NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J9395 Injection, fulvestrant, 25 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 232,898 services ▼ 3.5% YoY · 3,257 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.4M · $6.17 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
76
Named-group FFS services
201,208
FFS of Medicare
49%
Services YoY
-3.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~403,104 services

201,208 observed fee-for-service (50%) · ~201,896 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 — J9395 (CY2024)
FL 43,750 CA 38,826 VA 14,550 MD 13,220 AZ 10,200

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

Named-group submitted charges
$33.8M
Named-group allowed amount
$1.6M
Named-group Medicare payments
$1.2M
Avg charge / svc
$168
Avg allowed / svc
$8
Avg payment / svc
$6
Average charge per group
$17 76 groups · avg submitted charge / service $448
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers J9395 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 27,060 $3,571,920 $132 61.9% (239) 561-9622
2 CANCER CENTER OF KANSAS PA WICHITA KS HEMATOLOGY/ONCOLOGY 27 9,580 $2,509,960 $262 100.0% (316) 262-4467
3 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 9,080 $1,398,040 $154 23.4% (310) 423-0674
4 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL MD HEMATOLOGY/ONCOLOGY 99 8,600 $2,218,800 $258 65.1% (301) 982-9800
5 ALLISON CURTIS KINGSLEY MEOZ MICHAEL AND SANCHEZ PC LAS VEGAS NV NURSE PRACTITIONER 71 7,380 $1,933,560 $262 100.0% (702) 952-2140
6 CANCER CARE NORTHWEST CENTERS P S SPOKANE WA RADIATION ONCOLOGY 41 5,662 $1,383,340 $244 80.9% (509) 228-1000
7 MEMORIALCARE MEDICAL FOUNDATION LONG BEACH CA FAMILY PRACTICE 549 5,130 $984,960 $192 13.2% (562) 346-2222
8 CHRIST HOSPITAL MEDICAL SPECIALISTS II, LLC CINCINNATI OH HEMATOLOGY/ONCOLOGY 32 4,981 $108,476 $22 100.0% (513) 321-4333
9 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 4,770 $570,873 $120 57.3% (901) 683-0055
10 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 4,560 $1,112,640 $244 85.1% —
11 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 4,540 $538,060 $119 55.8% —
12 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 4,280 $179,189 $42 9.8% (904) 953-2000
13 ROCKY MOUNTAIN CANCER CENTERS LLP COLORADO SPRINGS CO NURSE PRACTITIONER 129 4,200 $1,100,400 $262 91.7% (719) 577-2555
14 DESERT HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC RANCHO MIRAGE CA HEMATOLOGY/ONCOLOGY 10 3,980 $446,530 $112 10.3% (760) 568-3613
15 ONCOLOGY AND HEMATOLOGY ASSOCIATES OF SOUTHWEST VIRGINIA INC ROANOKE VA NURSE PRACTITIONER 52 3,630 $951,060 $262 24.9% (540) 982-0237
16 MONTEREY BAY ONCOLOGY A MEDICAL CORPORATION MONTEREY CA HEMATOLOGY/ONCOLOGY 10 3,383 $70,560 $21 8.7% (831) 375-4105
17 CANCER CARE ASSOCIATES OF YORK, INC. YORK PA HEMATOLOGY/ONCOLOGY 15 3,340 $126,920 $38 43.4% (717) 741-9229
18 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 3,000 $339,000 $113 7.7% (805) 681-7500
19 JACKSON ONCOLOGY ASSOCIATES JACKSON MS HEMATOLOGY/ONCOLOGY 11 2,910 $704,220 $242 100.0% (601) 974-5600
20 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 2,740 $82,857 $30 26.9% (800) 603-0558
21 BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION BRYN MAWR PA NURSE PRACTITIONER 134 2,652 $331,500 $125 34.4% (610) 527-3800
