HCPCS J1437

Injection, ferric derisomaltose, 10 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2024 fee schedule; adds 0 work RVUs)

969
86th percentile among 6,471 codes billed · 2024
$59M
96th percentile among 6,471 codes billed · 2024
3.8M
98th percentile among 6,471 codes billed · 2024
2,700
97th percentile among 6,471 codes billed · 2024
10,554
97th percentile among 6,471 codes billed · 2024
+67.3%
Medicare payment on the code vs 2023; billers +66.8% · 2024

Trend

Medicare payment on the code

$0$25M$50M2021: $4.4M paid20212022: $13M paid20222023: $35M paid20232024: $59M paid2024$59M$0$25M$50M2021: $4.4M paid20212022: $13M paid20222023: $35M paid20232024: $59M paid2024$59M$0$25M$50M2021: $4.4M paid20212022: $13M paid20222023: $35M paid20232024: $59M paid2024$59M$0$25M$50M2021: $4.4M paid20212022: $13M paid20222023: $35M paid20232024: $59M paid2024$59M

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

Billers

05001,0002020: 1 providers20202021: 87 providers20212022: 201 providers20222023: 581 providers20232024: 969 providers202496905001,0002020: 1 providers20202021: 87 providers20212022: 201 providers20222023: 581 providers20232024: 969 providers202496905001,0002020: 1 providers20202021: 87 providers20212022: 201 providers20222023: 581 providers20232024: 969 providers202496905001,0002020: 1 providers20202021: 87 providers20212022: 201 providers20222023: 581 providers20232024: 969 providers2024969

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
2024969$59,095,356+67%3,751,1572,70010,5540.00
2023581$35,315,880+169%2,143,5532,6009,9000.00
2022201$13,130,470+196%710,7412,40010,3000.00
202187$4,438,367no comparison: 2020 has fewer than 11 billers213,0751,9005,2500.00
20201fewer than 11 billers: figures not shown

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
Florida158$10,226,315648,3172,94510,622
Tennessee93$6,202,186390,2003,30010,780
Maryland59$5,452,067347,4654,50017,410
Pennsylvania66$4,315,022274,1203,6507,553
Arkansas42$3,465,627219,6953,70012,040
California48$2,876,310182,5102,55010,995
Georgia38$2,770,639178,0864,4508,907
New Jersey32$2,735,640173,2004,25012,750
Alabama43$2,667,427169,9502,7008,820
Texas64$2,546,768158,9391,7006,560
North Carolina40$1,950,155124,6032,4517,465
Virginia42$1,642,623104,9632,4004,695
South Carolina18$1,501,59195,8002,70012,920
Indiana18$1,180,70075,2013,5007,461
Illinois26$972,58061,3022,2004,825

Not listed: 20 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 2024.

Top metro areas

observed calculated calculated calculated calculated
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD57$3,738,282237,0203,500
Washington-Arlington-Alexandria, DC-VA-MD-WV49$3,226,279206,3663,000
Baltimore-Columbia-Towson, MD25$2,724,287173,6995,000
Little Rock-North Little Rock-Conway, AR19$1,996,919127,0016,600
Nashville-Davidson--Murfreesboro--Franklin, TN34$1,936,790121,6002,800
North Port-Bradenton-Sarasota, FL23$1,933,941122,8004,200
New York-Newark-Jersey City, NY-NJ21$1,925,030121,9004,600
Tampa-St. Petersburg-Clearwater, FL27$1,676,302106,1022,400
Knoxville, TN12$1,436,08191,0004,900
Chicago-Naperville-Elgin, IL-IN26$1,390,68188,6032,350
Fresno, CA11$1,355,32486,2008,000
Birmingham, AL16$1,153,72273,0004,300
Ocala, FL12$1,123,38771,2006,200
Myrtle Beach-Conway-North Myrtle Beach, SC11$1,044,12766,7005,200
Miami-Fort Lauderdale-West Palm Beach, FL24$1,013,31864,4001,850

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 28 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing J1437 nationally

Hematology-Oncology accounts for 75% of payment for J1437 nationally in 2024, across 6 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology69872%$44,372,98075%2,820,3794,041
Medical Oncology15616%$8,935,00315%564,7933,620
Internal Medicine485.0%$2,337,1984.0%147,9643,083
Nurse Practitioner272.8%$1,328,6852.2%83,9003,107
Hematology181.9%$1,081,5251.8%68,3103,795
Physician Assistant111.1%$401,0060.68%25,2102,292

Not listed: 8 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 2024.

Top billers of J1437 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