NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q5115 Injection, rituximab-abbs, biosimilar, (truxima), 10 mg HCPCS · Treatment
Classification Treatment Injections and Infusions (nononcologic) Injection - Immunomodulator (CMS RBCS)
First observed 2020
National scale 131,406 services ▼ 45.6% YoY · 1,070 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3.4M · $25.93 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
20
Named-group FFS services
106,616
FFS of Medicare
49%
Services YoY
-45.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~208,974 services

106,616 observed fee-for-service (51%) · ~102,358 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 — Q5115 (CY2024)

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

Named-group submitted charges
$22.0M
Named-group allowed amount
$3.5M
Named-group Medicare payments
$2.8M
Avg charge / svc
$206
Avg allowed / svc
$33
Avg payment / svc
$26
Average charge per group
$48 20 groups · avg submitted charge / service $400
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by Q5115 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 Q5115 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 JOHN L NILES MD PLLC BOSTON MA NEPHROLOGY 5 22,850 $9,140,000 $400 premium 100.0% (617) 726-4132
2 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 10,410 $2,226,932 $214 premium 65.1% (800) 603-0558
3 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 9,950 $2,060,104 $207 premium 76.0% (904) 953-2000
4 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 7,650 $1,190,296 $156 premium 63.8% (507) 284-2511
5 CANCER CARE ASSOCIATES OF YORK, INC. YORK PA HEMATOLOGY/ONCOLOGY 15 6,220 $684,426 $110 premium 100.0% (717) 741-9229
6 CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 9 5,306 $530,000 $100 premium 31.1% (310) 659-7878
7 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 5,280 $855,360 $162 premium 30.9% (310) 829-6789
8 GREATER BALTIMORE MEDICAL CENTER INC BALTIMORE MD HOSPITALIST 348 4,960 $345,241 $70 premium 100.0%
9 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 4,750 $973,750 $205 premium 100.0% (919) 684-8111
10 ARTHRITIS AND RHEUMATOLOGY CONSULTANTS PA EDINA MN RHEUMATOLOGY 12 4,350 $474,150 $109 premium 36.2% (952) 893-1959
11 JOHNS HOPKINS COMMUNITY PHYSICIANS, INC BALTIMORE NY INTERNAL MEDICINE 760 4,300 $937,400 $218 premium 70.5% (410) 522-9800
12 DOCS MEDICAL GROUP INC REDDING CA PHYSICIAN ASSISTANT 13 3,540 $563,040 $159 premium 20.7% (530) 243-8667
13 VIRGINIA CANCER INSTITUTE INCORPORATED NORTH CHESTERFIELD VA HEMATOLOGY/ONCOLOGY 50 2,910 $213,568 $73 premium 100.0% (804) 330-7990
14 KENTUCKIANA CENTER FOR BETTER BONE AND JOINT HEALTH, PLLC LOUISVILLE KY PHYSICIAN ASSISTANT 4 2,810 $135,497 $48 premium 100.0% (502) 583-5836
15 HEMATOLOGY AND ONCOLOGY CONSULTANTS PC OMAHA NE HEMATOLOGY/ONCOLOGY 4 2,730 $338,100 $124 premium 63.0% 40257235353575
16 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 2,450 $588,008 $240 premium 100.0% (206) 223-6600
17 ARTHRITIS HEALTH ASSOCIATES PLLC SYRACUSE NY RHEUMATOLOGY 5 1,800 $87,500 $49 premium 29.5% (315) 475-7669
18 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 1,570 $118,339 $75 premium 100.0% (541) 706-7715
19 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 1,490 $272,670 $183 premium 51.2% (314) 747-3000
20 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 1,290 $272,190 $211 premium 31.9%

*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 →