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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J9228 Injection, ipilimumab, 1 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 64,806 services ▲ 8.7% YoY · 125 beneficiaries (CY2024, Medicare FFS)
Medicare paid $8.8M · $135.80 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
6
Named-group FFS services
32,825
FFS of Medicare
49%
Services YoY
+8.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~56,388 services

32,825 observed fee-for-service (58%) · ~23,563 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 — J9228 (CY2024)

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

Named-group submitted charges
$10.4M
Named-group allowed amount
$5.5M
Named-group Medicare payments
$4.4M
Avg charge / svc
$318
Avg allowed / svc
$169
Avg payment / svc
$135
Average charge per group
$215 6 groups · avg submitted charge / service $463
Market analyticsPlatform
a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by J9228 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 J9228 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 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 8,325 $2,650,128 $318 premium 100.0% (410) 502-4340
2 CENTRAL CARE PA BOLIVAR MO NURSE PRACTITIONER 15 7,250 $2,287,375 $316 premium 100.0% (417) 326-7200
3 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 5,150 $1,107,250 $215 premium 100.0% (210) 593-5700
4 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 4,500 $1,725,846 $384 premium 100.0% (212) 746-5454
5 ALASKA ONCOLOGY AND HEMATOLOGY LLC ANCHORAGE AK PHYSICIAN ASSISTANT 6 3,900 $947,700 $243 premium 100.0% (907) 279-3155
6 CANCER CENTER OF KANSAS PA WICHITA KS HEMATOLOGY/ONCOLOGY 27 3,700 $1,714,700 $463 premium 57.8% (316) 262-4467

*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 →