NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q5122 Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg HCPCS · Treatment
Classification Treatment › Injections and Infusions (nononcologic) › Injection - Colony Stimulating Factors (CMS RBCS)
First observed 2021
National scale 21,968 services ▼ 81.4% YoY · 993 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.3M · $57.46 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

19

Named groups billing this code
Named-group FFS services

19,814

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-81.4%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~36,700 services

19,814 observed fee-for-service (54%) · ~16,886 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 — Q5122 (CY2024)
IL 6,198 SC 3,328 VA 3,204 MD 2,460 MN 2,400

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

Billed → allowed → paid
Named-group submitted charges
$16.1M
Named-group allowed amount
$1.4M
Named-group Medicare payments
$1.1M
Avg charge / svc
$813
Avg allowed / svc
$72
Avg payment / svc
$57
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$0 19 groups · avg submitted charge / service $879
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers Q5122 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ILLINOIS CANCER SPECIALISTS ARLINGTON HEIGHTS IL HEMATOLOGY/ONCOLOGY 29 6,198 $5,109,792 $824 100.0% (847) 259-4482
2 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL MD HEMATOLOGY/ONCOLOGY 99 2,460 $2,162,340 $879 100.0% (301) 982-9800
3 MINNESOTA ONCOLOGY HEMATOLOGY PA EDINA MN PHYSICIAN ASSISTANT 135 1,776 $1,561,104 $879 74.0% (952) 928-2900
4 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 1,500 $1,318,500 $879 46.8% —
5 SOUTH CAROLINA ONCOLOGY ASSOC PA COLUMBIA SC HEMATOLOGY/ONCOLOGY 18 1,320 $777,480 $589 39.7% (803) 461-3000
6 SHENANDOAH ONCOLOGY PC WINCHESTER VA NURSE PRACTITIONER 22 1,152 $1,012,608 $879 36.0% (540) 662-1108
7 NORTHWEST CANCER SPECIALISTS PC PORTLAND OR PHYSICIAN ASSISTANT 68 1,068 $938,772 $879 84.8% (503) 280-1223
8 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 1,030 $720,928 $700 30.9% (803) 744-4900
9 SOUTHERN CANCER CENTER PC MOBILE AL MEDICAL ONCOLOGY 25 708 $622,332 $879 69.4% (251) 625-6896
10 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 516 $453,564 $879 74.1% —
11 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK NC PHYSICIAN ASSISTANT 123 348 $305,892 $879 100.0% —
12 ONCOLOGY SPECIALTIES, P.C. HUNTSVILLE AL NURSE PRACTITIONER 93 312 $274,248 $879 30.6% (256) 705-4224
13 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 276 $227,424 $824 100.0% —
14 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA NV HEMATOLOGY/ONCOLOGY 39 240 $31,512 $131 100.0% (253) 428-8700
15 ONCOLOGY ASSOCIATES OF OREGON P C EUGENE OR PHYSICIAN ASSISTANT 47 192 $168,768 $879 15.2% (541) 683-5001
16 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE IN HEMATOLOGY/ONCOLOGY 333 192 $70,080 $365 100.0% (260) 484-8830
17 TMC MEDICAL NETWORK TUCSON AZ NURSE PRACTITIONER 273 180 $158,220 $879 25.9% (520) 324-4230
18 BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION BRYN MAWR PA NURSE PRACTITIONER 134 180 $66,600 $370 100.0% (610) 527-3800
19 ROCKY MOUNTAIN CANCER CENTERS LLP COLORADO SPRINGS CO NURSE PRACTITIONER 129 144 $126,576 $879 100.0% (719) 577-2555
20 CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. GRAND RAPIDS MI HEMATOLOGY/ONCOLOGY 112 22 $0 $0 100.0% (616) 954-9800

*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 →