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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) HCPCS · Treatment
Classification Treatment Injections and Infusions (nononcologic) Injection - Immunomodulator (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 26.77M services · est. ▲ 5.8% YoY · 33,754 FFS beneficiaries (CY2024, all-Medicare estimate) — 13.11M observed fee-for-service services
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Data year CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Market overview
Market Brief J0129
The whole of J0129, written up and sourced.

The Brief is a national document for J0129. Its findings page carries one finding per chapter, each opening the chapter that prints its figure and the table behind it — like these, from the United States, CY2024, the market on this page.

  1. 1Size and growth. The national market for J0129 ran ~26,772,591 all-Medicare services (estimated), 13,105,162 observed fee-for-service in CY2024. The market is up 5.8% year over year. 392 billing groups and 1,247 clinicians bill it.
  2. 2Payment. Half the field lists between $70 and $115 per service; the median group lists $86. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. FL, TX, NC and CA lead the state markets — together 34% of state-market volume.
Estimated all-Medicare volume estimate
FFS + estimated MA

~26,772,591 services

13,105,162 observed fee-for-service (49%) · ~13,667,429 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
Average charge
per service, submitted list amounts — not payments · named-group basis, observed FFS
Average payment
per service, Medicare paid amounts — not charges · all disclosed claims, observed FFS basis
Charge-to-payment ratio
average list price vs average Medicare payment per service · named-group basis
What they charge

Half the field lists between $70 and $115

Submitted charges are provider-set list amounts, not payments · median $86 (named groups)
Every group, one dot392 billing groups · median $86

The same field as one dot per billing group: where the cluster sits, and how far the tail reaches

$0$75$150++20 groups list more, to $234 →average submitted charge per service, per billing groupmedian $86
One dot per billing group, J0129 nationwide CY2024 — average submitted charge per service, provider-set list amounts, not payments. The axis caps near the 95th percentile so the cluster is legible; groups beyond it draw at the cap in accent and are counted on the chart.
Where the market isobserved FFS services by state · CY2024
ME: 21127MEVTNH: 19450NHWA: 158076WAID: 98700IDMT: 28550MTND: 7575NDMN: 182700MNWI: 132263WIIL: 352905ILMI: 195027MINY: 339205NYMA: 104602MARI: 12100RIOR: 170560ORNV: 24802NVWY: 7125WYSD: 10300SDIA: 116825IAIN: 277079INOH: 316579OHPA: 614838PANJ: 348494NJCT: 41400CTCA: 774261CAUT: 47040UTCO: 257549CONE: 61875NEMO: 313902MOKY: 370127KYWV: 19850WVVA: 394177VAMD: 402482MDDE: 140851DEAZ: 458965AZNM: 95277NMKS: 124125KSAR: 238570ARTN: 317625TNNC: 796488NCSC: 574111SCDC: 17075DCOK: 326411OKLA: 176005LAMS: 110950MSAL: 301704ALGA: 330624GAHI: 36275HIAK: 8000AKTX: 1306877TXFL: 1511159FL
Shaded low→high on observed fee-for-service services billed from each state · the /stats tile grid, at national scope. Shading ranks the states rather than spacing them along the range, so neighboring shades mean adjacent RANKS, not equal gaps — the key names the lowest and highest; each tile carries its own figure.
Which states movedservices per 1,000 FFS beneficiaries · CY2021 → CY2024
CY2021CY2024AL: 678 → 806AR: 755 → 733AZ: 649 → 727CO: 537 → 624CT: 97 → 161DE: 650 → 950GA: 383 → 450HI: 383 → 356IA: 233 → 303ID: 430 → 562IL: 234 → 303IN: 429 → 458KS: 420 → 358KY: 748 → 936LA: 423 → 504MA: 97 → 132MD: 472 → 564ME: 170 → 156MI: 197 → 269MN: 431 → 475MO: 574 → 593MS: 247 → 341MT: 102 → 173NE: 340 → 277NH: 31 → 103NJ: 379 → 402NM: 531 → 485NV: 181 → 104NY: 187 → 221OH: 266 → 336OK: 590 → 798OR: 307 → 477PA: 426 → 532RI: 266 → 161SC: 716 → 963SD: 33 → 93TN: 483 → 529UT: 231 → 256VA: 342 → 450WA: 197 → 245WI: 166 → 272WV: 159 → 110CA: 245 → 274FL: 685 → 787NC: 759 → 931TX: 595 → 726NC 759FL 685TX 595CA 245931 NC787 FL726 TX274 CA
One line per state market, 46 drawn; the 4 leading states by volume are in accent, the rest are context lines. Both columns share one scale, so a slope is real change. A RATE against each state’s own fee-for-service population — assumption-free, and no all-Medicare estimate is used or implied. CY2021 is the left period because CY2020 is the pandemic year and a slope off it would read as growth almost everywhere. 4 states with a rate in only one of the two years are not drawn.

Open a state market: FL · TX · NC · CA · PA · SC · AZ · MD · VA · KY · IL · NJ — the group ranking lives in the Provider groups tab. Territories bill too; the tile grid draws the 50 states and DC.

Every group in this market, placed by list charge against volume

This market’s groups, on one chart392 groups · bubble = services
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billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing group$20$50$100$150$200+Average submitted charge per service — list amounts, not paymentsServices per group — J0129, CY2024
One mark per physician group, J0129 nationwide CY2024 — marks are unnamed here: a mark’s position is its average list charge, and that figure is part of the platform. Submitted charges are provider-set list amounts, not payments.

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