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Market snapshot

J9173 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J9173 — Injection, durvalumab, 10 mg

Billing groups
21
Named-group FFS services
240,650
FFS of Medicare
49%
Services YoY
+5.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~485,761 services

240,650 observed fee-for-service (50%) · ~245,111 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 — J9173 (CY2024)

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

Named-group submitted charges
$49.7M
Named-group allowed amount
$19.1M
Named-group Medicare payments
$15.2M
Avg charge / svc
$207
Avg allowed / svc
$79
Avg payment / svc
$63
Average charge per group
$104 21 groups · avg submitted charge / service $324
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J9173 services, CY2024
#Physician group City St Specialty Providers J9173 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 51,910 $9,914,810 $191 premium 79.1% (239) 561-9622
2 CANCER CENTER OF KANSAS PA WICHITA KS HEMATOLOGY/ONCOLOGY 27 27,264 $5,962,728 $219 premium 85.3% (316) 262-4467
3 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNO CA HEMATOLOGY/ONCOLOGY 62 26,326 $5,045,968 $192 premium 100.0% (559) 326-1222
4 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 23,808 $4,867,980 $204 premium 100.0%
5 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE GA HEMATOLOGY/ONCOLOGY 333 12,090 $1,966,378 $163 premium 100.0% (260) 484-8830
6 MISSOURI CANCER ASSOCIATES LLC COLUMBIA MO RADIATION ONCOLOGY 22 10,680 $2,325,840 $218 premium 100.0% (573) 874-7800
7 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 10,536 $1,907,016 $181 premium 80.8%
8 IRONWOOD PHYSICIANS PC MESA AZ HEMATOLOGY/ONCOLOGY 114 7,854 $1,492,260 $190 premium 50.3% (480) 981-1326
9 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 7,424 $2,212,173 $298 premium 11.3% (904) 953-2000
10 ONCOLOGY SPECIALTIES, P.C. HUNTSVILLE AL NURSE PRACTITIONER 93 7,280 $1,820,000 $250 premium 100.0% (256) 705-4224
11 NEBRASKA HEMATOLOGY-ONCOLOGY PC LINCOLN NE PHYSICIAN ASSISTANT 19 7,200 $2,051,114 $285 premium 100.0% (402) 484-4900
12 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 5,746 $1,860,412 $324 premium 36.8% (800) 603-0558
13 ONCOLOGY AND HEMATOLOGY ASSOCIATES OF SOUTHWEST VIRGINIA INC ROANOKE VA NURSE PRACTITIONER 52 5,674 $1,240,258 $219 premium 42.6% (540) 982-0237
14 HEMATOLOGY-ONCOLOGY ASSOCIATES OF CNY, PC EAST SYRACUSE NY NURSE PRACTITIONER 61 5,052 $697,176 $138 premium 100.0% (315) 472-7504
15 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 4,998 $1,403,504 $281 premium 64.4% (901) 683-0055
16 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 4,800 $643,500 $134 premium 45.6% (319) 678-8201
17 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 4,800 $1,057,200 $220 premium 36.0%
18 CANCER CARE ASSOCIATES OF YORK, INC. YORK PA HEMATOLOGY/ONCOLOGY 15 4,600 $480,600 $104 premium 100.0% (717) 741-9229
19 CANCER CENTER OF KANSAS PA WICHITA MN HEMATOLOGY/ONCOLOGY 27 4,266 $933,354 $219 premium 100.0% (316) 262-4467
20 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 3,000 $840,000 $280 premium 100.0%
21 SHENANDOAH ONCOLOGY PC WINCHESTER VA NURSE PRACTITIONER 22 2,844 $588,708 $207 premium 21.4% (540) 662-1108
22 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 2,498 $390,680 $156 premium 19.2% (479) 361-2585

*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 →