HCPCS J1602

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

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

1,041
86th percentile among 6,405 codes billed · 2023
$197M
99th percentile among 6,405 codes billed · 2023
18.9M
100th percentile among 6,405 codes billed · 2023
13,251
99th percentile among 6,405 codes billed · 2023
46,400
99th percentile among 6,405 codes billed · 2023
-0.8%
Medicare payment on the code vs 2022; billers +6.9% · 2023

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
Florida87$16,057,4291,542,74413,93040,512
Texas85$15,648,5561,509,67614,85039,608
North Carolina67$11,788,3611,127,91311,90039,307
California67$11,195,9081,081,59011,55143,761
Pennsylvania58$10,534,1401,007,32411,77847,892
South Carolina38$10,050,981969,13523,56049,961
Arizona26$8,220,169788,51624,03564,202
Louisiana14$7,371,402708,19926,916188,729
Oklahoma17$7,008,450675,37125,40092,369
Tennessee30$6,606,835636,78119,81341,852
Georgia27$6,483,245624,90917,20063,420
Missouri24$6,403,255612,89013,15078,896
New Jersey38$6,296,213604,25412,58046,559
Illinois40$5,875,684562,68211,07533,974
Ohio32$5,362,175518,00312,72529,809

Not listed: 17 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 2023.

Top metro areas

observed calculated calculated calculated calculated
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD49$7,311,287699,85010,844
Phoenix-Mesa-Chandler, AZ18$6,402,547614,67028,619
New York-Newark-Jersey City, NY-NJ34$5,777,291553,05612,588
Houston-Pasadena-The Woodlands, TX27$4,811,454462,27513,500
St. Louis, MO-IL14$4,537,546435,22316,225
Chicago-Naperville-Elgin, IL-IN29$4,502,807432,30311,149
Charlotte-Concord-Gastonia, NC-SC27$3,574,227342,28911,250
Tampa-St. Petersburg-Clearwater, FL20$3,247,586312,18311,850
North Port-Bradenton-Sarasota, FL13$3,058,602291,67921,001
Miami-Fort Lauderdale-West Palm Beach, FL23$2,880,927278,93711,155
Atlanta-Sandy Springs-Roswell, GA12$2,848,687273,47416,704
Dallas-Fort Worth-Arlington, TX21$2,635,343252,06511,850
Detroit-Warren-Dearborn, MI16$2,610,482250,67614,925
Los Angeles-Long Beach-Anaheim, CA15$2,370,376237,61713,850
Seattle-Tacoma-Bellevue, WA17$2,145,684204,6636,801

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 22 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing J1602 nationally

Rheumatology accounts for 91% of payment for J1602 nationally in 2023, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Rheumatology88985%$178,428,29491%17,154,51419,296
Internal Medicine504.8%$8,798,7934.5%849,27816,986
Nurse Practitioner555.3%$5,123,9392.6%492,8798,961
Physician Assistant181.7%$1,563,6000.80%149,3108,295
Hematology-Oncology151.4%$877,6490.45%83,8045,587

Not listed: 6 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 2023.

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