HCPCS J9217

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

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

3,683
94th percentile among 6,405 codes billed · 2023
$77M
97th percentile among 6,405 codes billed · 2023
577K
94th percentile among 6,405 codes billed · 2023
123
88th percentile among 6,405 codes billed · 2023
372
77th percentile among 6,405 codes billed · 2023
-15.5%
Medicare payment on the code vs 2022; billers -10.2% · 2023

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
California321$7,098,98553,452132416
Florida362$6,759,42750,468117324
Texas266$4,899,79336,813111295
Illinois158$3,336,94825,013135314
Virginia129$3,088,07123,241144464
Pennsylvania132$2,808,87621,079125354
New York155$2,804,81621,285108298
Arizona138$2,724,51020,432120350
Maryland98$2,680,06220,152147649
New Jersey116$2,554,41119,191133393
North Carolina117$2,441,49618,258123297
Tennessee111$2,437,08418,236126398
Georgia119$2,380,50818,033114293
Ohio97$2,165,14216,233122427
Indiana88$2,026,40615,232151426

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ181$3,567,77226,984126
Chicago-Naperville-Elgin, IL-IN96$2,089,85115,644138
Los Angeles-Long Beach-Anaheim, CA88$1,977,46714,963133
Phoenix-Mesa-Chandler, AZ93$1,752,86813,152120
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD64$1,612,91412,058128
Baltimore-Columbia-Towson, MD46$1,402,19210,535160
Dallas-Fort Worth-Arlington, TX75$1,381,31810,370106
Washington-Arlington-Alexandria, DC-VA-MD-WV64$1,173,1898,830109
Miami-Fort Lauderdale-West Palm Beach, FL58$1,018,0277,574102
Virginia Beach-Chesapeake-Norfolk, VA-NC29$991,8357,420180
Detroit-Warren-Dearborn, MI48$969,4727,280122
Jacksonville, FL43$931,6326,986140
San Francisco-Oakland-Fremont, CA44$889,6656,740122
Atlanta-Sandy Springs-Roswell, GA52$779,6455,89499
Charlotte-Concord-Gastonia, NC-SC34$732,4955,467104

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 75 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing J9217 nationally

Urology accounts for 68% of payment for J9217 nationally in 2023, across 8 specialties on claims.

observed calculated calculated calculated calculated calculated
Urology2,29762%$52,007,70468%390,049170
Hematology-Oncology64518%$10,422,81214%78,948122
Nurse Practitioner2045.5%$4,163,3045.4%31,347154
Medical Oncology2486.7%$4,064,1065.3%30,749124
Physician Assistant1694.6%$3,895,8925.1%29,260173
Radiation Oncology571.5%$1,246,5921.6%9,371164
Internal Medicine290.79%$396,8680.52%2,999103
Hematology190.52%$371,3480.48%2,813148

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 2023.

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