HCPCS J1437

Injection, ferric derisomaltose, 10 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

581
82nd percentile among 6,405 codes billed · 2023
$35M
95th percentile among 6,405 codes billed · 2023
2.1M
97th percentile among 6,405 codes billed · 2023
2,600
97th percentile among 6,405 codes billed · 2023
9,900
97th percentile among 6,405 codes billed · 2023
+169.0%
Medicare payment on the code vs 2022; billers +189.1% · 2023

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
Florida109$6,530,857394,6952,7008,560
Maryland48$3,607,106219,4062,80011,165
Pennsylvania60$3,137,917190,8613,0505,905
Arkansas24$2,588,236155,7706,45011,550
Alabama42$2,481,765149,4303,0008,779
New Jersey29$2,279,726137,2004,00010,280
North Carolina29$2,075,906125,6012,70011,260
Tennessee21$1,812,522110,2003,70014,800
Georgia32$1,803,771113,4202,8508,160
South Carolina14$1,506,92491,0726,23612,780
Indiana18$1,085,84765,8002,0508,085
California21$1,011,66162,0002,6005,400
Ohio17$592,88235,9001,7003,640
Virginia17$563,41034,3001,5003,440
Illinois12$462,04727,9002,0004,675

Not listed: 21 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 2023.

Top metro areas

observed calculated calculated calculated calculated
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD47$2,477,638150,5613,200
Baltimore-Columbia-Towson, MD22$2,419,884146,3834,900
Little Rock-North Little Rock-Conway, AR19$2,286,466137,2706,900
New York-Newark-Jersey City, NY-NJ21$1,699,766102,1002,900
Washington-Arlington-Alexandria, DC-VA-MD-WV32$1,418,27887,1832,400
Chicago-Naperville-Elgin, IL-IN23$1,343,57481,2002,200
Huntsville, AL12$958,81957,5003,900
North Port-Bradenton-Sarasota, FL14$867,89652,4003,450
Miami-Fort Lauderdale-West Palm Beach, FL19$814,07949,3881,900
Atlanta-Sandy Springs-Roswell, GA12$799,38750,2003,400
Tampa-St. Petersburg-Clearwater, FL15$795,16648,3002,100

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 11 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing J1437 nationally

Hematology-Oncology accounts for 78% of payment for J1437 nationally in 2023, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology44376%$27,595,42378%1,675,8813,783
Medical Oncology7112%$4,561,97113%276,7233,898
Internal Medicine274.6%$1,199,2623.4%72,4712,684
Hematology111.9%$654,3401.9%39,4883,590
Nurse Practitioner152.6%$608,6981.7%36,6902,446

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 2023.

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