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Medicare Virginia · CY2024

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

Medicare Part B FFS · CY2024 · as published by CMS
7
Billing groups
136,038
Named-group FFS services
$3,290,577
Named-group submitted charges
$24
Avg charge / service
$12
Avg allowed / service
Top-5 concentration
0%
Independent share

7 physician groups billed Injection, inclisiran, 1 mg (J1306) to Medicare fee-for-service in Virginia in 2024; independent (non-hospital-affiliated) groups deliver 0%.

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 Virginia market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 61% of Medicare in Virginia; Medicare Advantage penetration 25% → 39% 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 TWELVESTONE INFUSION CENTERS LLC CANTONVANURSE PRACTITIONER 58 36,352 12.1% (844) 893-0012
2 PRIMARY HEALTH GROUP INC RICHMONDVAFAMILY PRACTICE 17 30,105 10.1% (804) 560-0490
3 INFECTIOUS DISEASE ASSOCIATES OF CENTRAL VIRGINIA LLC LYNCHBURGVAINFECTIOUS DISEASE 6 27,548 9.2% (434) 947-3900
4 EAST MOUNTAIN HEALTH PHYSICIANS INC MARTINSBURGVANURSE PRACTITIONER 94 22,721 7.6% (304) 350-3200
5 JAMES RIVER CARDIOLOGY, LLC COLONIAL HEIGHTSVAPHYSICIAN ASSISTANT 49 8,236 2.8% (804) 520-1764
6 OYSTER POINT FAMILY PRACTICE INC NEWPORT NEWSVANURSE PRACTITIONER 4 5,680 1.9% (757) 873-2000
7 AGENACARE URGENT CARE ROCKY MOUNTVANURSE PRACTITIONER 8 5,396 1.8% (540) 352-4000

*Share of Virginia'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 Virginia — 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 →