HCPCS J0881

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

Drugs Drug code Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

1,116
86th percentile among 6,253 codes billed · 2021
$61M
96th percentile among 6,253 codes billed · 2021
23.2M
100th percentile among 6,253 codes billed · 2021
14,440
99th percentile among 6,253 codes billed · 2021
61,425
99th percentile among 6,253 codes billed · 2021
-19.0%
Medicare payment on the code vs 2020; billers -8.1% · 2021

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$7,964,9723,018,77920,500103,600
New York85$5,839,7522,229,90119,80069,648
Texas153$5,571,4352,126,97410,96535,945
Tennessee78$5,559,3682,123,82623,99065,583
Maryland54$5,488,1552,097,96234,400102,308
Virginia83$4,505,7741,724,45316,37553,578
Illinois62$3,188,0571,208,49714,59049,376
Pennsylvania52$3,147,7761,194,18718,11055,430
Nevada31$2,430,869931,84922,70175,455
Arizona56$1,853,940706,75510,36533,000
Florida35$1,579,975601,57610,53048,532
Indiana21$1,236,647469,51921,50042,920
Alabama35$1,200,638458,7799,68032,805
Missouri13$1,030,670391,36223,10163,620
Ohio23$1,007,827388,67111,35042,202

Not listed: 18 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
New York-Newark-Jersey City, NY-NJ66$4,770,6921,817,43020,250
Washington-Arlington-Alexandria, DC-VA-MD-WV48$3,544,9541,351,70116,260
Fresno, CA11$3,157,4491,192,30097,200
Virginia Beach-Chesapeake-Norfolk, VA-NC36$3,067,2331,174,73326,234
Nashville-Davidson--Murfreesboro--Franklin, TN35$2,766,6091,058,65027,860
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD45$2,743,3351,040,40815,860
Las Vegas-Henderson-North Las Vegas, NV30$2,414,766925,94925,151
Chicago-Naperville-Elgin, IL-IN33$2,253,717853,88818,620
Baltimore-Columbia-Towson, MD20$1,939,350746,30534,670
San Diego-Chula Vista-Carlsbad, CA15$1,931,405735,19946,800
Dallas-Fort Worth-Arlington, TX54$1,392,540533,1049,453
Memphis, TN-MS-AR22$1,115,425424,84113,750
Phoenix-Mesa-Chandler, AZ39$1,004,942384,0708,450
Houston-Pasadena-The Woodlands, TX24$978,514370,94210,345
San Francisco-Oakland-Fremont, CA14$936,445353,68319,650

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 30 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 J0881 nationally

Hematology-Oncology accounts for 66% of payment for J0881 nationally in 2021, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology64057%$40,383,87166%15,400,63824,063
Medical Oncology22320%$12,335,61320%4,697,77421,066
Internal Medicine504.5%$2,703,7624.4%1,028,40020,568
Nephrology12311%$2,133,2823.5%822,4516,687
Hematology161.4%$1,307,5572.1%495,84030,990
Nurse Practitioner373.3%$1,101,4291.8%418,91211,322

Not listed: 9 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 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