NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J2468 Injection, palonosetron hydrochloride (avyxa), not therapeutically equivalent to j2469, 25 micrograms HCPCS · Treatment
Classification Treatment Injections and Infusions (nononcologic) (CMS RBCS)
First observed 2024
National scale 16,836 services · est. · 552 FFS beneficiaries (CY2024, all-Medicare estimate) — 9,152 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 J2468
The whole of J2468, written up and sourced.

The Brief is a national document for J2468. 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 J2468 ran ~16,836 all-Medicare services (estimated), 9,152 observed fee-for-service in CY2024. 5 billing groups and 33 clinicians bill it.
  2. 2Payment. Half the field lists between $137 and $381 per service; the median group lists $145. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. AR, NE, OH and CA lead the state markets — together 89% of state-market volume.
Estimated all-Medicare volume estimate
FFS + estimated MA

~16,836 services

9,152 observed fee-for-service (54%) · ~7,684 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 $137 and $381

Submitted charges are provider-set list amounts, not payments · median $145 (named groups)
Every group, one dot5 billing groups · median $145

Each dot is one billing group — 5 of them list this code

$0$400$800average submitted charge per service, per billing groupmedian $145
One dot per billing group, J2468 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
MEVTNHWAIDMTNDMNWIILMINYMARIORNVWYSDIAINOH: 1460OHPANJCTCA: 1020CAUTCONE: 2720NEMOKYWVVAMD: 340MDDEAZNMKSAR: 2962ARTNNCSCDCOKLAMSAL: 410ALGAHIAKTX: 240TXFL
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.

Open a state market: AR · NE · OH · CA · AL · MD · TX — 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 chart5 groups · bubble = services
1,000One billing groupOne billing groupOne billing groupOne billing groupOne billing group$100$250$500$750$1,000+Average submitted charge per service — list amounts, not paymentsServices per group — J2468, CY2024
One mark per physician group, J2468 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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