NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q5127 Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg HCPCS · Treatment
Classification Treatment Injections and Infusions (nononcologic) Injection - Colony Stimulating Factors (CMS RBCS)
First observed 2023
National scale 96,798 services ▲ 575.6% YoY · 3,426 beneficiaries (CY2024, Medicare FFS)
Medicare paid $25.0M · $257.92 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
14
Named-group FFS services
83,730
FFS of Medicare
49%
Services YoY
+575.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~184,091 services

83,730 observed fee-for-service (45%) · ~100,361 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 — Q5127 (CY2024)

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

Named-group submitted charges
$80.4M
Named-group allowed amount
$27.1M
Named-group Medicare payments
$21.6M
Avg charge / svc
$960
Avg allowed / svc
$324
Avg payment / svc
$258
Average charge per group
$424 14 groups · avg submitted charge / service $2,200
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by Q5127 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 Q5127 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 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 41,994 $38,130,552 $908 premium 82.1% (239) 561-9622
2 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNO CA HEMATOLOGY/ONCOLOGY 62 18,180 $15,507,540 $853 premium 74.0% (559) 326-1222
3 ONCOLOGY SPECIALTIES, P.C. HUNTSVILLE AL NURSE PRACTITIONER 93 12,696 $12,981,300 $1,022 premium 85.9% (256) 705-4224
4 ROCKY MOUNTAIN ONCOLOGY CENTER LLC CASPER WY PHYSICIAN ASSISTANT 8 2,760 $6,070,841 $2,200 premium 100.0%
5 BIRMINGHAM HEMATOLOGY ONCOLOGY ASSOC LLC BIRMINGHAM AL MEDICAL ONCOLOGY 31 1,944 $1,714,608 $882 premium 13.2% (205) 592-5077
6 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 1,356 $892,248 $658 premium 2.7% (941) 366-1888
7 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 1,080 $992,808 $919 premium 2.1% (260) 484-8830
8 ROCKY MOUNTAIN ONCOLOGY CENTER LLC CASPER AK PHYSICIAN ASSISTANT 8 636 $1,398,933 $2,200 premium 65.4%
9 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS IL HEMATOLOGY/ONCOLOGY 437 576 $523,008 $908 premium 100.0% (239) 561-9622
10 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 444 $403,152 $908 premium 0.9% (407) 200-2700
11 NEXUS HEALTH SANTA FE NM NURSE PRACTITIONER 32 408 $393,552 $965 premium 100.0% (505) 670-8292
12 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 372 $442,680 $1,190 premium 100.0%
13 ALLISON CURTIS KINGSLEY MEOZ MICHAEL AND SANCHEZ PC LAS VEGAS NV NURSE PRACTITIONER 71 372 $359,052 $965 premium 100.0% (702) 952-2140
14 ALASKA ONCOLOGY AND HEMATOLOGY LLC ANCHORAGE AK PHYSICIAN ASSISTANT 6 336 $194,756 $580 premium 34.6% (907) 279-3155
15 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 324 $137,340 $424 premium 100.0% (615) 385-3751
16 ROCKY MOUNTAIN CANCER CENTERS LLP COLORADO SPRINGS CO NURSE PRACTITIONER 129 252 $243,936 $968 premium 100.0% (719) 577-2555

*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 →