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Market snapshot

J0178 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J0178 — Injection, aflibercept, 1 mg

Billing groups
863
Named-group FFS services
2,026,016
FFS of Medicare
49%
Services YoY
-21.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,108,345 services

2,026,016 observed fee-for-service (49%) · ~2,082,329 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation; 2 states without payer-mix data excluded. How we scale

Top states — J0178 (CY2024)
CA 239,203 FL 233,404 NY 185,617 TX 161,570 PA 153,169

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$3.5B
Named-group allowed amount
$1.7B
Named-group Medicare payments
$1.3B
Avg charge / svc
$1,723
Avg allowed / svc
$822
Avg payment / svc
$652
Average charge per group
$19 863 groups · avg submitted charge / service $4,890
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers J0178 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 RETINA VITREOUS CONSULTANTS FT LAUDERDALE FL OPHTHALMOLOGY 44 50,406 $113,612,420 $2,254 21.6% (954) 776-6880
2 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTON MA OPHTHALMOLOGY 70 37,274 $93,183,750 $2,500 38.0% (617) 367-4800
3 LONG ISLAND VITREO RETINAL CONSULTANTS PC GREAT NECK NY OPHTHALMOLOGY 19 31,612 $62,854,769 $1,988 17.0% (516) 466-0390
4 RETINA ASSOCIATES, PLLC RALEIGH NC OPHTHALMOLOGY 19 27,684 $38,803,200 $1,402 31.1% (919) 782-8038
5 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 26,248 $54,068,038 $2,060 28.3% 75762222003020
6 TEXAS RETINA ASSOCIATES DALLAS TX OPHTHALMOLOGY 18 24,821 $55,822,500 $2,249 15.4% (214) 692-6941
7 RETINA ASSOCIATES LLC LENEXA KS OPHTHALMOLOGY 12 24,164 $44,887,300 $1,858 62.0% —
8 VITREO-RETINAL MEDICAL GROUP, INC. YUBA CITY CA OPHTHALMOLOGY 21 23,540 $41,897,280 $1,780 9.8% (530) 273-8358
9 CEI PHYSICIANS PSC, LLC BLUE ASH OH OPHTHALMOLOGY 157 23,078 $85,005,106 $3,683 27.9% 51398451333741
10 TENNESSEE RETINA PC NASHVILLE TN OPHTHALMOLOGY 16 21,482 $66,340,931 $3,088 35.3% (615) 983-6000
11 MISSISSIPPI RETINA ASSOCIATES,PLLC MADISON MS OPHTHALMOLOGY 7 21,233 $42,458,000 $2,000 77.5% (601) 981-4091
12 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON MD OPHTHALMOLOGY 80 20,178 $50,445,000 $2,500 24.8% (202) 331-1188
13 VITREO RETINAL SURGERY PLLC MINNEAPOLIS MN OPHTHALMOLOGY 26 20,058 $59,090,658 $2,946 49.9% (952) 929-1131
14 GEORGIA RETINA, PC LAWRENCEVILLE GA OPHTHALMOLOGY 23 20,001 $40,230,900 $2,011 33.6% (678) 405-0922
15 SOUTHEASTERN RETINA ASSOCIATES PC KNOXVILLE TN OPHTHALMOLOGY 21 18,759 $36,840,150 $1,964 30.8% (865) 588-0811
16 AUSTIN RETINA ASSOCIATES PLLC AUSTIN TX OPHTHALMOLOGY 19 17,198 $34,396,000 $2,000 10.6% (512) 451-0103
17 CHARLESTON NEUROSCIENCES INSTITUTE CHARLESTON SC OPHTHALMOLOGY 9 16,654 $24,815,655 $1,490 29.9% (843) 763-4466
18 RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC LEXINGTON KY OPHTHALMOLOGY 12 15,946 $19,952,500 $1,251 39.6% (859) 263-3900
