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Market snapshot

Q5108 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

Q5108 — Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg

Billing groups
50
Named-group FFS services
83,357
FFS of Medicare
49%
Services YoY
+89.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~164,015 services

83,357 observed fee-for-service (51%) · ~80,658 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 — Q5108 (CY2024)
PA 17,411 CA 16,970 AZ 9,384 VA 8,316 IL 6,384

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

Named-group submitted charges
$54.7M
Named-group allowed amount
$11.7M
Named-group Medicare payments
$9.3M
Avg charge / svc
$656
Avg allowed / svc
$140
Avg payment / svc
$112
Average charge per group
$169 50 groups · avg submitted charge / service $1,785
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers Q5108 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 10,704 $15,927,552 $1,488 63.1% (310) 825-7922
2 BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION BRYN MAWR PA NURSE PRACTITIONER 134 8,589 $4,294,500 $500 49.3% (610) 527-3800
3 VIRGINIA CANCER INSTITUTE INCORPORATED NORTH CHESTERFIELD VA HEMATOLOGY/ONCOLOGY 50 5,328 $1,578,463 $296 64.1% (804) 330-7990
4 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 5,220 $2,312,674 $443 100.0% (904) 953-2000
5 ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C PEORIA IL NURSE PRACTITIONER 62 4,164 $1,738,032 $417 65.2% (309) 243-3000
6 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 3,864 $1,705,873 $441 41.2% (800) 603-0558
7 CANCER CARE ASSOCIATES OF YORK, INC. YORK PA HEMATOLOGY/ONCOLOGY 15 3,612 $1,416,084 $392 20.7% (717) 741-9229
8 IRONWOOD PHYSICIANS PC MESA AZ HEMATOLOGY/ONCOLOGY 114 3,468 $2,101,608 $606 37.0% (480) 981-1326
9 ONCOLOGY CONSULTANTS, P.A. HOUSTON TX MEDICAL ONCOLOGY 34 3,144 $1,364,779 $434 52.5% (281) 481-6688
10 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 2,736 $2,325,600 $850 67.3% (479) 361-2585
11 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACK NJ HEMATOLOGY/ONCOLOGY 153 2,670 $2,507,130 $939 63.0% (201) 996-2210
12 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 2,436 $412,344 $169 69.6% (615) 385-3751
13 HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NORTHEASTERN PA PC DUNMORE PA HEMATOLOGY/ONCOLOGY 7 2,064 $1,300,320 $630 11.9% (570) 342-3675
14 NOVACURE CONSULTANTS PC ALEXANDRIA VA HEMATOLOGY/ONCOLOGY 2 1,704 $548,688 $322 20.5% (703) 780-2216
15 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 1,644 $1,512,480 $920 51.7% —
16 SOUTHERN CANCER CENTER PC MOBILE AL MEDICAL ONCOLOGY 25 1,524 $1,431,036 $939 100.0% (251) 625-6896
17 MICHAEL P SHERMAN MD PHD A MEDICAL CORPORATION WALNUT CREEK CA HEMATOLOGY/ONCOLOGY 13 1,452 $696,960 $480 8.6% (925) 939-9610
18 LANCASTER CANCER CENTER LTD LANCASTER PA HEMATOLOGY 4 1,380 $441,254 $320 7.9% (717) 291-1313
19 WILLIAM NOYES MD PC GRAND FORKS ND MEDICAL ONCOLOGY 4 1,224 $783,360 $640 100.0% (701) 787-5800
20 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 1,117 $485,760 $435 100.0% (631) 751-3000
21 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY AR PHYSICIAN ASSISTANT 559 1,020 $867,000 $850 25.1% (605) 755-7200
