HCPCS J1602

Injection, golimumab, 1 mg, for intravenous use (CMS descriptor)

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

1,076
87th percentile among 6,471 codes billed · 2024
$179M
99th percentile among 6,471 codes billed · 2024
19.9M
100th percentile among 6,471 codes billed · 2024
13,650
99th percentile among 6,471 codes billed · 2024
47,801
99th percentile among 6,471 codes billed · 2024
-9.1%
Medicare payment on the code vs 2023; billers +3.4% · 2024

Trend

Medicare payment on the code

$0$100M$200M2020: $178M paid20202021: $197M paid20212022: $198M paid20222023: $197M paid20232024: $179M paid2024$179M$0$100M$200M2020: $178M paid20202021: $197M paid20212022: $198M paid20222023: $197M paid20232024: $179M paid2024$179M$0$100M$200M2020: $178M paid20202021: $197M paid20212022: $198M paid20222023: $197M paid20232024: $179M paid2024$179M$0$100M$200M2020: $178M paid20202021: $197M paid20212022: $198M paid20222023: $197M paid20232024: $179M paid2024$179M

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

Billers

05001,0002020: 728 providers20202021: 862 providers20212022: 974 providers20222023: 1,041 providers20232024: 1,076 providers20241,07605001,0002020: 728 providers20202021: 862 providers20212022: 974 providers20222023: 1,041 providers20232024: 1,076 providers20241,07605001,0002020: 728 providers20202021: 862 providers20212022: 974 providers20222023: 1,041 providers20232024: 1,076 providers20241,07605001,0002020: 728 providers20202021: 862 providers20212022: 974 providers20222023: 1,041 providers20232024: 1,076 providers20241,076

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
20241,076$178,627,979-9%19,861,79313,65047,8010.00
20231,041$196,573,528-1%18,901,78813,25146,4000.00
2022974$198,178,221+1%17,031,17812,50145,6850.00
2021862$196,802,511+10%14,449,21412,20243,4280.00
2020728$178,399,237first year in data11,424,33211,93038,0920.00

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
Texas87$14,399,9291,604,86814,80043,480
Florida89$13,478,8431,487,93512,68044,113
North Carolina68$10,895,8761,211,51912,60945,601
California67$10,300,8691,138,77611,25042,720
South Carolina37$9,952,7521,110,00629,15053,246
Pennsylvania54$8,163,215900,93514,43042,009
Arizona26$7,669,307851,71825,91265,294
Oklahoma34$7,056,637788,93021,01353,137
Louisiana17$6,711,565752,34326,200194,315
New Jersey39$6,400,596711,32712,40065,536
Georgia29$5,971,236667,00017,65058,622
Tennessee28$5,878,856655,80820,12542,400
Missouri28$5,342,986592,7598,67573,645
Ohio32$5,025,650559,79314,67530,115
Illinois33$4,679,310518,86210,95037,289

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 2024.

Top metro areas

observed calculated calculated calculated calculated
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD47$6,250,982691,56412,400
Phoenix-Mesa-Chandler, AZ18$5,996,829665,78931,426
New York-Newark-Jersey City, NY-NJ33$5,673,460625,81713,750
Houston-Pasadena-The Woodlands, TX27$4,200,863468,57114,700
Chicago-Naperville-Elgin, IL-IN25$3,782,261420,22712,500
St. Louis, MO-IL15$3,643,347403,37518,524
Charlotte-Concord-Gastonia, NC-SC29$3,284,144364,47910,150
Tampa-St. Petersburg-Clearwater, FL23$3,252,818359,96012,770
Oklahoma City, OK13$3,054,137341,80525,700
Dallas-Fort Worth-Arlington, TX24$2,746,348305,51512,575
North Port-Bradenton-Sarasota, FL15$2,599,053285,31112,700
Washington-Arlington-Alexandria, DC-VA-MD-WV28$2,596,222288,2377,875
Atlanta-Sandy Springs-Roswell, GA11$2,328,732258,85520,250
Los Angeles-Long Beach-Anaheim, CA17$2,325,637256,79111,400
Detroit-Warren-Dearborn, MI14$2,154,193239,61619,289

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 23 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 J1602 nationally

Rheumatology accounts for 88% of payment for J1602 nationally in 2024, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology88582%$157,748,22688%17,535,50219,814
Internal Medicine585.4%$8,122,4644.5%903,38215,576
Nurse Practitioner767.1%$7,023,2883.9%782,63310,298
Physician Assistant232.1%$2,282,3191.3%255,52911,110
Hematology-Oncology131.2%$820,4430.46%90,6906,976

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 2024.

Top billers of J1602 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