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Market snapshot

J9073 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J9073 — Injection, cyclophosphamide (ingenus), 5 mg

Billing groups
8
Named-group FFS services
84,665
FFS of Medicare
49%
Services YoY
Estimated all-Medicare volume FFS + estimated MA estimate
~161,540 services

84,665 observed fee-for-service (52%) · ~76,875 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 — J9073 (CY2024)

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

Named-group submitted charges
$638K
Named-group allowed amount
$76K
Named-group Medicare payments
$60K
Avg charge / svc
$8
Avg allowed / svc
$1
Avg payment / svc
$1
Average charge per group
$2 8 groups · avg submitted charge / service $11
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J9073 services, CY2024
#Physician group City St Specialty Providers J9073 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 24,204 $217,836 $9 premium 73.2%
2 SHENANDOAH ONCOLOGY PC WINCHESTER VA NURSE PRACTITIONER 22 13,046 $130,460 $10 premium 43.0% (540) 662-1108
3 CANCER CENTER OF KANSAS PA WICHITA KS HEMATOLOGY/ONCOLOGY 27 11,103 $121,023 $11 premium 100.0% (316) 262-4467
4 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 9,547 $95,470 $10 premium 31.4%
5 COASTAL BEND CANCER CENTER, PA CORPUS CHRISTI TX HEMATOLOGY/ONCOLOGY 6 8,849 $17,698 $2 premium 26.8% (361) 887-0067
6 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 7,661 $22,983 $3 premium 100.0% (239) 561-9622
7 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 5,532 $16,596 $3 premium 100.0%
8 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 4,723 $16,200 $3 premium 100.0% (901) 683-0055

*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 →