HCPCS J9217

Leuprolide acetate (for depot suspension), 7.5 mg (CMS descriptor)

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

3,290
93rd percentile among 6,471 codes billed · 2024
$69M
97th percentile among 6,471 codes billed · 2024
495K
93rd percentile among 6,471 codes billed · 2024
120
86th percentile among 6,471 codes billed · 2024
338
74th percentile among 6,471 codes billed · 2024
-10.7%
Medicare payment on the code vs 2023; billers -10.7% · 2024

Trend

Medicare payment on the code

$0$50M$100M2020: $132M paid20202021: $99M paid20212022: $91M paid20222023: $77M paid20232024: $69M paid2024$69M$0$50M$100M2020: $132M paid20202021: $99M paid20212022: $91M paid20222023: $77M paid20232024: $69M paid2024$69M$0$50M$100M2020: $132M paid20202021: $99M paid20212022: $91M paid20222023: $77M paid20232024: $69M paid2024$69M$0$50M$100M2020: $132M paid20202021: $99M paid20212022: $91M paid20222023: $77M paid20232024: $69M paid2024$69M

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

Billers

02,0004,0002020: 4,554 providers20202021: 4,255 providers20212022: 4,100 providers20222023: 3,683 providers20232024: 3,290 providers20243,29002,0004,0002020: 4,554 providers20202021: 4,255 providers20212022: 4,100 providers20222023: 3,683 providers20232024: 3,290 providers20243,29002,0004,0002020: 4,554 providers20202021: 4,255 providers20212022: 4,100 providers20222023: 3,683 providers20232024: 3,290 providers20243,29002,0004,0002020: 4,554 providers20202021: 4,255 providers20212022: 4,100 providers20222023: 3,683 providers20232024: 3,290 providers20243,290

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
20243,290$68,531,588-11%495,1061203380.00
20233,683$76,777,249-16%577,0921233720.00
20224,100$90,883,949-8%659,0321273720.00
20214,255$98,861,965-25%699,2351293780.00
20204,554$131,820,652first year in data756,1751343830.00

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
California316$6,590,77747,861120378
Florida298$5,854,23042,177118289
Texas254$4,834,91634,862112300
Maryland99$2,926,78121,132147619
Illinois136$2,834,92820,457124315
Virginia127$2,620,46319,040120347
New Jersey124$2,597,94818,640120368
Arizona128$2,541,50218,386111331
Pennsylvania115$2,359,82017,012121303
New York120$2,246,98516,285113280
Georgia106$2,135,77815,530125333
Tennessee97$2,101,28115,129133338
North Carolina91$2,018,42014,583132303
Ohio81$1,835,14613,199126366
Indiana81$1,673,90012,149133300

Not listed: 12 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
New York-Newark-Jersey City, NY-NJ168$3,267,61823,584122
Los Angeles-Long Beach-Anaheim, CA88$1,817,26613,264124
Chicago-Naperville-Elgin, IL-IN86$1,685,49712,088116
Phoenix-Mesa-Chandler, AZ86$1,610,62711,643110
Baltimore-Columbia-Towson, MD43$1,424,81210,298178
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD58$1,357,9919,717121
Washington-Arlington-Alexandria, DC-VA-MD-WV65$1,299,3189,383102
Dallas-Fort Worth-Arlington, TX59$1,211,5208,684123
Jacksonville, FL41$998,1507,200147
Detroit-Warren-Dearborn, MI44$920,5006,604132
San Francisco-Oakland-Fremont, CA44$845,0656,135118
Miami-Fort Lauderdale-West Palm Beach, FL43$816,6635,901117
Atlanta-Sandy Springs-Roswell, GA47$738,4645,39693
Virginia Beach-Chesapeake-Norfolk, VA-NC29$700,0095,104120
Minneapolis-St. Paul-Bloomington, MN-WI31$663,1804,789141

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 72 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 J9217 nationally

Urology accounts for 63% of payment for J9217 nationally in 2024, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Urology1,93459%$43,511,56363%313,528162
Hematology-Oncology63519%$10,887,30416%79,176125
Nurse Practitioner2096.4%$4,419,4716.4%31,900153
Medical Oncology2216.7%$3,846,9905.6%28,070127
Physician Assistant1685.1%$3,503,1165.1%25,278150
Radiation Oncology551.7%$1,254,9371.8%9,120166
Internal Medicine341.0%$488,7540.71%3,549104
Hematology180.55%$404,5730.59%2,937163

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 2024.

Top billers of J9217 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