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Medicare New York · CY2024

Who bills the most Injection, inclisiran, 1 mg (J1306) to Medicare in New York?

Medicare Part B FFS · CY2024 · as published by CMS
11
Billing groups
281,349
Named-group FFS services
$8,913,872
Named-group submitted charges
$32
Avg charge / service
$12
Avg allowed / service
85%
Top-5 concentration
9%
Independent share

11 physician groups billed Injection, inclisiran, 1 mg (J1306) to Medicare fee-for-service in New York in 2024; the top five named groups hold 85% of that volume, and independent (non-hospital-affiliated) groups deliver 9%.

J1306 — Injection, inclisiran, 1 mg · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

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

Payer-mix context

Medicare fee-for-service covers 47% of Medicare in New York; Medicare Advantage penetration 44% → 53% 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 J1306 svcs Share*Phone
1 MISSION MEDICAL CARE PC ROCKVILLE CENTRENYNURSE PRACTITIONER 51 103,281 20.9% (212) 803-3339
2 NEW YORK UNIVERSITY NEW YORKNYDIAGNOSTIC RADIOLOGY 5704 47,144 9.6% (212) 263-9700
3 NORTH SHORE-LIJ MEDICAL PC MANHASSETNYPHYSICIAN ASSISTANT 6294 35,784 7.2%
4 CAPITAL CARDIOLOGY ASSOCIATES PLLC ALBANYNYNURSE PRACTITIONER 68 26,980 5.5% (518) 292-6000
5 ALERACARE MEDICAL GROUP OF CALIFORNIA GLENDALENYNURSE PRACTITIONER 9 24,992 5.1% (888) 209-8874
6 HUDSON VALLEY CARDIOVASCULAR PRACTICE PC POUGHKEEPSIENYCARDIOVASCULAR DISEASE (CARDIOLOGY) 72 10,792 2.2% (845) 473-1188
7 PECONIC CARDIOLOGY PC RIVERHEADNYCARDIOVASCULAR DISEASE (CARDIOLOGY) 19 9,372 1.9% (631) 727-7773
8 ISAAC MADEB MD PC BROOKLYNNYUROLOGY 2 7,952 1.6% (718) 375-3746
9 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOKNYHOSPITALIST 414 6,248 1.3% (631) 444-1560
10 INNOVATIVE INFUSIONS LLC AUSTINNYNURSE PRACTITIONER 106 4,544 0.9% (512) 261-4800
11 EAST SIDE ONCOLOGY ASSOCIATES PLLC DBA AMERICAN INFUSION CENTER NEW YORKNYNURSE PRACTITIONER 9 4,260 0.9% (212) 879-3496

*Share of New York's disclosed Medicare-FFS services for J1306, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing J1306 in New York — 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 →