HCPCS J1306

Injection, inclisiran, 1 mg (CMS descriptor)

Drugs Drug code

125
68th percentile among 6,326 codes billed · 2022
$9.7M
88th percentile among 6,326 codes billed · 2022
1.0M
95th percentile among 6,326 codes billed · 2022
6,248
98th percentile among 6,326 codes billed · 2022
20,732
99th percentile among 6,326 codes billed · 2022

Trend

Medicare payment on the code

$0$50M$100M2022: $9.7M paid20222023: $57M paid20232024: $118M paid2024$118M$0$50M$100M2022: $9.7M paid20222023: $57M paid20232024: $118M paid2024$118M$0$50M$100M2022: $9.7M paid20222023: $57M paid20232024: $118M paid2024$118M$0$50M$100M2022: $9.7M paid20222023: $57M paid20232024: $118M paid2024$118M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.

Billers

05002022: 125 providers20222023: 462 providers20232024: 735 providers202473505002022: 125 providers20222023: 462 providers20232024: 735 providers202473505002022: 125 providers20222023: 462 providers20232024: 735 providers202473505002022: 125 providers20222023: 462 providers20232024: 735 providers2024735

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.

observed calculated calculated calculated calculated calculated reported
2024735$117,884,330+106%12,438,5979,37251,0060.00
2023462$57,100,588+490%6,096,5168,09441,9890.00
2022125$9,670,529not in the 2021 file1,027,8996,24820,732

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.

By state

observed calculated calculated calculated calculated calculated
California17$1,411,818149,1006,53218,176
Florida11$898,47495,9928,52014,910
Texas11$786,96384,0644,54419,028
Tennessee12$785,05083,4975,11215,009

Not listed: 25 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 2022.

Top metro areas

No metro area has a reportable line for J1306 in 2022.

Specialties billing J1306 nationally

Nurse Practitioner accounts for 55% of payment for J1306 nationally in 2022, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner7661%$5,325,36755%564,7337,431
Cardiology1411%$988,83610%105,6487,546

Not listed: 16 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 2022.

Top billers of J1306 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