NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q5130 Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg HCPCS · Treatment
Classification Treatment Injections and Infusions (nononcologic) Injection - Colony Stimulating Factors (CMS RBCS)
First observed 2023
National scale 34,323 services ▲ 2967.3% YoY · 1,048 beneficiaries (CY2024, Medicare FFS)
Medicare paid $5.3M · $153.50 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
16
Named-group FFS services
28,982
FFS of Medicare
49%
Services YoY
+2967.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~54,223 services

28,982 observed fee-for-service (53%) · ~25,241 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 — Q5130 (CY2024)

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

Named-group submitted charges
$17.7M
Named-group allowed amount
$5.6M
Named-group Medicare payments
$4.5M
Avg charge / svc
$611
Avg allowed / svc
$193
Avg payment / svc
$154
Average charge per group
$246 16 groups · avg submitted charge / service $805
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by Q5130 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 Q5130 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 DESERT HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC RANCHO MIRAGE CA HEMATOLOGY/ONCOLOGY 10 5,232 $2,642,160 $505 premium 78.1% (760) 568-3613
2 NEBRASKA HEMATOLOGY-ONCOLOGY PC LINCOLN NE PHYSICIAN ASSISTANT 19 3,900 $2,680,615 $687 premium 91.0% (402) 484-4900
3 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE GA HEMATOLOGY/ONCOLOGY 333 2,676 $2,080,348 $777 premium 71.5% (260) 484-8830
4 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE AR HEMATOLOGY/ONCOLOGY 333 2,590 $2,086,090 $805 premium 100.0% (260) 484-8830
5 PROFESSIONAL SERVICE FUND OF DEBORAH HEART AND LUNG CENTER BROWNS MILLS NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 121 2,140 $1,202,000 $562 premium 100.0% (609) 893-6611
6 CALVERTHEALTH MEDICAL GROUP, LLC PRINCE FREDERICK MD NURSE PRACTITIONER 49 1,584 $661,584 $418 premium 60.0% (410) 535-4488
7 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE NC HEMATOLOGY/ONCOLOGY 333 1,020 $821,549 $805 premium 100.0% (260) 484-8830
8 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE IA HEMATOLOGY/ONCOLOGY 333 948 $763,557 $805 premium 76.7% (260) 484-8830
9 POTOMAC ONCOLOGY AND HEMATOLOGY, LLC ROCKVILLE MD NURSE PRACTITIONER 3 852 $258,113 $303 premium 32.3% (240) 618-0275
10 DAVID D POWELL, D.O. P.C. INC. LIMA OH HEMATOLOGY/ONCOLOGY 2 828 $364,320 $440 premium 63.9% (419) 221-2273
11 CANCER CARE NORTHWEST CENTERS P S SPOKANE WA RADIATION ONCOLOGY 41 816 $353,075 $433 premium 38.2% (509) 228-1000
12 HIGHLAND CLINIC, A PROF MED CORP SHREVEPORT LA PHYSICIAN ASSISTANT 58 732 $366,000 $500 premium 55.5%
13 ARIZONA ONCOLOGY ASSOCIATES PC TUCSON AZ DIAGNOSTIC RADIOLOGY 48 684 $524,737 $767 premium 61.3%
14 MEDICAL ONCOLOGY ASSOCIATES PS SPOKANE VALLEY WA PHYSICIAN ASSISTANT 10 660 $531,590 $805 premium 30.9% (509) 462-2273
15 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE WA HEMATOLOGY/ONCOLOGY 333 660 $531,590 $805 premium 30.9% (260) 484-8830
16 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE TX HEMATOLOGY/ONCOLOGY 333 648 $521,925 $805 premium 100.0% (260) 484-8830
17 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE LA HEMATOLOGY/ONCOLOGY 333 588 $473,599 $805 premium 44.5% (260) 484-8830
18 EMERALD COAST ONCOLOGY AND HEMATOLOGY ASSOC., P.A. FORT WALTON BEACH FL HEMATOLOGY/ONCOLOGY 7 576 $141,955 $246 premium 38.1% (850) 863-3148
19 STEELHEAD SPECIALTY GROUP PC ROSEBURG OR HEMATOLOGY/ONCOLOGY 4 564 $188,376 $334 premium 100.0% (541) 229-4070
20 NOVACURE CONSULTANTS PC ALEXANDRIA VA HEMATOLOGY/ONCOLOGY 2 420 $169,680 $404 premium 30.4% (703) 780-2216
21 KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA DIAGNOSTIC RADIOLOGY 101 372 $124,635 $335 premium 5.6% (559) 624-6090
22 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 288 $83,592 $290 premium 23.3% (515) 239-4400
23 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE MD HEMATOLOGY/ONCOLOGY 333 204 $144,334 $708 premium 7.7% (260) 484-8830

*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 →