22 ONCOLOGY SPECIALTIES, P.C. HUNTSVILLE AL NURSE PRACTITIONER 93 2,630 $106,550 $41 49.9% (256) 705-4224
23 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 2,400 $1,071,180 $446 6.2% (310) 825-7922
24 CANCER CENTER ONCOLOGY MEDICAL GROUP INC-EAST COUNTY LA MESA CA HEMATOLOGY/ONCOLOGY 4 2,360 $413,000 $175 6.1% (619) 644-3030
25 STEELHEAD SPECIALTY GROUP PC ROSEBURG OR HEMATOLOGY/ONCOLOGY 4 2,340 $315,900 $135 76.5% (541) 229-4070
26 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 2,322 $729,247 $314 6.0% (858) 455-9100
27 MISSOURI CANCER ASSOCIATES LLC COLUMBIA MO RADIATION ONCOLOGY 22 2,240 $586,880 $262 100.0% (573) 874-7800
28 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE NC HEMATOLOGY/ONCOLOGY 333 2,170 $301,630 $139 28.2% (260) 484-8830
29 SOUTHWEST CANCER CARE LLC SIERRA VISTA AZ NURSE PRACTITIONER 6 2,130 $160,650 $75 20.9% (520) 220-5020
30 HEMATOLOGY AND ONCOLOGY ASSOCIATES OF ALABAMA LLC BIRMINGHAM AL NURSE PRACTITIONER 11 1,980 $158,400 $80 37.6% (205) 502-4700
31 PROVIDENCE IMAGING CENTER INC HENDERSONVILLE NC DIAGNOSTIC RADIOLOGY 4 1,880 $218,080 $116 24.4% (828) 692-6848
32 HUNTERDON HEMATOLOGY ONCOLOGY, LLC FLEMINGTON NJ HEMATOLOGY/ONCOLOGY 7 1,857 $405,150 $218 28.5% (908) 237-1201
33 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 1,810 $533,950 $295 56.0% (770) 422-2004
34 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE AR HEMATOLOGY/ONCOLOGY 333 1,760 $244,640 $139 71.5% (260) 484-8830
35 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 1,740 $140,940 $81 26.7% (908) 273-4300
36 PENN STATE HEALTH MEDICAL GROUP LLC CAMP HILL PA PHYSICIAN ASSISTANT 700 1,710 $114,250 $67 22.2% (717) 972-4250
37 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 1,680 $327,600 $195 3.8% (321) 434-8878
38 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 1,640 $390,320 $238 3.7% (863) 680-7780
39 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 1,620 $389,256 $240 12.3% (410) 502-4340
40 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE AZ HEMATOLOGY/ONCOLOGY 333 1,620 $225,180 $139 15.9% (260) 484-8830
41 HEMATOLOGY-ONCOLOGY ASSOCIATES OF CNY, PC EAST SYRACUSE NY NURSE PRACTITIONER 61 1,540 $33,880 $22 81.1% (315) 472-7504
42 BEACON CANCER CARE PLLC COEUR D ALENE ID NURSE PRACTITIONER 14 1,450 $30,344 $21 100.0% (208) 755-2804
43 TITAN HEALTH PARTNERS LLC EAST BRUNSWICK NJ HEMATOLOGY/ONCOLOGY 92 1,440 $80,325 $56 22.1% (732) 390-7750
44 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 1,440 $41,659 $29 3.7% (626) 256-4673
45 PIEDMONT CANCER INSTITUTE PC ATLANTA GA PHYSICIAN ASSISTANT 42 1,420 $80,000 $56 44.0% (404) 350-9853
46 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 1,380 $617,971 $448 3.6% (415) 476-1000
47 ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C PEORIA IL NURSE PRACTITIONER 62 1,300 $216,040 $166 16.0% (309) 243-3000
48 CAROLINA ONCOLOGY SPECIALIST PA CHARLOTTE NC HEMATOLOGY/ONCOLOGY 16 1,230 $201,000 $163 16.0% (704) 342-9577
49 TMC MEDICAL NETWORK TUCSON AZ NURSE PRACTITIONER 273 1,160 $303,920 $262 11.4% (520) 324-4230
50 VIRGINIA CANCER SPECIALISTS, P.C. FAIRFAX VA HEMATOLOGY/ONCOLOGY 76 1,160 $303,920 $262 8.0% (703) 280-5390
51 GREATER BALTIMORE MEDICAL CENTER INC BALTIMORE MD HOSPITALIST 348 1,160 $104,596 $90 8.8% —
52 OGDEN CLINIC SPECIALTY SERVICES LLC OGDEN UT PHYSICIAN ASSISTANT 133 1,160 $140,360 $121 100.0% (801) 475-3800
