HCPCS J9217

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

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

4,100
94th percentile among 6,326 codes billed · 2022
$91M
97th percentile among 6,326 codes billed · 2022
659K
94th percentile among 6,326 codes billed · 2022
127
89th percentile among 6,326 codes billed · 2022
372
78th percentile among 6,326 codes billed · 2022
-8.1%
Medicare payment on the code vs 2021; billers -3.6% · 2022

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
California363$8,267,50460,196125430
Florida386$7,922,95756,874120317
Texas307$6,068,92643,955120303
Illinois194$4,666,93533,788150367
Virginia148$3,654,81126,456126541
New York172$3,515,87125,736123293
Pennsylvania147$3,239,65223,443127382
North Carolina143$3,039,56521,936132303
New Jersey136$2,945,14221,180126372
Maryland108$2,926,30721,192131603
Arizona138$2,844,62820,603117344
Tennessee114$2,841,12220,500141414
Ohio112$2,720,51319,788132408
Georgia128$2,646,51219,304124317
Indiana105$2,372,10617,239130372

Not listed: 11 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
New York-Newark-Jersey City, NY-NJ209$4,272,67831,092125
Chicago-Naperville-Elgin, IL-IN131$3,126,79522,582144
Los Angeles-Long Beach-Anaheim, CA104$2,301,38616,833118
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD71$1,940,85213,935138
Phoenix-Mesa-Chandler, AZ94$1,766,86812,787115
Dallas-Fort Worth-Arlington, TX87$1,690,06612,199110
Washington-Arlington-Alexandria, DC-VA-MD-WV76$1,500,85010,808110
Baltimore-Columbia-Towson, MD50$1,485,43610,808142
Miami-Fort Lauderdale-West Palm Beach, FL57$1,209,0348,672121
Virginia Beach-Chesapeake-Norfolk, VA-NC37$1,156,1378,347129
Detroit-Warren-Dearborn, MI46$1,064,7437,672137
San Francisco-Oakland-Fremont, CA47$1,021,6217,438135
Atlanta-Sandy Springs-Roswell, GA57$906,0756,595105
St. Louis, MO-IL49$852,8496,190108
Memphis, TN-MS-AR26$832,4036,022154

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 81 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 J9217 nationally

Urology accounts for 72% of payment for J9217 nationally in 2022, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Urology2,70966%$65,423,63172%473,402175
Hematology-Oncology63916%$10,434,98511%76,169119
Nurse Practitioner2155.2%$4,688,2275.2%34,109159
Medical Oncology2375.8%$4,115,3814.5%29,989127
Physician Assistant1824.4%$4,022,2204.4%29,133160
Radiation Oncology661.6%$1,361,7141.5%10,114153
Hematology160.39%$344,9570.38%2,504157
Internal Medicine230.56%$305,1750.34%2,24197

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 2022.

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