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Market snapshot

J9196 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J9196 — Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg

Billing groups
23
Named-group FFS services
28,521
FFS of Medicare
49%
Services YoY
+387.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~55,029 services

28,521 observed fee-for-service (52%) · ~26,508 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 — J9196 (CY2024)

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

Named-group submitted charges
$687K
Named-group allowed amount
$200K
Named-group Medicare payments
$173K
Avg charge / svc
$24
Avg allowed / svc
$7
Avg payment / svc
$6
Average charge per group
$13 23 groups · avg submitted charge / service $70
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J9196 services, CY2024
#Physician group City St Specialty Providers J9196 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 4,028 $120,840 $30 premium 100.0%
2 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 2,479 $39,562 $16 premium 37.8% (321) 434-8878
3 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 2,278 $34,170 $15 premium 58.3% (319) 678-8201
4 ILLINOIS CANCER SPECIALISTS ARLINGTON HEIGHTS IL HEMATOLOGY/ONCOLOGY 29 1,944 $54,432 $28 premium 79.6% (847) 259-4482
5 IRONWOOD PHYSICIANS PC MESA AZ HEMATOLOGY/ONCOLOGY 114 1,938 $25,194 $13 premium 100.0% (480) 981-1326
6 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 1,916 $44,068 $23 premium 29.2% (239) 561-9622
7 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE GA HEMATOLOGY/ONCOLOGY 333 1,803 $43,383 $24 premium 61.9% (260) 484-8830
8 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 1,203 $27,100 $23 premium 51.6% (210) 593-5700
9 PIEDMONT CANCER INSTITUTE PC ATLANTA GA PHYSICIAN ASSISTANT 42 1,109 $16,635 $15 premium 38.1% (404) 350-9853
10 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 930 $15,810 $17 premium 72.9% (415) 600-1020
11 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACK NJ HEMATOLOGY/ONCOLOGY 153 899 $26,970 $30 premium 100.0% (201) 996-2210
12 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 859 $24,052 $28 premium 36.9%
13 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE MD HEMATOLOGY/ONCOLOGY 333 852 $8,769 $10 premium 100.0% (260) 484-8830
14 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE NC HEMATOLOGY/ONCOLOGY 333 797 $8,767 $11 premium 100.0% (260) 484-8830
15 ONCOLOGY SPECIALTIES, P.C. HUNTSVILLE AL NURSE PRACTITIONER 93 784 $54,880 $70 premium 100.0% (256) 705-4224
16 MEDICAL ONCOLOGY HEMATOLOGY CONSULTANTS PA NEWARK DE HEMATOLOGY/ONCOLOGY 33 744 $35,676 $48 premium 100.0% (302) 366-1200
17 ALASKA ONCOLOGY AND HEMATOLOGY LLC ANCHORAGE AK PHYSICIAN ASSISTANT 6 716 $12,888 $18 premium 100.0% (907) 279-3155
18 OCALA ONCOLOGY CENTER PL OCALA FL NURSE PRACTITIONER 23 672 $20,160 $30 premium 10.2% (352) 732-4032
19 OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC TULSA OK NURSE PRACTITIONER 47 599 $13,178 $22 premium 68.2% (918) 505-3200
20 ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C PEORIA IL NURSE PRACTITIONER 62 499 $14,400 $29 premium 20.4% (309) 243-3000
21 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 429 $12,870 $30 premium 6.5% (850) 416-2400
22 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 332 $8,155 $25 premium 100.0% (248) 477-0552
23 CANCER PARTNERS OF NEBRASKA PC LINCOLN NE MEDICAL ONCOLOGY 30 224 $12,348 $55 premium 55.2% (402) 420-6090
24 ONCOLOGY HEMATOLOGY CARE INC CINCINNATI OH NURSE PRACTITIONER 66 220 $6,600 $30 premium 100.0% (513) 751-2273
25 OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC TULSA TX NURSE PRACTITIONER 47 148 $3,236 $22 premium 6.4% (918) 505-3200
26 MONTEREY BAY ONCOLOGY A MEDICAL CORPORATION MONTEREY CA HEMATOLOGY/ONCOLOGY 10 119 $2,618 $22 premium 9.3% (831) 375-4105

*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 →