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Market snapshot

Q5123 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

Q5123 — Injection, rituximab-arrx, biosimilar, (riabni), 10 mg

Billing groups
41
Named-group FFS services
448,822
FFS of Medicare
49%
Services YoY
+482.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~921,247 services

448,822 observed fee-for-service (49%) · ~472,425 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 — Q5123 (CY2024)
FL 153,125 AR 66,622 CA 62,799 IL 29,704 TN 27,140

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

Named-group submitted charges
$62.0M
Named-group allowed amount
$17.8M
Named-group Medicare payments
$14.2M
Avg charge / svc
$138
Avg allowed / svc
$40
Avg payment / svc
$32
Average charge per group
$54 41 groups · avg submitted charge / service $283
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers Q5123 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 121,021 $14,107,376 $117 79.0% (239) 561-9622
2 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 32,537 $3,905,160 $120 48.8% (479) 361-2585
3 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNO CA HEMATOLOGY/ONCOLOGY 62 30,723 $5,674,116 $185 48.9% (559) 326-1222
4 ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C PEORIA IL NURSE PRACTITIONER 62 22,644 $3,943,016 $174 76.2% (309) 243-3000
5 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 20,420 $3,590,740 $176 30.7% —
6 SOUTH CAROLINA ONCOLOGY ASSOC PA COLUMBIA SC HEMATOLOGY/ONCOLOGY 18 15,590 $2,026,700 $130 80.6% (803) 461-3000
7 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE TX HEMATOLOGY/ONCOLOGY 333 12,023 $2,043,910 $170 84.7% (260) 484-8830
8 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 10,870 $587,830 $54 40.1% (615) 385-3751
9 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE AR HEMATOLOGY/ONCOLOGY 333 10,065 $1,711,050 $170 15.1% (260) 484-8830
10 ONCOLOGY SPECIALTIES, P.C. HUNTSVILLE AL NURSE PRACTITIONER 93 9,820 $1,309,400 $133 100.0% (256) 705-4224
11 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE NC HEMATOLOGY/ONCOLOGY 333 9,250 $1,572,500 $170 71.7% (260) 484-8830
12 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 8,930 $1,105,958 $124 39.5% (248) 477-0552
13 PIEDMONT CANCER INSTITUTE PC ATLANTA GA PHYSICIAN ASSISTANT 42 8,534 $1,536,120 $180 49.1% (404) 350-9853
14 CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. GRAND RAPIDS MI HEMATOLOGY/ONCOLOGY 112 8,065 $1,001,211 $124 35.7% (616) 954-9800
15 OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC TULSA OK NURSE PRACTITIONER 47 7,750 $860,250 $111 60.6% (918) 505-3200
16 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS SC DECATUR IL HEMATOLOGY/ONCOLOGY 30 7,060 $1,214,547 $172 23.8% (217) 876-4700
17 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 6,950 $703,050 $101 100.0% (541) 382-2811
18 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 6,390 $996,051 $156 23.5% (901) 683-0055
19 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 6,346 $1,497,656 $236 10.1% (310) 825-7922
20 WILLIAM NOYES MD PC GRAND FORKS ND MEDICAL ONCOLOGY 4 6,185 $525,725 $85 100.0% (701) 787-5800
