HCPCS J9217

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

Drugs Drug code Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

4,255
94th percentile among 6,253 codes billed · 2021
$99M
97th percentile among 6,253 codes billed · 2021
699K
94th percentile among 6,253 codes billed · 2021
129
89th percentile among 6,253 codes billed · 2021
378
78th percentile among 6,253 codes billed · 2021
-25.0%
Medicare payment on the code vs 2020; billers -6.6% · 2021

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
California362$8,664,55561,610127438
Florida379$8,172,23056,967127343
Texas311$6,475,54445,856123296
Illinois208$5,183,61036,644158372
Virginia152$4,137,88229,430141540
Pennsylvania172$4,074,96228,742136383
New York186$3,859,93927,552131295
Tennessee123$3,346,48423,593141445
Ohio123$3,207,85022,699150418
Arizona143$3,153,63422,042117355
North Carolina142$3,152,99922,069135321
New Jersey138$3,143,80622,384119385
Maryland119$2,998,54221,178136420
Georgia133$2,996,28021,284132353
Michigan92$2,434,17917,180152418

Not listed: 8 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 2021.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ215$4,574,00632,582128
Chicago-Naperville-Elgin, IL-IN126$3,393,08423,907162
Los Angeles-Long Beach-Anaheim, CA109$2,438,29217,381109
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD80$2,300,38416,217145
Phoenix-Mesa-Chandler, AZ98$2,011,62914,066116
Washington-Arlington-Alexandria, DC-VA-MD-WV97$1,904,98613,525108
Dallas-Fort Worth-Arlington, TX84$1,877,41613,198125
Baltimore-Columbia-Towson, MD60$1,526,47610,810147
Detroit-Warren-Dearborn, MI54$1,308,6249,159141
Miami-Fort Lauderdale-West Palm Beach, FL58$1,259,6128,761124
Virginia Beach-Chesapeake-Norfolk, VA-NC33$1,183,0948,410124
San Francisco-Oakland-Fremont, CA47$1,081,4297,755150
Atlanta-Sandy Springs-Roswell, GA60$982,9017,016108
Houston-Pasadena-The Woodlands, TX47$930,7386,569120
Memphis, TN-MS-AR29$925,1836,545144

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 82 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing J9217 nationally

Urology accounts for 76% of payment for J9217 nationally in 2021, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Urology2,95269%$74,923,34876%528,088179
Hematology-Oncology57614%$9,637,4099.7%68,976120
Medical Oncology2495.9%$4,232,4294.3%30,181121
Nurse Practitioner1844.3%$4,045,7944.1%28,926157
Physician Assistant1724.0%$3,789,4253.8%26,872156
Radiation Oncology661.6%$1,356,3741.4%9,886150
Internal Medicine270.63%$347,8490.35%2,49092
Hematology140.33%$319,9700.32%2,302164

Not listed: 8 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 2021.

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