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Market snapshot

J9271 in CA CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J9271 — Injection, pembrolizumab, 1 mg

Billing groups
30
Named-group FFS services
2,065,655
FFS of Medicare
49%
Services YoY
+19.8%
FFS enrollment +0.0%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,190,939 services

2,065,655 observed fee-for-service (49%) · ~2,125,284 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

Named-group submitted charges
$331.7M
Named-group allowed amount
$114.4M
Named-group Medicare payments
$91.2M
Avg charge / svc
$161
Avg allowed / svc
$55
Avg payment / svc
$44
Average charge per group
$56 30 groups · avg submitted charge / service $293
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J9271 services, CY2024
#Physician group City Specialty Providers J9271 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES INTERNAL MEDICINE 1424 356,401 $80,151,564 $225 premium 14.2% (310) 825-7922
2 CITY OF HOPE MEDICAL FOUNDATION DUARTE NURSE PRACTITIONER 942 294,500 $58,091,033 $197 premium 11.8% (626) 256-4673
3 SUTTER BAY MEDICAL FOUNDATION PALO ALTO INTERNAL MEDICINE 3716 179,400 $16,504,800 $92 premium 7.2% (415) 600-1020
4 DESERT HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC RANCHO MIRAGE HEMATOLOGY/ONCOLOGY 10 167,800 $24,024,218 $143 premium 6.7% (760) 568-3613
5 SCRIPPS HEALTH LA JOLLA PHYSICIAN ASSISTANT 1431 131,400 $22,656,748 $172 premium 5.2% (858) 455-9100
6 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNO HEMATOLOGY/ONCOLOGY 62 112,400 $14,274,800 $127 premium 4.5% (559) 326-1222
7 SANSUM CLINIC SANTA BARBARA INTERNAL MEDICINE 322 93,401 $9,807,105 $105 premium 3.7% (805) 681-7500
8 LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP LOS ANGELES HEMATOLOGY/ONCOLOGY 51 68,814 $10,582,642 $154 premium 2.7% (213) 977-1214
9 CANCER CENTER ONCOLOGY MEDICAL GROUP INC-EAST COUNTY LA MESA HEMATOLOGY/ONCOLOGY 4 65,200 $5,850,000 $90 premium 2.6% (619) 644-3030
10 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES PHYSICIAN ASSISTANT 1699 62,028 $10,292,000 $166 premium 2.5% (310) 423-0674
11 MONTEREY BAY ONCOLOGY A MEDICAL CORPORATION MONTEREY HEMATOLOGY/ONCOLOGY 10 60,203 $8,600,944 $143 premium 2.4% (831) 375-4105
12 EPIC CARE PLEASANT HILL HEMATOLOGY/ONCOLOGY 54 53,400 $8,669,400 $162 premium 2.1% (925) 687-2570
13 OMID S. SHAYE, M.D., A MEDICAL CORPORATION WEST HILLS HEMATOLOGY/ONCOLOGY 3 45,503 $5,060,285 $111 premium 1.8% (818) 346-1773
14 STANFORD HEALTH CARE STANFORD DIAGNOSTIC RADIOLOGY 3039 39,200 $8,903,635 $227 premium 1.6% (650) 723-4000
15 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO DIAGNOSTIC RADIOLOGY 1548 37,900 $11,116,517 $293 premium 1.5% (415) 476-1000
16 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA PHYSICIAN ASSISTANT 287 36,800 $5,792,000 $157 premium 1.5% (310) 829-6789
17 SIERRA HEMATOLOGY AND ONCOLOGY MEDICAL CENTERS CARMICHAEL HEMATOLOGY/ONCOLOGY 16 32,800 $4,176,424 $127 premium 1.3% (916) 962-1544
18 CENTRAL COAST ONCOLOGY AND HEMATOLOGY SANTA CRUZ MEDICAL ONCOLOGY 2 32,400 $2,912,000 $90 premium 1.3% (831) 475-2220
19 STOCKTON HEMATOLOGY ONCOLOGY MEDICAL GROUP INC STOCKTON HEMATOLOGY 9 27,200 $3,768,356 $139 premium 1.1%
20 SOLANO HEMATOLOGY - ONCOLOGY VALLEJO HEMATOLOGY/ONCOLOGY 3 26,605 $1,862,000 $70 premium 1.1% (707) 551-3300
21 SAN FRANCISCO ONCOLOGY ASSOCIATES MEDICAL GROUP INC SAN FRANCISCO HEMATOLOGY/ONCOLOGY 3 22,400 $2,315,448 $103 premium 0.9% (415) 885-8600
22 MICHAEL P SHERMAN MD PHD A MEDICAL CORPORATION WALNUT CREEK HEMATOLOGY/ONCOLOGY 13 21,200 $2,650,000 $125 premium 0.8% (925) 939-9610
23 MEDICAL ONCOLOGY ASSOCIATES OF SAN DIEGO A MEDICAL GROUP INC SAN DIEGO HEMATOLOGY/ONCOLOGY 13 21,200 $3,587,888 $169 premium 0.8% (858) 637-7888
24 SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES INC WEST HOLLYWOOD INTERNAL MEDICINE 8 17,400 $969,000 $56 premium 0.7% (323) 525-1111
25 VALKYRIE PHARMACEUTICS LOS ANGELES HEMATOLOGY/ONCOLOGY 2 15,000 $1,517,063 $101 premium 0.6% (951) 417-2766
26 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM DIAGNOSTIC RADIOLOGY 1197 13,400 $3,068,600 $229 premium 0.5% (916) 983-7476
27 UC REGENTS ORANGE INTERNAL MEDICINE 296 10,400 $1,896,364 $182 premium 0.4% (714) 456-7002
28 TEXAS ONCOLOGY PA DALLAS PHYSICIAN ASSISTANT 995 7,500 $1,062,900 $142 premium 0.3%
29 KAWEAH DELTA HEALTH CARE DISTRICT VISALIA DIAGNOSTIC RADIOLOGY 101 7,400 $670,322 $91 premium 0.3% (559) 624-6090
30 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK FAMILY PRACTICE 489 6,400 $835,200 $130 premium 0.3% (925) 296-9720

*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 →