NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J9394 Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg HCPCS · Chemotherapy treatment
Classification Treatment Chemotherapy Chemotherapeutic Agent (CMS RBCS)
First observed 2023
National scale 13,767 services · est. ▼ 67.4% YoY · 139 FFS beneficiaries (CY2024, all-Medicare estimate) — 7,660 observed fee-for-service services
Medicare paid $376K · est. · $27.74 avg / service, national — $212K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Estimated all-Medicare volume estimate
FFS + estimated MA

~13,767 services

7,660 observed fee-for-service (56%) · ~6,107 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
Payments · FFS observed

$212K

all-Medicare ≈$376K — estimate; price parity assumed as well
Rate per 1,000 FFS

0.3

claims denominator · a rate — never scaled
Named groups

5

5 at the ≥11-service disclosure floor
Top states — J9394 (CY2024)

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

The 2-year rate
202320240.3
Per 1,000 FFS beneficiaries, claims denominator · the dated per-year table is a Platform view
What they charge

Half the field lists between $133 and $159

Submitted charges are provider-set list amounts, not payments · median $134 (named groups)
National benchmarkspremium

Computed for this market — a Platform view

Market positionpremium

Computed for this market — a Platform view

The whole field, one canvaspremium

Computed for this market — a Platform view

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column

sorts locked on the free tier · services rank pinned · refine and export are Platform features

1
NORFOLK · VA · PHYSICIAN ASSISTANT · 123 providers · hospital-affiliated ·
1,900services 100.0%Share of state* $134avg list premiumMedicare $
2
LOS ANGELES · CA · INTERNAL MEDICINE · 1424 providers · hospital-affiliated · (310) 825-7922
1,500services 43.6%Share of state* $445avg list premiumMedicare $
3
TULSA · OK · NURSE PRACTITIONER · 47 providers · hospital-affiliated · (918) 505-3200
1,060services 100.0%Share of state* $133avg list premiumMedicare $
4
BALTIMORE · MD · HOSPITALIST · 348 providers · hospital-affiliated ·
920services 100.0%Share of state* $104avg list premiumMedicare $
5
LAKEWOOD · CA · HEMATOLOGY/ONCOLOGY · 110 providers · hospital-affiliated · (562) 232-0550
720services 20.9%Share of state* $159avg list premiumMedicare $

Medicare $ counts J9394 payments in the market each row names, CY2024; avg list is that row's submitted charges per service on the same basis — list amounts, not payments.

*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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →