RxDoctor Payments Data

HCPCS J7611

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg

$0.16Medicare-allowed amount per service, averaged across 10,935 services
Providers submitted
$6.72

Asking price, not received

Medicare allowed
$0.16

The fee schedule figure

Medicare paid
$0.12

Balance is patient coinsurance

Providers submitted an average of $6.72 for this code and Medicare allowed $0.1642.0× 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 $0.12 (75%); the rest is the patient’s coinsurance and deductible.

Services
10,935

Medicare Part B, 2024

Beneficiaries
3,959
Providers billing it
78
Total allowed
$1,750

Services × allowed amount

What Medicare pays for HCPCS J7611

Across 10,935 services billed by 78 providers to 3,959 beneficiaries, Medicare allowed an average of $0.16 per service. That is 2.8 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 J7611

SpecialtyServicesBeneficiariesAvg allowedProviders
Pulmonary Disease7,7842,426$0.1623
Internal Medicine1,620776$0.1616
Physician Assistant362155$0.168
Family Practice270171$0.1610
Nurse Practitioner21198$0.165
Allergy/ Immunology13292$0.165
Nuclear Medicine11932$0.151
Nephrology11128$0.171
Diagnostic Radiology8433$0.161
Emergency Medicine8159$0.164
Ophthalmology5418$0.161
Cardiac Surgery4844$0.161
Critical Care (Intensivists)4315$0.151
General Surgery1612$0.171

J7611 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
California6,507$0.16$0.1316
New Mexico1,371$0.16$0.134
Oklahoma572$0.15$0.119
Arizona363$0.16$0.123
Nevada245$0.16$0.131
Colorado226$0.16$0.132
Florida220$0.16$0.126
South Carolina211$0.16$0.123
New York193$0.17$0.134
Georgia138$0.16$0.131
Michigan128$0.16$0.124
New Jersey112$0.16$0.131
Delaware104$0.16$0.131
Oregon96$0.16$0.135
Utah81$0.16$0.121
Wyoming80$0.17$0.102
Tennessee52$0.16$0.112
Virginia51$0.17$0.133
Nebraska39$0.17$0.121
Texas37$0.16$0.123
Louisiana29$0.16$0.122
Massachusetts28$0.15$0.121
Arkansas21$0.18$0.141
Connecticut16$0.17$0.131
Maryland15$0.17$0.121

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.