HCPCS G9678
Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a (CMS descriptor)
Other services Work RVU per service none (2021 fee schedule; adds 0 work RVUs)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2022.
Billers
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2022.
| observed | calculated | calculated | calculated | calculated | calculated | reported | |
|---|---|---|---|---|---|---|---|
| 2022 | 1,564 | $39,846,168 | -77% | 249,714 | 108 | 425 | 0.00 |
| 2021 | 2,091 | $172,115,144 | -4% | 1,073,502 | 308 | 1,429 | 0.00 |
| 2020 | 2,174 | $178,661,850 | first year in data | 1,124,039 | 310 | 1,341 | 0.00 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2022.
By state
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Florida | 184 | $30,632,366 | 191,311 | 338 | 4,022 | |
| Texas | 497 | $24,305,108 | 151,429 | 236 | 720 | |
| Illinois | 134 | $12,463,984 | 77,815 | 311 | 1,154 | |
| Virginia | 142 | $12,405,468 | 77,285 | 473 | 1,189 | |
| Tennessee | 123 | $10,865,299 | 67,840 | 365 | 1,061 | |
| Arizona | 109 | $8,577,202 | 53,596 | 280 | 1,322 | |
| New Jersey | 86 | $7,125,190 | 44,478 | 270 | 1,730 | |
| Ohio | 79 | $6,410,296 | 39,763 | 258 | 1,831 | |
| New York | 119 | $5,654,064 | 35,246 | 218 | 799 | |
| Connecticut | 22 | $5,392,327 | 33,567 | 304 | 807 | |
| Alabama | 64 | $5,307,804 | 33,014 | 389 | 965 | |
| California | 67 | $4,744,298 | 29,637 | 340 | 1,230 | |
| Colorado | 42 | $3,863,767 | 24,109 | 513 | 1,025 | |
| Michigan | 36 | $3,776,372 | 23,569 | 508 | 1,277 | |
| Oklahoma | 42 | $3,619,972 | 22,599 | 338 | 1,974 |
Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.
Not listed: 12 states with fewer than 11 billers (small cells).
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2021.
Top metro areas
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| Dallas-Fort Worth-Arlington, TX | 244 | $10,345,439 | 64,485 | 206 | |
| New York-Newark-Jersey City, NY-NJ | 142 | $8,947,654 | 55,804 | 189 | |
| Chicago-Naperville-Elgin, IL-IN | 99 | $8,547,467 | 53,350 | 240 | |
| Phoenix-Mesa-Chandler, AZ | 89 | $5,655,544 | 35,344 | 265 | |
| Tampa-St. Petersburg-Clearwater, FL | 30 | $5,339,401 | 33,341 | 737 | |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 46 | $5,278,842 | 32,965 | 379 | |
| Orlando-Kissimmee-Sanford, FL | 23 | $4,150,276 | 25,920 | 910 | |
| North Port-Bradenton-Sarasota, FL | 12 | $4,008,376 | 25,037 | 2,040 | |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 48 | $3,708,777 | 23,102 | 456 | |
| Austin-Round Rock-San Marcos, TX | 50 | $2,982,547 | 18,563 | 273 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 34 | $2,867,052 | 17,894 | 477 | |
| Cincinnati, OH-KY-IN | 37 | $2,671,848 | 16,632 | 222 | |
| Houston-Pasadena-The Woodlands, TX | 66 | $2,634,239 | 16,418 | 191 | |
| Memphis, TN-MS-AR | 31 | $2,587,230 | 16,167 | 370 | |
| San Antonio-New Braunfels, TX | 47 | $2,571,285 | 16,030 | 198 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 49 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.
Specialties billing G9678 nationally
Hematology-Oncology accounts for 67% of payment for G9678 nationally in 2021, across 12 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Hematology-Oncology | 1,252 | 60% | $114,598,882 | 67% | 714,933 | 571 |
| Medical Oncology | 473 | 23% | $42,018,821 | 24% | 261,959 | 554 |
| Internal Medicine | 62 | 3.0% | $5,618,929 | 3.3% | 35,046 | 565 |
| Radiation Oncology | 62 | 3.0% | $2,979,903 | 1.7% | 18,576 | 300 |
| Hematology | 34 | 1.6% | $2,079,996 | 1.2% | 12,939 | 381 |
| Gynecological Oncology | 69 | 3.3% | $1,736,902 | 1.0% | 10,842 | 157 |
| Urology | 39 | 1.9% | $926,117 | 0.54% | 5,760 | 148 |
| Nurse Practitioner | 41 | 2.0% | $830,152 | 0.48% | 5,173 | 126 |
| Hematopoietic Cell Transplantation and Cellular Therapy | 11 | 0.53% | $465,942 | 0.27% | 2,911 | 265 |
| Obstetrics & Gynecology | 11 | 0.53% | $261,113 | 0.15% | 1,629 | 148 |
| Surgical Oncology | 13 | 0.62% | $215,028 | 0.12% | 1,342 | 103 |
| Physician Assistant | 12 | 0.57% | $186,420 | 0.11% | 1,163 | 97 |
Not listed: 4 specialties with fewer than 11 billers (small cells).
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2021.
Top billers of G9678 nationally
Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.
Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations