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Market snapshot

Q5119 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

Q5119 — Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg

Billing groups
42
Named-group FFS services
285,072
FFS of Medicare
49%
Services YoY
-51.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~554,097 services

285,072 observed fee-for-service (51%) · ~269,025 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 — Q5119 (CY2024)

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

Named-group submitted charges
$48.2M
Named-group allowed amount
$5.7M
Named-group Medicare payments
$4.6M
Avg charge / svc
$169
Avg allowed / svc
$20
Avg payment / svc
$16
Average charge per group
$25 42 groups · avg submitted charge / service $344
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by Q5119 services, CY2024
#Physician group City St Specialty Providers Q5119 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 33,116 $8,080,304 $244 premium 55.0%
2 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 20,670 $4,134,000 $200 premium 23.2% (415) 600-1020
3 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACK NJ HEMATOLOGY/ONCOLOGY 153 18,492 $3,587,448 $194 premium 74.1% (201) 996-2210
4 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 17,617 $3,417,698 $194 premium 50.4%
5 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 17,080 $3,534,364 $207 premium 19.1% (858) 455-9100
6 ILLINOIS CANCER SPECIALISTS ARLINGTON HEIGHTS IL HEMATOLOGY/ONCOLOGY 29 14,190 $2,570,730 $181 premium 23.6% (847) 259-4482
7 SHENANDOAH ONCOLOGY PC WINCHESTER VA NURSE PRACTITIONER 22 12,330 $2,392,020 $194 premium 35.3% (540) 662-1108
8 BEACON CANCER CARE PLLC COEUR D ALENE ID NURSE PRACTITIONER 14 10,770 $850,878 $79 premium 100.0% (208) 755-2804
9 ROCKY MOUNTAIN CANCER CENTERS LLP COLORADO SPRINGS CO NURSE PRACTITIONER 129 10,668 $2,069,592 $194 premium 90.3% (719) 577-2555
10 OHI WEST MEDICAL GROUP II LLC ZEPHYRHILLS FL NURSE PRACTITIONER 417 8,501 $909,161 $107 premium 41.4% (813) 751-3375
11 ONCOLOGY ASSOCIATES OF OREGON P C EUGENE OR PHYSICIAN ASSISTANT 47 7,700 $1,493,800 $194 premium 56.6% (541) 683-5001
12 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 7,392 $1,337,952 $181 premium 79.3%
13 NAIM T. NAZHA MD PC NORTHFIELD NJ MEDICAL ONCOLOGY 2 6,450 $479,940 $74 premium 25.9% (609) 383-6033
14 INFUSEABLE HEALTHCARE, LLC SCOTTSDALE WI GASTROENTEROLOGY 2 6,300 $262,738 $42 premium 100.0% (480) 927-3800
15 NORMAN B. GAYLIS M.D. PA AVENTURA FL RHEUMATOLOGY 4 5,371 $391,800 $73 premium 26.2% (305) 652-6676
16 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 4,970 $413,650 $83 premium 45.9% (248) 477-0552
17 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 4,890 $826,410 $169 premium 8.1% (630) 469-9200
18 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 4,662 $155,749 $33 premium 32.9% (914) 241-1050
19 PALO VERDE HEMATOLOGY ONCOLOGY LTD PHOENIX AZ PHYSICIAN ASSISTANT 16 4,371 $384,648 $88 premium 42.6% (623) 478-8091
20 ARTHRITIS AND OSTEOPOROSIS MEDICAL CENTER, INC LA PALMA CA PHYSICIAN ASSISTANT 9 4,050 $341,500 $84 premium 4.5% 7146701340236
