HCPCS J1602

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

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

974
85th percentile among 6,326 codes billed · 2022
$198M
99th percentile among 6,326 codes billed · 2022
17.0M
100th percentile among 6,326 codes billed · 2022
12,501
99th percentile among 6,326 codes billed · 2022
45,685
99th percentile among 6,326 codes billed · 2022
+0.7%
Medicare payment on the code vs 2021; billers +13.0% · 2022

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
Florida79$15,393,9211,315,64113,90536,570
Texas79$14,077,6401,216,91613,41536,302
California64$12,143,1441,052,60011,25047,340
North Carolina58$12,142,6491,039,85313,12546,570
South Carolina35$11,461,122987,00327,13452,949
Pennsylvania53$9,960,313855,53811,45042,503
Louisiana13$7,883,598679,05626,450202,922
Arizona23$7,818,761671,05124,60057,321
Oklahoma17$7,247,394623,19227,60094,434
Tennessee29$6,976,428602,43216,05037,074
Georgia30$6,620,808567,51811,97059,273
Missouri28$6,490,249558,95911,12551,272
Illinois36$5,784,903494,19310,12536,431
New Jersey35$5,772,692497,76411,50033,925
Ohio29$5,403,132466,39113,00033,828

Not listed: 13 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
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD45$7,025,607599,68211,348
Phoenix-Mesa-Chandler, AZ17$6,230,777534,60724,750
New York-Newark-Jersey City, NY-NJ34$5,291,625457,52611,189
Houston-Pasadena-The Woodlands, TX29$5,217,080449,02913,750
St. Louis, MO-IL15$4,556,364393,53415,600
Chicago-Naperville-Elgin, IL-IN27$4,444,871381,10610,149
Charlotte-Concord-Gastonia, NC-SC23$3,610,074309,73510,800
Tampa-St. Petersburg-Clearwater, FL18$3,174,423271,66413,491
North Port-Bradenton-Sarasota, FL12$2,958,955251,24522,375
Los Angeles-Long Beach-Anaheim, CA18$2,683,559243,1579,002
Detroit-Warren-Dearborn, MI15$2,559,179219,26511,314
Atlanta-Sandy Springs-Roswell, GA12$2,519,672216,49011,970
Dallas-Fort Worth-Arlington, TX22$2,458,300212,6487,275
Seattle-Tacoma-Bellevue, WA14$2,208,159187,9726,763
Miami-Fort Lauderdale-West Palm Beach, FL16$2,028,491174,98210,527

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 21 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 J1602 nationally

Rheumatology accounts for 92% of payment for J1602 nationally in 2022, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology83386%$182,860,34892%15,718,14818,869
Internal Medicine464.7%$7,088,9263.6%608,25113,223
Nurse Practitioner495.0%$4,388,8192.2%377,8757,712
Physician Assistant181.8%$1,243,7570.63%106,0015,889

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 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