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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J9298 Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg HCPCS · Chemotherapy treatment
Classification Treatment Chemotherapy Chemotherapeutic Agent (CMS RBCS)
First observed 2023
National scale 62,442 services ▲ 16.4% YoY · 97 beneficiaries (CY2024, Medicare FFS)
Medicare paid $8.6M · $138.07 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
5
Named-group FFS services
55,082
FFS of Medicare
49%
Services YoY
+16.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~96,281 services

55,082 observed fee-for-service (57%) · ~41,199 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 — J9298 (CY2024)

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

Named-group submitted charges
$24.6M
Named-group allowed amount
$9.5M
Named-group Medicare payments
$7.5M
Avg charge / svc
$446
Avg allowed / svc
$172
Avg payment / svc
$137
Average charge per group
$365 5 groups · avg submitted charge / service $565
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by J9298 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 J9298 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 24,480 $8,924,524 $365 premium 100.0% (410) 502-4340
2 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 12,521 $6,751,680 $539 premium 63.0% (310) 423-0674
3 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 6,880 $2,924,000 $425 premium 100.0% (212) 746-5454
4 CANCER CENTER OF SOUTH FLORIDA PLLC PALM BEACH GARDENS FL PHYSICIAN ASSISTANT 41 6,240 $3,527,276 $565 premium 100.0% (561) 253-3980
5 NEVADA ONCOLOGY SPECIALISTS TOY GOODMAN SAMLOWSKI PC LAS VEGAS NV HEMATOLOGY/ONCOLOGY 2 4,961 $2,453,280 $495 premium 100.0% (702) 473-1757

*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 →