HCPCS J1602

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

Drugs Drug code Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

862
84th percentile among 6,253 codes billed · 2021
$197M
99th percentile among 6,253 codes billed · 2021
14.4M
99th percentile among 6,253 codes billed · 2021
12,202
99th percentile among 6,253 codes billed · 2021
43,428
99th percentile among 6,253 codes billed · 2021
+10.3%
Medicare payment on the code vs 2020; billers +18.4% · 2021

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
Florida73$14,994,4471,093,73312,60032,640
Texas68$12,988,860954,57411,87532,260
North Carolina51$12,154,789892,59513,87543,665
South Carolina33$12,095,770894,34624,51358,072
California57$11,760,468866,34511,15041,085
Pennsylvania42$10,104,143744,02211,86040,630
Arizona23$7,741,970566,90219,64551,397
Oklahoma20$7,238,872538,02922,32568,859
Tennessee29$6,975,218517,12412,45039,680
Georgia24$6,704,097492,03115,36648,609
Missouri22$6,227,404454,95212,45053,567
Illinois32$5,767,761417,4239,59032,702
New Jersey31$5,091,462375,70410,00328,823
Ohio24$4,882,956359,64612,28829,026
New York29$4,856,296354,86211,15022,660

Not listed: 16 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
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD36$6,160,899450,80310,500
Phoenix-Mesa-Chandler, AZ17$6,064,331444,03821,200
New York-Newark-Jersey City, NY-NJ29$5,056,846370,63110,200
Houston-Pasadena-The Woodlands, TX23$4,731,735346,89912,050
Oklahoma City, OK11$4,466,262332,95411,613
St. Louis, MO-IL16$4,455,460325,65012,125
Chicago-Naperville-Elgin, IL-IN22$4,238,215307,2389,948
Charlotte-Concord-Gastonia, NC-SC20$3,596,626264,45812,275
Tampa-St. Petersburg-Clearwater, FL17$3,393,337247,76313,294
Dallas-Fort Worth-Arlington, TX18$2,495,688182,4758,825
Los Angeles-Long Beach-Anaheim, CA15$2,494,772188,2188,300
Miami-Fort Lauderdale-West Palm Beach, FL14$2,049,306148,9009,375
Detroit-Warren-Dearborn, MI11$2,016,442146,83110,960
Seattle-Tacoma-Bellevue, WA14$2,003,656146,1296,175
Baltimore-Columbia-Towson, MD11$1,941,746142,35411,550

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 18 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 J1602 nationally

Rheumatology accounts for 93% of payment for J1602 nationally in 2021, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology75888%$183,116,29193%13,448,36217,742
Internal Medicine414.8%$7,190,2953.7%524,87212,802
Nurse Practitioner323.7%$3,129,4571.6%230,2657,196
Physician Assistant121.4%$1,075,6890.55%79,1166,593

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 2021.

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