HCPCS Q0138

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) (CMS descriptor)

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

1,318
88th percentile among 6,116 codes billed · 2020
$39M
95th percentile among 6,116 codes billed · 2020
47.7M
100th percentile among 6,116 codes billed · 2020
23,970
99th percentile among 6,116 codes billed · 2020
104,626
100th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$20M$40M2020: $39M paid20202021: $39M paid20212022: $31M paid20222023: $14M paid20232024: $7.3M paid2024$7.3M$0$20M$40M2020: $39M paid20202021: $39M paid20212022: $31M paid20222023: $14M paid20232024: $7.3M paid2024$7.3M$0$20M$40M2020: $39M paid20202021: $39M paid20212022: $31M paid20222023: $14M paid20232024: $7.3M paid2024$7.3M$0$20M$40M2020: $39M paid20202021: $39M paid20212022: $31M paid20222023: $14M paid20232024: $7.3M paid2024$7.3M

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

Billers

01,0002020: 1,318 providers20202021: 1,372 providers20212022: 1,430 providers20222023: 1,238 providers20232024: 977 providers202497701,0002020: 1,318 providers20202021: 1,372 providers20212022: 1,430 providers20222023: 1,238 providers20232024: 977 providers202497701,0002020: 1,318 providers20202021: 1,372 providers20212022: 1,430 providers20222023: 1,238 providers20232024: 977 providers202497701,0002020: 1,318 providers20202021: 1,372 providers20212022: 1,430 providers20222023: 1,238 providers20232024: 977 providers2024977

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
2024977$7,312,035-49%26,842,03518,87081,8040.00
20231,238$14,460,869-54% (2023 changed hospital and observation visit codes)36,878,19420,91081,5920.00
20221,430$31,290,843-19%48,530,88822,95098,4300.00
20211,372$38,690,739– (Not compared: 2021 changed office visit values)50,700,11025,500109,6500.00
20201,318$38,726,952first year in data47,654,56123,970104,6260.00

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
Florida219$10,849,22313,307,07549,470145,911
Texas228$5,408,2076,693,39319,38088,536
Illinois72$1,892,4302,315,40022,95088,332
Maryland35$1,812,7392,234,00445,542178,602
Arkansas31$1,421,1061,743,18152,020102,765
California71$1,316,5731,615,19719,38048,450
Alabama48$1,307,9621,624,35030,85580,962
Ohio48$1,240,7421,526,43127,03069,182
Virginia54$1,157,2101,423,92121,93057,706
South Carolina22$1,062,6861,309,17340,800142,163
Michigan35$1,024,1931,260,21033,15063,546
North Carolina20$934,9221,149,08414,535178,679
Tennessee24$816,0091,006,23029,580101,668
Georgia38$765,467949,11020,91051,918
Pennsylvania34$759,432938,55223,46069,640

Not listed: 13 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
Tampa-St. Petersburg-Clearwater, FL55$2,569,3023,160,47246,410
Houston-Pasadena-The Woodlands, TX56$1,601,3671,964,52224,480
North Port-Bradenton-Sarasota, FL25$1,249,5251,539,18148,960
Orlando-Kissimmee-Sanford, FL21$1,167,2011,427,49054,570
Baltimore-Columbia-Towson, MD18$1,084,0001,340,99347,761
Chicago-Naperville-Elgin, IL-IN52$1,042,8141,283,16020,400
Dallas-Fort Worth-Arlington, TX71$962,1741,192,89014,790
Detroit-Warren-Dearborn, MI25$747,151920,04034,170
Little Rock-North Little Rock-Conway, AR15$739,476908,82061,710
Cape Coral-Fort Myers, FL19$710,188872,10032,130
Myrtle Beach-Conway-North Myrtle Beach, SC11$659,116809,88049,980
Washington-Arlington-Alexandria, DC-VA-MD-WV16$628,850765,51147,430
Austin-Round Rock-San Marcos, TX23$607,161753,27019,380
Miami-Fort Lauderdale-West Palm Beach, FL15$600,179732,66047,940
Knoxville, TN12$589,860728,79059,160

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 37 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 Q0138 nationally

Hematology-Oncology accounts for 73% of payment for Q0138 nationally in 2020, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Hematology-Oncology87466%$28,227,38273%34,719,69939,725
Medical Oncology28321%$7,397,56019%9,103,26432,167
Internal Medicine463.5%$1,062,7792.7%1,313,76128,560
Nephrology262.0%$572,4141.5%706,29127,165
Hematology262.0%$567,8371.5%697,68026,834
Nurse Practitioner292.2%$413,2451.1%511,02017,621
Radiation Oncology110.83%$104,3910.27%128,52011,684

Not listed: 13 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 Q0138 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