22 SOUTH CAROLINA ONCOLOGY ASSOC PA COLUMBIA SC HEMATOLOGY/ONCOLOGY 18 1,008 $631,260 $626 52.7% (803) 461-3000
23 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 876 $657,000 $750 13.7% —
24 SOLANO HEMATOLOGY - ONCOLOGY VALLEJO CA HEMATOLOGY/ONCOLOGY 3 866 $404,700 $467 5.1% (707) 551-3300
25 DAVID D POWELL, D.O. P.C. INC. LIMA OH HEMATOLOGY/ONCOLOGY 2 783 $538,704 $688 100.0% (419) 221-2273
26 ARIZONA BLOOD AND CANCER SPECIALISTS, PLLC TUCSON AZ MEDICAL ONCOLOGY 15 732 $732,000 $1,000 7.8% (520) 689-7022
27 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 660 $627,000 $950 3.8% —
28 CENTRAL COAST ONCOLOGY AND HEMATOLOGY SANTA CRUZ CA MEDICAL ONCOLOGY 2 648 $343,953 $531 3.8% (831) 475-2220
29 HIGHLAND CLINIC, A PROF MED CORP SHREVEPORT LA PHYSICIAN ASSISTANT 58 636 $512,616 $806 100.0% —
30 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 612 $181,861 $297 32.9% (541) 706-7715
31 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 600 $270,504 $451 18.9% (410) 761-1222
32 OREGON ONCOLOGY SPECIALISTS LLP SALEM OR PHYSICIAN ASSISTANT 41 588 $181,955 $309 31.6% (503) 485-0350
33 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 504 $318,000 $631 3.0% (310) 423-0674
34 MINNESOTA ONCOLOGY HEMATOLOGY PA EDINA MN PHYSICIAN ASSISTANT 135 456 $428,184 $939 48.1% (952) 928-2900
35 ROCKY MOUNTAIN ONCOLOGY CENTER LLC CASPER WY PHYSICIAN ASSISTANT 8 432 $771,258 $1,785 100.0% —
36 HEMATOLOGY AND ONCOLOGY CONSULTANTS PC OMAHA NE HEMATOLOGY/ONCOLOGY 4 408 $168,480 $413 57.6% 40257235353575
37 GREATER BALTIMORE MEDICAL CENTER INC BALTIMORE MD HOSPITALIST 348 384 $106,473 $277 12.1% —
38 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS SC PHYSICIAN ASSISTANT 544 366 $92,358 $252 19.1% (443) 481-1000
39 SATISH A SHAH MD PC GETTYSBURG PA HEMATOLOGY/ONCOLOGY 17 362 $148,741 $411 2.1% (717) 334-4033
40 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA IL HEMATOLOGY/ONCOLOGY 39 360 $118,440 $329 5.6% (253) 428-8700
41 PENN STATE HEALTH MEDICAL GROUP LLC CAMP HILL PA PHYSICIAN ASSISTANT 700 324 $106,584 $329 1.9% (717) 972-4250
42 UPPER CHESAPEAKE HEMATOLOGY AND ONCOLOGY SERVICES, LLC BEL AIR MD HEMATOLOGY/ONCOLOGY 12 312 $90,120 $289 9.8% (443) 643-3010
43 ONCOLOGY AND HEMATOLOGY ASSOCIATES OF SOUTHWEST VIRGINIA INC ROANOKE VA NURSE PRACTITIONER 52 312 $292,968 $939 3.8% (540) 982-0237
44 BAPTIST HEALTH LITTLE ROCK AR NURSE PRACTITIONER 106 312 $265,200 $850 7.7% (501) 227-7596
45 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 300 $94,094 $314 31.6% (507) 284-2511
46 MARIN CANCER CARE, INC. GREENBRAE CA MEDICAL ONCOLOGY 13 252 $176,400 $700 1.5% (415) 925-5000
47 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 228 $214,092 $939 2.7% —
48 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 216 $120,612 $558 100.0% (206) 364-0500
49 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA NV HEMATOLOGY/ONCOLOGY 39 204 $67,116 $329 36.2% (253) 428-8700
50 BRAZOS VALLEY HEMATOLOGY ONCOLOGY ASSOCIATES PA COLLEGE STATION TX HEMATOLOGY/ONCOLOGY 6 204 $117,300 $575 3.4% (979) 776-2000
51 MAYO CLINIC JACKSONVILLE JACKSONVILLE IL NURSE PRACTITIONER 1587 180 $80,787 $449 2.8% (904) 953-2000
52 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 168 $77,112 $459 1.0% (916) 983-7476

*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 →