53 MEDICAL ONCOLOGY HEMATOLOGY CONSULTANTS PA NEWARK DE HEMATOLOGY/ONCOLOGY 33 1,150 $301,300 $262 100.0% (302) 366-1200
54 SHENANDOAH ONCOLOGY PC WINCHESTER VA NURSE PRACTITIONER 22 1,140 $298,680 $262 7.8% (540) 662-1108
55 OCALA ONCOLOGY CENTER PL OCALA FL NURSE PRACTITIONER 23 1,120 $293,440 $262 2.6% (352) 732-4032
56 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 1,120 $293,440 $262 7.7% —
57 CANCER CENTER OF KANSAS PA WICHITA MN HEMATOLOGY/ONCOLOGY 27 1,100 $288,200 $262 58.8% (316) 262-4467
58 MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA WESTBROOK ME HEMATOLOGY/ONCOLOGY 69 1,090 $35,970 $33 44.5% (207) 303-3300
59 AFFILIATED ONCOLOGISTS LLC OAK LAWN IL PHYSICIAN ASSISTANT 40 1,060 $277,720 $262 13.0% (708) 684-5475
60 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 1,020 $153,240 $150 2.6% (650) 723-4000
61 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 1,000 $262,000 $262 2.3% (850) 416-2400
62 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 960 $287,920 $300 61.5% (843) 792-1414
63 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 880 $103,840 $118 100.0% (608) 260-2900
64 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE WA HEMATOLOGY/ONCOLOGY 333 840 $116,760 $139 12.0% (260) 484-8830
65 UNITED REGIONAL PHYSICIAN GROUP WICHITA FALLS TX NURSE PRACTITIONER 101 800 $195,200 $244 14.9% (940) 766-3320
66 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 770 $16,511 $21 41.2% (507) 284-2511
67 ONCOLOGY ASSOCIATES OF OREGON P C EUGENE OR PHYSICIAN ASSISTANT 47 720 $188,640 $262 23.5% (541) 683-5001
68 THE ONCOLOGY INSTITUTE CA, A PROFESSIONAL CORPORATION LAKEWOOD CA HEMATOLOGY/ONCOLOGY 110 720 $126,000 $175 1.9% (562) 232-0550
69 DOTHAN HEMATOLOGY AND ONCOLOGY, P. C. DOTHAN AL NURSE PRACTITIONER 15 660 $14,815 $22 12.5% (334) 792-9500
70 NEBRASKA HEMATOLOGY-ONCOLOGY PC LINCOLN NE PHYSICIAN ASSISTANT 19 600 $17,400 $29 50.8% (402) 484-4900
71 SOUTH CAROLINA ONCOLOGY ASSOC PA COLUMBIA SC HEMATOLOGY/ONCOLOGY 18 600 $127,200 $212 38.5% (803) 461-3000
72 CANCER PARTNERS OF NEBRASKA PC LINCOLN NE MEDICAL ONCOLOGY 30 580 $99,160 $171 49.2% (402) 420-6090
73 ONCOLOGY AND HEMATOLOGY ASSOCIATES OF SOUTHWEST VIRGINIA INC ROANOKE NC NURSE PRACTITIONER 52 510 $133,620 $262 6.6% (540) 982-0237
74 NORTHWEST CANCER SPECIALISTS PC PORTLAND WA PHYSICIAN ASSISTANT 68 500 $131,000 $262 7.1% (503) 280-1223
75 PORTERVILLE COMMUNITY PHYSICIANS INC PORTERVILLE CA OBSTETRICS/GYNECOLOGY 7 480 $84,000 $175 1.2% (559) 788-6039
76 LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP LOS ANGELES CA HEMATOLOGY/ONCOLOGY 51 471 $7,841 $17 1.2% (213) 977-1214
77 VIRGINIA CANCER INSTITUTE INCORPORATED NORTH CHESTERFIELD VA HEMATOLOGY/ONCOLOGY 50 420 $13,318 $32 2.9% (804) 330-7990
78 MAYO CLINIC JACKSONVILLE JACKSONVILLE IL NURSE PRACTITIONER 1587 400 $16,693 $42 4.9% (904) 953-2000
79 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 380 $85,680 $225 15.4% —
80 NEW YORK ONCOLOGY HEMATOLOGY PC ALBANY NY NURSE PRACTITIONER 83 360 $87,840 $244 18.9% (518) 262-6696
81 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 320 $62,400 $195 13.0% (479) 361-2585
82 OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC TULSA OK NURSE PRACTITIONER 47 250 $58,750 $235 44.6% (918) 505-3200

*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 →