HCPCS J0885

Injection, epoetin alfa, (for non-esrd use), 1000 units (CMS descriptor)

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

1,278
87th percentile among 6,116 codes billed · 2020
$46M
96th percentile among 6,116 codes billed · 2020
5.9M
99th percentile among 6,116 codes billed · 2020
2,413
98th percentile among 6,116 codes billed · 2020
15,904
98th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$20M$40M2020: $46M paid20202021: $27M paid20212022: $27M paid20222023: $27M paid20232024: $23M paid2024$23M$0$20M$40M2020: $46M paid20202021: $27M paid20212022: $27M paid20222023: $27M paid20232024: $23M paid2024$23M$0$20M$40M2020: $46M paid20202021: $27M paid20212022: $27M paid20222023: $27M paid20232024: $23M paid2024$23M$0$20M$40M2020: $46M paid20202021: $27M paid20212022: $27M paid20222023: $27M paid20232024: $23M paid2024$23M

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

Billers

05001,0002020: 1,278 providers20202021: 911 providers20212022: 915 providers20222023: 953 providers20232024: 806 providers202480605001,0002020: 1,278 providers20202021: 911 providers20212022: 915 providers20222023: 953 providers20232024: 806 providers202480605001,0002020: 1,278 providers20202021: 911 providers20212022: 915 providers20222023: 953 providers20232024: 806 providers202480605001,0002020: 1,278 providers20202021: 911 providers20212022: 915 providers20222023: 953 providers20232024: 806 providers2024806

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
2024806$23,493,119-12%3,729,4003,18513,9430.00
2023953$26,707,946-2% (2023 changed hospital and observation visit codes)4,607,9483,10014,8360.00
2022915$27,116,792-1%4,253,9682,92015,4460.00
2021911$27,388,432– (Not compared: 2021 changed office visit values)4,105,9882,60015,0750.00
20201,278$45,620,690first year in data5,910,5072,41315,9040.00

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
Florida236$17,689,7292,273,5477,59523,231
California113$3,967,657514,8572,79013,397
New Jersey89$3,028,104394,0433,18710,572
New York63$2,143,026281,1392,90014,022
Pennsylvania70$1,860,213244,6322,5558,307
Texas84$1,621,078213,2391,6067,022
Virginia38$1,398,782182,0204,57610,395
Maryland54$1,388,449182,3531,46010,813
Kansas22$1,180,987152,3334,88017,966
Massachusetts25$1,166,370150,7904,78016,417
Georgia34$1,031,763133,8732,07013,333
South Carolina18$980,503126,6703,14820,374
North Carolina72$968,218125,7301,4753,781
Arkansas21$787,779102,4201,77019,945
Illinois39$727,01993,8061,9206,050

Not listed: 22 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
Tampa-St. Petersburg-Clearwater, FL59$4,505,854579,4518,410
New York-Newark-Jersey City, NY-NJ107$3,453,637451,1932,760
North Port-Bradenton-Sarasota, FL23$2,782,998356,97615,920
Orlando-Kissimmee-Sanford, FL39$2,302,870297,6765,480
Cape Coral-Fort Myers, FL19$1,920,921246,48012,580
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD56$1,535,677197,3702,055
Richmond, VA28$1,252,131162,6285,235
Wichita, KS19$1,111,292143,2636,160
San Francisco-Oakland-Fremont, CA24$1,072,618139,5034,821
Washington-Arlington-Alexandria, DC-VA-MD-WV20$977,891129,0384,050
Miami-Fort Lauderdale-West Palm Beach, FL24$953,014122,6753,650
Los Angeles-Long Beach-Anaheim, CA27$885,984115,8333,980
Dallas-Fort Worth-Arlington, TX16$431,05356,4922,550
Phoenix-Mesa-Chandler, AZ47$425,16255,633900
Charlotte-Concord-Gastonia, NC-SC37$420,49354,7141,440

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 31 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 J0885 nationally

Hematology-Oncology accounts for 68% of payment for J0885 nationally in 2020, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology56945%$30,959,45768%4,002,7557,035
Nephrology48138%$5,883,71513%774,5821,610
Medical Oncology1078.4%$5,720,81313%737,1056,889
Internal Medicine443.4%$1,324,6022.9%171,9543,908
Hematology191.5%$769,5491.7%99,1395,218
Nurse Practitioner403.1%$632,8981.4%82,0992,052

Not listed: 5 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 J0885 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