HCPCS J3245

Injection, tildrakizumab, 1 mg (CMS descriptor)

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

160
70th percentile among 6,326 codes billed · 2022
$79M
97th percentile among 6,326 codes billed · 2022
730K
94th percentile among 6,326 codes billed · 2022
3,850
98th percentile among 6,326 codes billed · 2022
9,755
98th percentile among 6,326 codes billed · 2022
+115.2%
Medicare payment on the code vs 2021; billers +97.5% · 2022

Trend

Medicare payment on the code

$0$100M2020: $13M paid20202021: $37M paid20212022: $79M paid20222023: $113M paid20232024: $137M paid2024$137M$0$100M2020: $13M paid20202021: $37M paid20212022: $79M paid20222023: $113M paid20232024: $137M paid2024$137M$0$100M2020: $13M paid20202021: $37M paid20212022: $79M paid20222023: $113M paid20232024: $137M paid2024$137M$0$100M2020: $13M paid20202021: $37M paid20212022: $79M paid20222023: $113M paid20232024: $137M paid2024$137M

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

Billers

01002002020: 28 providers20202021: 81 providers20212022: 160 providers20222023: 225 providers20232024: 265 providers202426501002002020: 28 providers20202021: 81 providers20212022: 160 providers20222023: 225 providers20232024: 265 providers202426501002002020: 28 providers20202021: 81 providers20212022: 160 providers20222023: 225 providers20232024: 265 providers202426501002002020: 28 providers20202021: 81 providers20212022: 160 providers20222023: 225 providers20232024: 265 providers2024265

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
2024265$136,974,230+22%1,278,4094,10011,0200.00
2023225$112,576,292+43%1,028,0163,80010,8200.00
2022160$78,857,640+115%729,7163,8509,7550.00
202181$36,637,315+187%339,7293,8008,2000.00
202028$12,762,527first year in data118,6124,0507,0900.00

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
Texas18$7,512,59169,3112,9508,130
California14$7,179,26066,5004,4509,600
South Carolina11$4,793,56844,3003,8007,100
North Carolina11$3,514,25532,4002,2006,450

Not listed: 30 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-MD11$8,027,81674,1035,400

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 1 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 J3245 nationally

Nurse Practitioner accounts for 40% of payment for J3245 nationally in 2022, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner7547%$31,251,17840%289,1013,855
Dermatology4126%$25,211,45832%233,7125,700
Rheumatology116.9%$5,994,7137.6%55,4005,036

Not listed: 11 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 J3245 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