HCPCS J1437

Injection, ferric derisomaltose, 10 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

201
73rd percentile among 6,326 codes billed · 2022
$13M
90th percentile among 6,326 codes billed · 2022
711K
94th percentile among 6,326 codes billed · 2022
2,400
97th percentile among 6,326 codes billed · 2022
10,300
98th percentile among 6,326 codes billed · 2022
+195.8%
Medicare payment on the code vs 2021; billers +131.0% · 2022

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
New Jersey22$2,203,958119,0053,85010,290
South Carolina21$1,894,235101,6013,50012,000
Alabama30$1,750,07794,4002,5007,377
Maryland19$1,674,23990,9032,00019,440
Florida23$1,377,77574,2822,5009,040
North Carolina14$750,98940,5002,0006,970
Pennsylvania14$617,89933,8002,5503,305

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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ15$1,657,29289,6054,000
Huntsville, AL12$748,32840,5502,800
Washington-Arlington-Alexandria, DC-VA-MD-WV15$520,27128,2001,800

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 3 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing J1437 nationally

Hematology-Oncology accounts for 77% of payment for J1437 nationally in 2022, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology14773%$10,088,13477%545,6593,712
Medical Oncology2211%$1,576,22312%85,1823,872
Internal Medicine115.5%$431,0553.3%23,6002,145

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 2022.

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