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Market snapshot

Q5126 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

Q5126 — Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg

Billing groups
23
Named-group FFS services
214,273
FFS of Medicare
49%
Services YoY
+202.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~409,244 services

214,273 observed fee-for-service (52%) · ~194,971 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 — Q5126 (CY2024)

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

Named-group submitted charges
$37.1M
Named-group allowed amount
$12.3M
Named-group Medicare payments
$9.8M
Avg charge / svc
$173
Avg allowed / svc
$57
Avg payment / svc
$46
Average charge per group
$92 23 groups · avg submitted charge / service $238
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by Q5126 services, CY2024
#Physician group City St Specialty Providers Q5126 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC TULSA OK NURSE PRACTITIONER 47 20,140 $3,645,340 $181 premium 77.7% (918) 505-3200
2 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 17,030 $3,406,000 $200 premium 69.8% (479) 361-2585
3 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 16,110 $2,497,050 $155 premium 58.3% (319) 678-8201
4 SOUTH CAROLINA ONCOLOGY ASSOC PA COLUMBIA SC HEMATOLOGY/ONCOLOGY 18 15,850 $2,044,650 $129 premium 100.0% (803) 461-3000
5 DESERT HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC RANCHO MIRAGE CA HEMATOLOGY/ONCOLOGY 10 14,100 $2,135,586 $151 premium 29.9% (760) 568-3613
6 ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C PEORIA IL NURSE PRACTITIONER 62 13,740 $3,151,710 $229 premium 73.1% (309) 243-3000
7 OGDEN CLINIC SPECIALTY SERVICES LLC OGDEN UT PHYSICIAN ASSISTANT 133 12,763 $1,467,745 $115 premium 100.0% (801) 475-3800
8 DOTHAN HEMATOLOGY AND ONCOLOGY, P. C. DOTHAN AL NURSE PRACTITIONER 15 10,780 $1,363,079 $126 premium 82.5% (334) 792-9500
9 MISSOURI CANCER ASSOCIATES LLC COLUMBIA MO RADIATION ONCOLOGY 22 9,720 $1,875,574 $193 premium 100.0% (573) 874-7800
10 NEBRASKA HEMATOLOGY-ONCOLOGY PC LINCOLN NE PHYSICIAN ASSISTANT 19 9,050 $1,856,635 $205 premium 57.8% (402) 484-4900
11 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE NC HEMATOLOGY/ONCOLOGY 333 7,860 $1,744,920 $222 premium 91.0% (260) 484-8830
12 LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP LOS ANGELES CA HEMATOLOGY/ONCOLOGY 51 6,850 $1,438,500 $210 premium 14.5% (213) 977-1214
13 BEACON CANCER CARE PLLC COEUR D ALENE ID NURSE PRACTITIONER 14 6,460 $1,020,369 $158 premium 100.0% (208) 755-2804
14 WOODLANDS MEDICAL SPECIALISTS P A PENSACOLA FL PHYSICIAN ASSISTANT 51 5,610 $1,082,730 $193 premium 38.4% (850) 696-4000
15 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS SC DECATUR IL HEMATOLOGY/ONCOLOGY 30 5,060 $872,671 $172 premium 26.9% (217) 876-4700
16 FLORIDA MEDICAL SPECIALISTS LLC SARASOTA FL INTERNAL MEDICINE 123 5,030 $603,030 $120 premium 34.4%
17 HEMATOLOGY AND ONCOLOGY CONSULTANTS PC OMAHA NE HEMATOLOGY/ONCOLOGY 4 4,850 $446,200 $92 premium 31.0% 40257235353575
18 POTOMAC ONCOLOGY AND HEMATOLOGY, LLC ROCKVILLE MD NURSE PRACTITIONER 3 4,680 $862,384 $184 premium 100.0% (240) 618-0275
19 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE NV HEMATOLOGY/ONCOLOGY 333 4,340 $963,480 $222 premium 100.0% (260) 484-8830
20 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE LA HEMATOLOGY/ONCOLOGY 333 4,180 $927,960 $222 premium 100.0% (260) 484-8830
21 BAPTIST HEALTH LITTLE ROCK AR NURSE PRACTITIONER 106 3,700 $740,000 $200 premium 15.2% (501) 227-7596
22 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE AR HEMATOLOGY/ONCOLOGY 333 3,670 $814,740 $222 premium 15.0% (260) 484-8830
23 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE GA HEMATOLOGY/ONCOLOGY 333 2,704 $609,588 $225 premium 100.0% (260) 484-8830
24 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 2,506 $305,732 $122 premium 17.2% (321) 434-8878
25 KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA DIAGNOSTIC RADIOLOGY 101 2,450 $252,252 $103 premium 5.2% (559) 624-6090
26 OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC TULSA TX NURSE PRACTITIONER 47 2,150 $389,150 $181 premium 39.7% (918) 505-3200
27 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 1,460 $347,930 $238 premium 10.0% (239) 561-9622
28 MONTEREY BAY ONCOLOGY A MEDICAL CORPORATION MONTEREY CA HEMATOLOGY/ONCOLOGY 10 1,430 $205,030 $143 premium 3.0% (831) 375-4105

*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 →