HCPCS J9217

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

Drugs Drug code Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

4,554
94th percentile among 6,116 codes billed · 2020
$132M
98th percentile among 6,116 codes billed · 2020
756K
95th percentile among 6,116 codes billed · 2020
134
90th percentile among 6,116 codes billed · 2020
383
79th percentile among 6,116 codes billed · 2020

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
Florida401$11,010,57862,839129355
California366$10,877,46462,598131406
Texas342$8,721,02750,044121317
Illinois207$6,363,96536,420144403
Pennsylvania187$5,485,24831,491146347
Virginia156$4,978,63428,574132476
New York199$4,823,60027,707122274
North Carolina155$4,546,60325,976138383
Tennessee130$4,416,64125,328146384
Maryland130$4,334,14024,762155436
New Jersey157$4,263,08324,437123359
Georgia148$4,250,48324,524140348
Ohio129$4,165,37423,870139467
Indiana115$3,940,86322,464149397
Arizona151$3,904,10122,435117374

Not listed: 7 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 2020.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ253$6,122,39235,180118
Chicago-Naperville-Elgin, IL-IN142$4,605,73026,260152
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD97$3,093,78717,705152
Los Angeles-Long Beach-Anaheim, CA106$2,841,79016,425121
Dallas-Fort Worth-Arlington, TX102$2,667,05115,310112
Washington-Arlington-Alexandria, DC-VA-MD-WV99$2,518,07714,529109
Baltimore-Columbia-Towson, MD70$2,440,74913,947168
Phoenix-Mesa-Chandler, AZ104$2,410,77413,896111
Miami-Fort Lauderdale-West Palm Beach, FL62$1,739,8579,862134
Detroit-Warren-Dearborn, MI53$1,564,3658,940138
Virginia Beach-Chesapeake-Norfolk, VA-NC34$1,455,9468,322164
Atlanta-Sandy Springs-Roswell, GA65$1,455,8908,397129
San Francisco-Oakland-Fremont, CA49$1,301,6447,534134
St. Louis, MO-IL53$1,217,0606,942111
Houston-Pasadena-The Woodlands, TX49$1,197,8616,870126

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 87 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing J9217 nationally

Urology accounts for 79% of payment for J9217 nationally in 2020, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Urology3,28172%$103,675,73179%593,871181
Hematology-Oncology56312%$11,668,6948.9%67,335120
Medical Oncology2515.5%$5,418,4824.1%31,191124
Nurse Practitioner1733.8%$4,364,4033.3%25,063145
Physician Assistant1533.4%$3,838,8012.9%22,123145
Radiation Oncology681.5%$1,650,0671.3%9,568141
Internal Medicine290.64%$424,3120.32%2,45785
Hematology160.35%$423,6980.32%2,463154

Not listed: 9 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 2020.

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