RxDoctor Payments Data

HCPCS J1602

Injection, golimumab, 1 mg, for intravenous use

$11.35Medicare-allowed amount per service, averaged across 19,861,793 services
Providers submitted
$45.47

Asking price, not received

Medicare allowed
$11.35

The fee schedule figure

Medicare paid
$8.99

Balance is patient coinsurance

Providers submitted an average of $45.47 for this code and Medicare allowed $11.354.0× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $8.99 (79%); the rest is the patient’s coinsurance and deductible.

Services
19,861,793

Medicare Part B, 2024

Beneficiaries
33,757
Providers billing it
1,076
Total allowed
$225,431,351

Services × allowed amount

What Medicare pays for HCPCS J1602

Across 19,861,793 services billed by 1,076 providers to 33,757 beneficiaries, Medicare allowed an average of $11.35 per service. That is 588.4 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

This is a drug or supply code rather than a service. The unit is usually a dose or a milligram, so the per-service figure is small by construction and the total is what carries meaning — read it alongside the service count rather than on its own.

Who bills J1602

SpecialtyServicesBeneficiariesAvg allowedProviders
Rheumatology17,535,50228,771$11.36885
Internal Medicine903,3821,673$11.3458
Nurse Practitioner782,6331,762$11.3276
Physician Assistant255,529744$11.3123
Hematology-Oncology90,690225$11.4213
Infectious Disease69,10193$11.392
Family Practice65,882194$11.356
Hospitalist60,60494$11.093
Gastroenterology28,40053$11.301
Allergy/ Immunology24,25055$11.444
Pharmacy16,02036$11.101
Pediatric Medicine11,65015$11.451
Certified Clinical Nurse Specialist7,90017$10.901
Endocrinology5,90012$11.561
Vascular Surgery4,35013$11.011

J1602 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

StateServicesAllowedStandardized pmtProviders
Texas1,604,868$11.33$9.1187
Florida1,487,935$11.42$9.1289
North Carolina1,211,519$11.37$9.0868
California1,138,776$11.42$9.0867
South Carolina1,110,006$11.32$9.1137
Pennsylvania900,935$11.44$9.0954
Arizona851,718$11.36$9.1126
Oklahoma788,930$11.31$9.1134
Louisiana752,343$11.25$9.1217
New Jersey711,327$11.35$9.1039
Georgia667,000$11.32$9.0729
Tennessee655,808$11.31$9.1128
Missouri592,759$11.38$9.0928
Ohio559,793$11.32$9.1132
Illinois518,862$11.39$9.0733
Virginia460,273$11.31$9.0624
New York422,739$11.37$9.1132
Maryland366,301$11.35$9.1134
Alabama366,190$11.30$9.1422
Michigan357,467$11.32$9.1021
Kentucky337,682$11.28$9.0926
Oregon311,811$11.39$9.1121
Kansas287,557$11.38$9.0916
Washington280,903$11.43$9.0721
Wisconsin256,610$11.34$9.1212
Colorado255,817$11.20$9.1121
Idaho254,987$11.31$9.089
Mississippi252,605$11.37$9.149
Indiana245,716$11.32$9.1019
Arkansas240,720$11.32$9.1314
Iowa238,445$11.37$9.0617
Minnesota223,123$11.42$9.0619
Massachusetts218,427$11.34$9.0713
Montana153,350$11.42$9.077
Delaware149,210$11.26$9.158
Connecticut137,192$11.40$9.147
Utah76,235$11.28$9.076
Maine71,175$11.49$9.094
Nebraska70,175$11.45$9.094
South Dakota64,240$11.45$9.083
New Mexico58,572$11.41$9.094
District of Columbia44,600$11.46$9.074
Nevada34,862$11.46$9.084
Rhode Island18,550$11.47$9.131
West Virginia15,579$11.45$9.092
Alaska10,600$11.48$9.061
Wyoming10,100$11.39$8.981
Hawaii9,500$9.36$9.681
North Dakota7,900$11.44$9.051

Related codes

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.