HCPCS J1439

Injection, ferric carboxymaltose, 1 mg (CMS descriptor)

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

1,191
87th percentile among 6,326 codes billed · 2022
$42M
95th percentile among 6,326 codes billed · 2022
47.1M
100th percentile among 6,326 codes billed · 2022
28,500
100th percentile among 6,326 codes billed · 2022
106,500
100th percentile among 6,326 codes billed · 2022
-16.2%
Medicare payment on the code vs 2021; billers -10.9% · 2022

Trend

Medicare payment on the code

$0$20M$40M2020: $47M paid20202021: $50M paid20212022: $42M paid20222023: $41M paid20232024: $33M paid2024$33M$0$20M$40M2020: $47M paid20202021: $50M paid20212022: $42M paid20222023: $41M paid20232024: $33M paid2024$33M$0$20M$40M2020: $47M paid20202021: $50M paid20212022: $42M paid20222023: $41M paid20232024: $33M paid2024$33M$0$20M$40M2020: $47M paid20202021: $50M paid20212022: $42M paid20222023: $41M paid20232024: $33M paid2024$33M

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

Billers

05001,0002020: 1,350 providers20202021: 1,337 providers20212022: 1,191 providers20222023: 1,209 providers20232024: 1,032 providers20241,03205001,0002020: 1,350 providers20202021: 1,337 providers20212022: 1,191 providers20222023: 1,209 providers20232024: 1,032 providers20241,03205001,0002020: 1,350 providers20202021: 1,337 providers20212022: 1,191 providers20222023: 1,209 providers20232024: 1,032 providers20241,03205001,0002020: 1,350 providers20202021: 1,337 providers20212022: 1,191 providers20222023: 1,209 providers20232024: 1,032 providers20241,032

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
20241,032$33,249,750-18%38,342,11826,25097,0130.00
20231,209$40,672,606-2%46,709,06927,75099,4500.00
20221,191$41,554,433-16%47,076,70228,500106,5000.00
20211,337$49,591,631+6%55,652,08030,000111,3000.00
20201,350$46,610,144first year in data53,613,50629,25099,7500.00

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
California105$4,231,7484,782,28026,250151,650
Tennessee93$3,855,9054,379,25140,500108,000
New York71$3,693,0724,184,26234,500157,127
Florida95$3,193,5963,592,44026,250100,500
Pennsylvania74$2,994,2333,392,13736,375106,500
New Jersey69$2,667,2013,010,58033,75087,000
Virginia60$1,941,2552,200,65127,00093,112
Maryland47$1,919,5722,181,70539,000113,850
South Carolina39$1,792,2952,043,95547,250121,200
Arizona54$1,425,6171,614,60125,50059,362
Texas48$1,357,0811,541,21722,50069,225
Illinois46$1,227,3281,383,87022,50064,688
Kansas20$1,041,1531,179,60043,125132,143
North Carolina31$964,4701,088,25321,750118,126
Nebraska34$881,227997,50124,75059,100

Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.

Not listed: 18 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-NJ98$4,848,7725,476,58439,000
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD49$2,400,8882,720,98649,500
Washington-Arlington-Alexandria, DC-VA-MD-WV60$2,343,3802,661,75630,325
Nashville-Davidson--Murfreesboro--Franklin, TN36$1,705,6741,938,75049,125
Fresno, CA14$1,481,7131,674,00087,375
Phoenix-Mesa-Chandler, AZ49$1,291,6931,461,60124,750
Los Angeles-Long Beach-Anaheim, CA39$1,076,4441,219,37021,000
Memphis, TN-MS-AR28$905,1211,026,00028,125
Jacksonville, FL25$833,400939,75027,750
Palm Bay-Melbourne-Titusville, FL20$712,830802,50030,375
Columbia, SC17$710,783810,00442,750
San Diego-Chula Vista-Carlsbad, CA17$660,919747,00030,750
Miami-Fort Lauderdale-West Palm Beach, FL25$592,543663,75023,250
Wichita, KS13$509,314576,00043,500
Chicago-Naperville-Elgin, IL-IN25$505,025571,40015,750

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 25 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 J1439 nationally

Hematology-Oncology accounts for 70% of payment for J1439 nationally in 2022, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology77865%$28,948,06770%32,793,34242,151
Medical Oncology17715%$6,249,78215%7,079,62439,998
Nurse Practitioner766.4%$2,019,2804.9%2,292,84430,169
Internal Medicine433.6%$1,522,9203.7%1,730,25340,238
Gastroenterology352.9%$835,6762.0%944,25126,979
Hematology262.2%$768,4351.8%868,41733,401
Rheumatology151.3%$318,9050.77%359,79223,986
Physician Assistant121.0%$252,2030.61%284,35023,696

Not listed: 10 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 J1439 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