HCPCS J0881

Injection, darbepoetin alfa, 1 microgram (non-esrd use) (CMS descriptor)

Drugs Drug code Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

1,214
87th percentile among 6,116 codes billed · 2020
$75M
97th percentile among 6,116 codes billed · 2020
25.5M
100th percentile among 6,116 codes billed · 2020
14,093
99th percentile among 6,116 codes billed · 2020
61,701
99th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$50M2020: $75M paid20202021: $61M paid20212022: $54M paid20222023: $46M paid20232024: $47M paid2024$47M$0$50M2020: $75M paid20202021: $61M paid20212022: $54M paid20222023: $46M paid20232024: $47M paid2024$47M$0$50M2020: $75M paid20202021: $61M paid20212022: $54M paid20222023: $46M paid20232024: $47M paid2024$47M$0$50M2020: $75M paid20202021: $61M paid20212022: $54M paid20222023: $46M paid20232024: $47M paid2024$47M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

05001,0002020: 1,214 providers20202021: 1,116 providers20212022: 1,122 providers20222023: 1,114 providers20232024: 1,179 providers20241,17905001,0002020: 1,214 providers20202021: 1,116 providers20212022: 1,122 providers20222023: 1,114 providers20232024: 1,179 providers20241,17905001,0002020: 1,214 providers20202021: 1,116 providers20212022: 1,122 providers20222023: 1,114 providers20232024: 1,179 providers20241,17905001,0002020: 1,214 providers20202021: 1,116 providers20212022: 1,122 providers20222023: 1,114 providers20232024: 1,179 providers20241,179

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
20241,179$46,586,077+0%20,179,03811,91550,0500.00
20231,114$46,394,592-14%19,791,12812,17553,5230.00
20221,122$54,134,258-11%21,544,19012,72556,1520.00
20211,116$60,946,574-19%23,235,37514,44061,4250.00
20201,214$75,224,347first year in data25,492,07014,09361,7010.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
California85$9,741,9643,288,23522,400111,820
Texas190$8,228,6932,790,90111,43038,426
Tennessee84$7,235,3892,458,54623,64069,662
New York98$6,436,2832,173,87516,35055,127
Maryland52$6,306,8872,145,86135,215107,081
Virginia79$5,302,0601,796,30916,36061,129
Illinois64$3,947,5231,332,45216,23857,550
Pennsylvania36$3,067,4841,036,58025,94171,675
Nevada35$3,035,4301,031,87827,70076,991
Florida33$2,154,333729,56017,11053,040
Arizona51$2,124,359725,7758,80035,150
Indiana24$1,672,928564,44314,33558,750
South Carolina37$1,572,787536,10112,46033,738
Alabama41$1,541,763523,1217,63541,025
Georgia26$1,131,343384,06512,46030,243

Not listed: 17 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ68$4,778,0151,615,50316,750
Washington-Arlington-Alexandria, DC-VA-MD-WV51$4,291,3751,456,45116,400
Fresno, CA11$3,472,8681,170,90696,400
Virginia Beach-Chesapeake-Norfolk, VA-NC34$3,353,6701,137,11824,640
Nashville-Davidson--Murfreesboro--Franklin, TN38$3,264,1531,112,22024,870
Las Vegas-Henderson-North Las Vegas, NV34$3,023,2081,027,77827,830
Chicago-Naperville-Elgin, IL-IN39$2,890,336974,37419,200
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD32$2,411,980816,36616,898
San Diego-Chula Vista-Carlsbad, CA15$2,253,506762,40348,101
Baltimore-Columbia-Towson, MD17$2,211,913755,64535,000
Dallas-Fort Worth-Arlington, TX66$2,118,558720,6418,530
Houston-Pasadena-The Woodlands, TX32$1,823,276615,43012,158
Memphis, TN-MS-AR24$1,667,311565,20116,500
San Francisco-Oakland-Fremont, CA11$1,266,018426,10029,100
Los Angeles-Long Beach-Anaheim, CA16$1,162,780392,22417,888

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 32 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing J0881 nationally

Hematology-Oncology accounts for 66% of payment for J0881 nationally in 2020, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology66755%$49,734,43666%16,845,14025,255
Medical Oncology23219%$15,074,62720%5,100,34221,984
Nephrology17114%$3,172,6164.2%1,091,9986,386
Internal Medicine564.6%$2,775,1233.7%939,71916,781
Hematology231.9%$2,036,4562.7%689,44629,976
Nurse Practitioner383.1%$1,198,5111.6%408,43110,748
Gynecological Oncology110.91%$447,3670.59%150,97913,725

Not listed: 6 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 2020.

Top billers of J0881 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