HCPCS J9271

Injection, pembrolizumab, 1 mg (CMS descriptor)

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

1,548
88th percentile among 6,253 codes billed · 2021
$874M
100th percentile among 6,253 codes billed · 2021
21.4M
100th percentile among 6,253 codes billed · 2021
11,600
99th percentile among 6,253 codes billed · 2021
30,260
99th percentile among 6,253 codes billed · 2021
+16.0%
Medicare payment on the code vs 2020; billers +5.5% · 2021

Trend

Medicare payment on the code

$0$500M$1.00B2020: $753M paid20202021: $874M paid20212022: $1.05B paid20222023: $1.15B paid20232024: $1.24B paid2024$1.24B$0$500M$1.00B2020: $753M paid20202021: $874M paid20212022: $1.05B paid20222023: $1.15B paid20232024: $1.24B paid2024$1.24B$0$500M$1.00B2020: $753M paid20202021: $874M paid20212022: $1.05B paid20222023: $1.15B paid20232024: $1.24B paid2024$1.24B$0$500M$1.00B2020: $753M paid20202021: $874M paid20212022: $1.05B paid20222023: $1.15B paid20232024: $1.24B paid2024$1.24B

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

Billers

01,0002,0002020: 1,467 providers20202021: 1,548 providers20212022: 1,729 providers20222023: 1,841 providers20232024: 1,922 providers20241,92201,0002,0002020: 1,467 providers20202021: 1,548 providers20212022: 1,729 providers20222023: 1,841 providers20232024: 1,922 providers20241,92201,0002,0002020: 1,467 providers20202021: 1,548 providers20212022: 1,729 providers20222023: 1,841 providers20232024: 1,922 providers20241,92201,0002,0002020: 1,467 providers20202021: 1,548 providers20212022: 1,729 providers20222023: 1,841 providers20232024: 1,922 providers20241,922

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
20241,922$1,242,513,566+8%28,218,85612,40031,4000.00
20231,841$1,154,350,197+10%27,083,04512,40032,6010.00
20221,729$1,047,455,630+20%25,195,37212,40031,6000.00
20211,548$874,037,553+16%21,421,85511,60030,2600.00
20201,467$753,229,592first year in data19,161,47910,83028,9400.00

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
Florida188$131,304,9073,235,28913,40038,145
Texas166$77,664,6551,888,1139,70024,100
California106$66,507,8221,655,94613,90129,000
Virginia98$57,254,2321,392,91112,55026,975
Illinois88$50,320,5201,216,44512,70027,900
Maryland53$36,123,657882,36414,80035,600
Tennessee40$29,301,483711,40015,60038,400
Arizona58$26,715,092664,1339,19028,610
Arkansas33$22,372,169542,70215,20030,160
South Carolina33$22,260,707541,00017,00025,800
Georgia31$21,754,134529,00017,00031,700
New York42$21,407,847524,65410,60024,580
Alabama34$20,430,981497,60015,65025,000
Minnesota66$19,873,854501,7147,80014,555
New Jersey35$19,254,585468,42210,60027,274

Not listed: 1 billers with an armed-forces or unknown state code (XX); they are in the national totals.

Not listed: 19 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
Chicago-Naperville-Elgin, IL-IN56$32,648,627789,13511,500
Washington-Arlington-Alexandria, DC-VA-MD-WV52$27,046,808663,45111,260
Virginia Beach-Chesapeake-Norfolk, VA-NC32$23,650,203575,20015,500
New York-Newark-Jersey City, NY-NJ38$22,948,838556,72114,550
Dallas-Fort Worth-Arlington, TX61$21,891,447532,4128,000
Phoenix-Mesa-Chandler, AZ42$17,347,892424,4438,801
North Port-Bradenton-Sarasota, FL21$17,009,839425,87817,400
Baltimore-Columbia-Towson, MD19$15,609,000380,63417,800
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD22$15,078,897368,80014,400
Los Angeles-Long Beach-Anaheim, CA26$14,428,567368,21312,215
Cape Coral-Fort Myers, FL18$13,446,547324,60013,500
Tampa-St. Petersburg-Clearwater, FL17$12,878,304310,10012,600
Memphis, TN-MS-AR16$12,152,397295,10015,800
Jacksonville, FL35$12,014,290318,4148,700
Little Rock-North Little Rock-Conway, AR16$11,679,840282,80216,301

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 39 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 J9271 nationally

Hematology-Oncology accounts for 70% of payment for J9271 nationally in 2021, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology1,03567%$613,421,33170%15,003,83614,496
Medical Oncology39626%$208,481,36924%5,116,93812,922
Internal Medicine473.0%$25,521,2672.9%620,53413,203
Hematology211.4%$10,710,4271.2%261,28412,442
Nurse Practitioner211.4%$6,746,9490.77%162,4017,733

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 2021.

Top billers of J9271 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