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Medicare California · CY2024

Who bills the most Injection, lecanemab-irmb, 1 mg (J0174) to Medicare in California?

Medicare Part B FFS · CY2024 · as published by CMS
6
Billing groups
709,137
Named-group FFS services
$2,027,496
Named-group submitted charges
$3
Avg charge / service
$1
Avg allowed / service
Top-5 concentration
2%
Independent share

6 physician groups billed Injection, lecanemab-irmb, 1 mg (J0174) to Medicare fee-for-service in California in 2024; independent (non-hospital-affiliated) groups deliver 2%.

J0174 — Injection, lecanemab-irmb, 1 mg · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

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

Payer-mix context

Medicare fee-for-service covers 49% of Medicare in California; Medicare Advantage penetration 45% → 51% 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 J0174 svcs Share*Phone
1 INFUSION4HEALTH THOUSAND OAKSCANURSE PRACTITIONER 26 196,161 13.1% (805) 719-3700
2 THAILA RAMANUJAM M D INC SANTA CRUZCARHEUMATOLOGY 4 168,566 11.2% (831) 462-8960
3 CABRILLO CENTER FOR RHEUMATIC DISEASE APC SAN DIEGOCARHEUMATOLOGY 5 146,700 9.8% (619) 334-4869
4 COMMUNITY HEALTH CENTERS OF AMERICA MARIPOSACANURSE PRACTITIONER 106 124,910 8.3% (209) 966-2344
5 NIGHAT SARWAR MD INC FresnoCANEUROLOGY 2 57,800 3.9%
6 ALERACARE MEDICAL GROUP OF CALIFORNIA GLENDALECANURSE PRACTITIONER 9 15,000 1.0% (888) 209-8874

*Share of California's disclosed Medicare-FFS services for J0174, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing J0174 in California — 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 →