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Medicare Pennsylvania · CY2024

Who bills the most Injection, certolizumab pegol, 1 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) (J0717) to Medicare in Pennsylvania?

Medicare Part B FFS · CY2024 · as published by CMS
18
Billing groups
2,045,220
Named-group FFS services
$24,093,477
Named-group submitted charges
$12
Avg charge / service
$5
Avg allowed / service
65%
Top-5 concentration
0%
Independent share

18 physician groups billed Injection, certolizumab pegol, 1 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) (J0717) to Medicare fee-for-service in Pennsylvania in 2024; the top five named groups hold 65% of that volume, and independent (non-hospital-affiliated) groups deliver 0%.

J0717 — Injection, certolizumab pegol, 1 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) · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

Snapshot covers the whole Pennsylvania market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 46% of Medicare in Pennsylvania; Medicare Advantage penetration 45% → 54% since 2020.

Market structure — concentration, independent share, and the consolidation trend for this market — is part of the market analytics platform — built, not launched yet. Notify me at launch →
#Physician groupCityStSpecialty Providers J0717 svcs Share*Phone
1 BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION BRYN MAWRPANURSE PRACTITIONER 134 340,811 8.4% (610) 527-3800
2 LANCASTER GENERAL MEDICAL GROUP LANCASTERPAPHYSICIAN ASSISTANT 580 311,400 7.6%
3 RHEUMATIC DISEASE ASSOCIATES,LTD WILLOW GROVEPARHEUMATOLOGY 16 258,000 6.3% 2156576776438
4 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGHPADIAGNOSTIC RADIOLOGY 4291 212,804 5.2%
5 RHEUMATOLOGY AND ARTHRITIS CARE CENTER PLLC EXTONPAPHYSICIAN ASSISTANT 4 211,601 5.2% (484) 206-4447
6 ARTHRITIS ASSOCIATES ERIEPARHEUMATOLOGY 4 182,000 4.5% (814) 868-8531
7 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWNPAPHYSICIAN ASSISTANT 2389 105,200 2.6%
8 H2 HEALTH AND REHABILITATION SERVICES LLC WILKES BARREPAORTHOPEDIC SURGERY 38 83,600 2.0% (570) 270-4366
9 ANNAPOLIS RHEUMATOLOGY LLC ANNAPOLISPARHEUMATOLOGY 18 59,200 1.5% (410) 897-1941
10 TRABECULAR MEDICAL GROUP, LLC VOORHEESPARHEUMATOLOGY 19 51,600 1.3% (856) 424-5005
11 ADVANCED RHEUMATOLOGY AND ARTHRITIS RESEARCH CENTER PC CRANBERRY TWPPARHEUMATOLOGY 2 43,204 1.1% (724) 935-9355
12 POTTSTOWN MEDICAL SPECIALISTS INC POTTSTOWNPAFAMILY PRACTICE 39 42,400 1.0% (484) 945-0075
13 ALAN J KIVITZ MD PC DUNCANSVILLEPARHEUMATOLOGY 7 40,000 1.0% (814) 693-0300
14 CUMBERLAND VALLEY RHEUMATOLOGY, P.C. CHAMBERSBURGPANURSE PRACTITIONER 2 35,800 0.9% (717) 267-2065
15 LEBANON INTERNAL MEDICINE ASSOCIATES PC LEBANONPAPHYSICIAN ASSISTANT 17 28,600 0.7% (717) 273-6706
16 RHEUMATOLOGY ASSOCIATES LTD E NORRITONPARHEUMATOLOGY 5 21,600 0.5% 61027727504
17 ARTHRITIS GROUP PC LANGHORNEPARHEUMATOLOGY 7 11,000 0.3% (215) 752-8680
18 RHEUMATOLOGY CARE SPECIALISTS GLEN MILLSPANURSE PRACTITIONER 4 6,400 0.2% (610) 558-4800

*Share of Pennsylvania's disclosed Medicare-FFS services for J0717, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing J0717 in Pennsylvania — including groups registered elsewhere ("City" is each 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.

How to read this. Figures are Medicare fee-for-service only — not all-payer — from the CMS Medicare Physician & Other Practitioners Public Use File (Part B), CY2024 release. CMS suppresses any provider×code row under 11 beneficiaries, so a missing group means "suppressed," never zero. "Charges" are provider-submitted amounts, not payments. Groups are ranked by measured service volume attributed to clinicians in exactly one group — clinicians affiliated with several groups are listed in rosters but never volume-attributed to a single group — a direct read of the public record, not a rating or quality score. Full method: Methods & Sources.

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 →