NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) HCPCS · Treatment
Classification Treatment › Injections and Infusions (nononcologic) (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 316,137 services · est. ▼ 1.4% YoY · 49,874 FFS beneficiaries (CY2024, all-Medicare estimate) — 158,461 observed fee-for-service services
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Data year CY2024 CY2023 CY2022  CY2021  CY2020 
Market overview
Market Brief J7040
The whole of J7040, written up and sourced.

The Brief is a national document for J7040. 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 J7040 ran ~316,137 all-Medicare services (estimated), 158,461 observed fee-for-service in CY2024. The market is roughly flat year over year. 349 billing groups and 1,688 clinicians bill it.
  2. 2Payment. Half the field lists between $4 and $19 per service; the median group lists $10. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. CA, NY, FL and SC lead the state markets — together 55% of state-market volume.
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Estimated all-Medicare volume estimate
FFS + estimated MA

~316,137 services

158,461 observed fee-for-service (50%) · ~157,676 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; 2 states without payer-mix data excluded. 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
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What they charge

Half the field lists between $4 and $19

Submitted charges are provider-set list amounts, not payments · median $10 (named groups)
Every group, one dot349 billing groups · median $10

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

$0$25$50++13 groups list more, to $423 →average submitted charge per service, per billing groupmedian $10
One dot per billing group, J7040 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: 61MEVT: 526VTNH: 203NHWA: 1267WAIDMT: 30MTNDMN: 500MNWI: 763WIIL: 4175ILMI: 1293MINY: 16575NYMA: 2264MARIOR: 209ORNV: 4286NVWYSD: 319SDIA: 386IAIN: 859INOH: 1404OHPA: 1601PANJ: 6866NJCT: 553CTCA: 42800CAUT: 348UTCO: 912CONE: 399NEMO: 1336MOKY: 230KYWV: 43WVVA: 5589VAMD: 4112MDDE: 19DEAZ: 2897AZNM: 778NMKS: 1579KSAR: 1998ARTN: 4387TNNC: 2592NCSC: 11787SCDC: 124DCOKLA: 1240LAMS: 512MSAL: 1642ALGA: 2633GAHI: 148HIAK: 1144AKTX: 7849TXFL: 15812FL
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
CY2021CY2024AK: 7 → 11AL: 4 → 4AR: 2 → 6AZ: 7 → 5CO: 0 → 2CT: 3 → 2DC: 0 → 3DE: 0 → 0GA: 5 → 4HI: 6 → 1IA: 1 → 1IL: 6 → 4IN: 1 → 1KS: 5 → 5KY: 3 → 1LA: 2 → 4MA: 3 → 3MD: 4 → 6ME: 1 → 0MI: 1 → 2MN: 1 → 1MO: 2 → 3MS: 1 → 2MT: 2 → 0NC: 3 → 3NE: 2 → 2NH: 1 → 1NJ: 7 → 8NM: 2 → 4NV: 14 → 18OH: 1 → 1OR: 1 → 1PA: 2 → 1SD: 2 → 3TN: 10 → 7TX: 2 → 4UT: 1 → 2VA: 8 → 6VT: 6 → 5WA: 5 → 2WI: 2 → 2WV: 1 → 0CA: 14 → 15FL: 9 → 8NY: 9 → 11SC: 22 → 20SC 22CA 14FL 9NY 920 SC15 CA11 NY8 FL
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. 1 state with a rate in only one of the two years is not drawn.

Open a state market: CA · NY · FL · SC · TX · NJ · VA · TN · NV · IL · MD · AZ — 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 chart349 groups · bubble = services
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charge per service — list amounts, not paymentsServices per group — J7040, CY2024
One mark per physician group, J7040 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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