLOGY ASSOCIATES	JACKSON	MS	HEMATOLOGY/ONCOLOGY	11	283	$25,470	$90	premium	100.0%	(601) 974-5600
10	FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC	FORT MYERS	FL	HEMATOLOGY/ONCOLOGY	437	274	$3,562	$13	premium	54.3%	(239) 561-9622
11	SOUTHWEST CANCER CARE LLC	SIERRA VISTA	AZ	NURSE PRACTITIONER	6	270	$2,700	$10	premium	74.8%	(520) 220-5020
12	GREATER BALTIMORE MEDICAL CENTER INC	BALTIMORE	MD	HOSPITALIST	348	249	$1,691	$7	premium	100.0%	—
13	MAYO CLINIC JACKSONVILLE	JACKSONVILLE	FL	NURSE PRACTITIONER	1587	231	$6,179	$27	premium	45.7%	(904) 953-2000
14	SHENANDOAH ONCOLOGY PC	WINCHESTER	VA	NURSE PRACTITIONER	22	183	$5,490	$30	premium	41.1%	(540) 662-1108
15	WASHINGTON UNIVERSITY	SAINT LOUIS	MO	NURSE PRACTITIONER	3070	179	$3,580	$20	premium	100.0%	(314) 747-3000
16	CANCER CENTER OF KANSAS PA	WICHITA	KS	HEMATOLOGY/ONCOLOGY	27	169	$5,070	$30	premium	46.8%	(316) 262-4467
17	HIGHLANDS ONCOLOGY GROUP PA	FAYETTEVILLE	AR	NURSE PRACTITIONER	79	155	$10,075	$65	premium	100.0%	(479) 361-2585
18	MAYO CLINIC ARIZONA	PHOENIX	AZ	PHYSICIAN ASSISTANT	1635	91	$1,421	$16	premium	25.2%	(800) 603-0558

*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 →