21 HILLARY E NORTON MD PC SANTA FE NM INTERNAL MEDICINE 4 4,000 $1,106,000 $276 premium 100.0% (505) 988-7568
22 ONCOLOGY AND HEMATOLOGY ASSOCIATES OF SOUTHWEST VIRGINIA INC ROANOKE VA NURSE PRACTITIONER 52 3,941 $764,554 $194 premium 11.3% (540) 982-0237
23 KENTUCKIANA CENTER FOR BETTER BONE AND JOINT HEALTH, PLLC LOUISVILLE KY PHYSICIAN ASSISTANT 4 3,940 $98,332 $25 premium 100.0% (502) 583-5836
24 HEMATOLOGY-ONCOLOGY ASSOCIATES OF CNY, PC EAST SYRACUSE NY NURSE PRACTITIONER 61 3,890 $409,502 $105 premium 27.4% (315) 472-7504
25 INLAND RHEUMATOLOGY AND OSTEOPOROSIS MEDICAL GROUP INC UPLAND CA RHEUMATOLOGY 4 3,600 $205,000 $57 premium 4.0% (909) 982-0099
26 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 3,510 $590,700 $168 premium 3.9% (310) 423-0674
27 MINNESOTA ONCOLOGY HEMATOLOGY PA EDINA MN PHYSICIAN ASSISTANT 135 3,500 $679,000 $194 premium 68.2% (952) 928-2900
28 DESERT HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC RANCHO MIRAGE CA HEMATOLOGY/ONCOLOGY 10 3,450 $556,382 $161 premium 3.9% (760) 568-3613
29 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 3,380 $490,100 $145 premium 23.8% (845) 703-6999
30 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO MI NURSE PRACTITIONER 4339 3,280 $800,320 $244 premium 30.3%
31 AFFILIATED ONCOLOGISTS LLC OAK LAWN IL PHYSICIAN ASSISTANT 40 2,974 $576,956 $194 premium 4.9% (708) 684-5475
32 JOHN A SHIELDS MD AND STEVEN A SCHIFF MD A PROFESSIONAL CORPORATION RENO NV HEMATOLOGY/ONCOLOGY 19 2,810 $171,410 $61 premium 54.4% (775) 329-0873
33 OPTUM MEDICAL CARE PC MOUNT KISCO CT INTERNAL MEDICINE 1040 2,482 $51,899 $21 premium 100.0% (914) 241-1050
34 THE VANCOUVER CLINIC INC PS VANCOUVER WA PHYSICIAN ASSISTANT 574 2,400 $86,796 $36 premium 100.0% (360) 882-2778
35 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 2,350 $521,700 $222 premium 2.6% (310) 825-7922
36 ROSWELL PARK CANCER INSTITUTE BUFFALO NY NURSE PRACTITIONER 502 2,250 $549,000 $244 premium 15.9% (716) 845-2300
37 ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C PEORIA IL NURSE PRACTITIONER 62 2,230 $544,120 $244 premium 3.7% (309) 243-3000
38 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 2,000 $688,548 $344 premium 53.5%
39 TMC MEDICAL NETWORK TUCSON AZ NURSE PRACTITIONER 273 1,850 $358,900 $194 premium 18.0% (520) 324-4230
40 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 1,635 $240,345 $147 premium 31.8% (952) 993-3123
41 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL MD HEMATOLOGY/ONCOLOGY 99 1,390 $269,660 $194 premium 31.6% (301) 982-9800
42 HILLARY E NORTON MD PC SANTA FE NC INTERNAL MEDICINE 4 1,350 $378,000 $280 premium 100.0% (505) 988-7568
43 HEALTHONE CLINIC SERVICES - ONCOLOGY HEMATOLOGY LLC DENVER CO NURSE PRACTITIONER 47 1,150 $111,550 $97 premium 9.7% (720) 754-4800
44 RELIANT MEDICAL GROUP INC WORCESTER MA NURSE PRACTITIONER 634 1,080 $88,358 $82 premium 100.0% (508) 363-5000
45 VIRGINIA CANCER SPECIALISTS, P.C. FAIRFAX VA HEMATOLOGY/ONCOLOGY 76 1,040 $201,760 $194 premium 3.0% (703) 280-5390

*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 →