HCPCS J1569
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg (CMS descriptor)
Drugs Drug code Work RVU per service none (2021 fee schedule; adds 0 work RVUs)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.
Billers
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 | |
|---|---|---|---|---|---|---|---|
| 2024 | 593 | $101,026,285 | +3% | 2,848,101 | 3,245 | 11,411 | 0.00 |
| 2023 | 542 | $98,127,656 | +35% | 2,757,687 | 3,524 | 12,091 | 0.00 |
| 2022 | 389 | $72,656,233 | +6% | 2,045,693 | 3,680 | 14,524 | 0.00 |
| 2021 | 332 | $68,609,792 | +6% | 1,908,646 | 4,266 | 15,474 | 0.00 |
| 2020 | 350 | $64,929,749 | first year in data | 2,022,903 | 4,289 | 15,076 | 0.00 |
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 | |
|---|---|---|---|---|---|---|
| Florida | 108 | $23,696,413 | 652,077 | 5,157 | 14,487 | |
| Illinois | 39 | $4,923,315 | 137,579 | 2,890 | 6,864 | |
| Texas | 15 | $3,938,954 | 110,621 | 4,287 | 19,310 | |
| Arizona | 18 | $2,674,734 | 73,688 | 1,810 | 10,198 | |
| Alabama | 13 | $2,308,278 | 63,375 | 4,870 | 8,278 | |
| Virginia | 15 | $2,139,951 | 58,862 | 3,140 | 7,738 | |
| Arkansas | 14 | $1,787,375 | 49,278 | 3,150 | 8,358 |
Not listed: 26 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 2021.
Top metro areas
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| Chicago-Naperville-Elgin, IL-IN | 31 | $4,317,118 | 121,010 | 2,910 | |
| North Port-Bradenton-Sarasota, FL | 14 | $4,055,109 | 111,586 | 7,833 | |
| Orlando-Kissimmee-Sanford, FL | 12 | $3,793,499 | 103,932 | 5,813 | |
| Cape Coral-Fort Myers, FL | 13 | $2,580,203 | 71,190 | 4,566 | |
| Phoenix-Mesa-Chandler, AZ | 17 | $2,569,717 | 70,778 | 1,210 | |
| Naples-Marco Island, FL | 11 | $1,785,374 | 49,218 | 1,560 | |
| Kansas City, MO-KS | 11 | $1,610,620 | 44,600 | 3,510 | |
| Richmond, VA | 13 | $1,500,969 | 41,270 | 3,090 | |
| Little Rock-North Little Rock-Conway, AR | 11 | $1,226,284 | 33,860 | 2,110 | |
| Jacksonville, FL | 11 | $713,090 | 19,810 | 1,240 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 10 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.
Specialties billing J1569 nationally
Hematology-Oncology accounts for 41% of payment for J1569 nationally in 2021, across 7 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Hematology-Oncology | 170 | 51% | $28,037,297 | 41% | 781,090 | 4,595 |
| Medical Oncology | 42 | 13% | $7,907,318 | 12% | 218,343 | 5,199 |
| Allergy/ Immunology | 20 | 6.0% | $7,816,947 | 11% | 218,036 | 10,902 |
| Nurse Practitioner | 25 | 7.5% | $5,111,667 | 7.5% | 143,357 | 5,734 |
| Rheumatology | 21 | 6.3% | $3,823,443 | 5.6% | 105,824 | 5,039 |
| Internal Medicine | 12 | 3.6% | $2,675,641 | 3.9% | 73,663 | 6,139 |
| Infectious Disease | 13 | 3.9% | $2,624,321 | 3.8% | 71,876 | 5,529 |
Not listed: 9 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 2021.
Top billers of J1569 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