21 ONCOLOGY HEMATOLOGY WEST PC OMAHA NE PHYSICIAN ASSISTANT 55 6,130 $962,410 $157 100.0% (402) 393-3110
22 DESERT HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC RANCHO MIRAGE CA HEMATOLOGY/ONCOLOGY 10 5,940 $615,057 $104 9.5% (760) 568-3613
23 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 5,620 $730,600 $130 71.8% (319) 678-8201
24 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE MD HEMATOLOGY/ONCOLOGY 333 5,500 $727,100 $132 100.0% (260) 484-8830
25 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE GA HEMATOLOGY/ONCOLOGY 333 5,148 $533,160 $104 29.6% (260) 484-8830
26 MONTEREY BAY ONCOLOGY A MEDICAL CORPORATION MONTEREY CA HEMATOLOGY/ONCOLOGY 10 4,800 $486,070 $101 7.6% (831) 375-4105
27 HEM ONC ASSOCIATES OF THE TREASURE COAST, PA PORT SAINT LUCIE FL HEMATOLOGY/ONCOLOGY 6 4,786 $486,460 $102 3.1% (772) 335-5666
28 TENNESSEE CANCER SPECIALISTS PLLC KNOXVILLE TN NURSE PRACTITIONER 65 4,290 $908,180 $212 15.8% (865) 934-5800
29 CANCER CENTER OF SOUTH FLORIDA PLLC PALM BEACH GARDENS FL PHYSICIAN ASSISTANT 41 3,790 $495,085 $131 2.5% (561) 253-3980
30 ALASKA ONCOLOGY AND HEMATOLOGY LLC ANCHORAGE AK PHYSICIAN ASSISTANT 6 3,422 $325,090 $95 100.0% (907) 279-3155
31 MAHONING VALLEY HEMATOLOGY ONCOLOGY ASSOC. INC. YOUNGSTOWN OH HEMATOLOGY/ONCOLOGY 7 3,390 $742,410 $219 100.0% (330) 318-1100
32 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 3,250 $292,500 $90 2.1% (321) 434-8878
33 ROCKY MOUNTAIN ONCOLOGY CENTER LLC CASPER WY PHYSICIAN ASSISTANT 8 3,187 $902,443 $283 100.0% —
34 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE WA HEMATOLOGY/ONCOLOGY 333 3,120 $530,400 $170 100.0% (260) 484-8830
35 EAST SIDE ONCOLOGY ASSOCIATES PLLC DBA AMERICAN INFUSION CENTER NEW YORK NY NURSE PRACTITIONER 9 2,980 $536,400 $180 42.8% (212) 879-3496
36 CANCER CARE ASSOCIATES OF YORK, INC. YORK PA HEMATOLOGY/ONCOLOGY 15 2,950 $280,250 $95 100.0% (717) 741-9229
37 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 2,180 $501,400 $230 31.3% (631) 751-3000
38 LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP LOS ANGELES CA HEMATOLOGY/ONCOLOGY 51 2,010 $235,312 $117 3.2% (213) 977-1214
39 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 1,950 $226,200 $116 1.3% (407) 200-2700
40 BAPTIST HEALTH LITTLE ROCK AR NURSE PRACTITIONER 106 1,950 $234,000 $120 2.9% (501) 227-7596
41 ANDERSON ONCOLOGY-HEMATOLOGY CLINIC PA ANDERSON SC HEMATOLOGY/ONCOLOGY 4 1,890 $178,160 $94 9.8% (864) 512-1658
42 COASTAL CANCER CENTER LLC MYRTLE BEACH SC RADIATION ONCOLOGY 22 1,860 $245,520 $132 9.6% (843) 449-9415
43 HEMATOLOGY-ONCOLOGY ASSOCIATES OF CNY, PC EAST SYRACUSE NY NURSE PRACTITIONER 61 1,798 $152,830 $85 25.8% (315) 472-7504
44 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY AR PHYSICIAN ASSISTANT 559 1,650 $198,000 $120 2.5% (605) 755-7200
45 UTAH CANCER SPECIALISTS PC SALT LAKE CITY UT MEDICAL ONCOLOGY 48 1,558 $292,904 $188 100.0% (385) 282-2125
46 SOUTHEASTERN MEDICAL ONCOLOGY CENTER GOLDSBORO NC HEMATOLOGY/ONCOLOGY 11 1,460 $125,575 $86 11.3% (919) 580-0000
47 OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC TULSA TX NURSE PRACTITIONER 47 1,040 $115,440 $111 7.3% (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 →