19 RETINA ASSOCIATES OF CLEVELAND, INC. BEACHWOOD OH OPHTHALMOLOGY 19 15,812 $27,559,750 $1,743 19.1% —
20 SUNIL GUPTA MD LLC PENSACOLA FL OPHTHALMOLOGY 10 15,592 $28,521,932 $1,829 6.7% (850) 476-6759
21 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 14,693 $18,361,541 $1,250 7.9% (516) 766-2519
22 COLORADO RETINA ASSOCIATES, PLLC ENGLEWOOD CO OPHTHALMOLOGY 14 14,372 $27,161,190 $1,890 28.6% (303) 261-1600
23 PALMETTO RETINA CENTER LLC WEST COLUMBIA SC OPHTHALMOLOGY 13 13,918 $20,820,000 $1,496 25.0% (803) 744-0156
24 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NJ OPHTHALMOLOGY 115 13,900 $34,750,000 $2,500 25.3% (201) 837-7300
25 RETINA VITREOUS CENTER, PLLC EDMOND OK OPHTHALMOLOGY 6 13,882 $16,685,400 $1,202 50.5% (405) 607-6699
26 RASW, PC TUCSON AZ OPHTHALMOLOGY 7 13,560 $16,946,600 $1,250 29.9% (520) 886-2597
27 NORTHERN CALIFORNIA RETINA VITREOUS ASSOCIATES MEDICAL GROUP, INC. SAN JOSE CA OPHTHALMOLOGY 7 13,328 $22,956,300 $1,722 5.6% (408) 251-3500
28 ASSOCIATED RETINAL CONSULTANTS PC ROYAL OAK MI OPHTHALMOLOGY 32 13,234 $14,305,120 $1,081 15.4% (248) 288-2280
29 ASSOCIATED VITREORETINAL AND UVEITIS CONSULTANTS LLC CARMEL IN OPHTHALMOLOGY 7 12,601 $18,898,500 $1,500 19.1% (317) 571-1501
30 WOLFE CLINIC INC MARSHALLTOWN IA OPHTHALMOLOGY 36 12,418 $15,521,250 $1,250 40.4% (641) 754-6200
31 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 12,351 $14,456,425 $1,170 13.9% (704) 295-3414
32 RETINA CONSULTANTS LLC BRENTWOOD MO OPHTHALMOLOGY 18 11,936 $23,872,000 $2,000 21.5% (314) 367-1181
33 PACIFIC NORTHWEST RETINA PLLC BELLEVUE WA OPHTHALMOLOGY 19 11,923 $24,628,860 $2,066 22.2% (206) 215-3850
34 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON VA OPHTHALMOLOGY 80 11,428 $28,550,000 $2,498 12.3% (202) 331-1188
35 RETINA CONSULTANTS OF SOUTHERN COLORADO P C COLORADO SPRINGS CO OPHTHALMOLOGY 8 11,354 $32,427,888 $2,856 22.6% 7194739595103
36 RETINA SPECIALISTS OF NORTH ALABAMA, LLC HUNTSVILLE AL OPHTHALMOLOGY 6 11,094 $12,480,750 $1,125 34.8% (256) 539-8851
37 TALLEY MEDICAL-SURGICAL EYE CARE ASSOCIATES PC EVANSVILLE IN OPHTHALMOLOGY 10 10,912 $21,198,278 $1,943 16.5% (812) 424-2020
38 ASSOCIATED RETINA CONSULTANTS LTD PHOENIX AZ OPHTHALMOLOGY 15 9,823 $9,244,449 $941 21.6% (602) 242-4928
39 VITREO RETINAL ASSOCIATES PA GAINESVILLE FL OPHTHALMOLOGY 4 9,326 $11,188,800 $1,200 4.0% (352) 371-2800
40 RETINA CONSULTANTS OF DELMARVA PA MILFORD MD OPHTHALMOLOGY 4 9,104 $7,854,232 $863 11.2% (302) 491-4497
41 RETINA HEALTH CENTER PL FORT MYERS FL OPHTHALMOLOGY 3 9,072 $17,146,080 $1,890 3.9% 2393373337260
42 RETINA ASSOCIATES, P.A. LITTLE ROCK AR OPHTHALMOLOGY 8 9,015 $18,933,600 $2,100 48.3% (501) 219-0900
43 EYE CENTER OF NORTHERN COLORADO PC FORT COLLINS CO OPHTHALMOLOGY 68 8,804 $11,990,330 $1,362 17.5% (970) 221-2222
44 EYE ASSOCIATES OF NEW MEXICO LTD ALBUQUERQUE NM OPTOMETRY 67 8,682 $11,051,700 $1,273 67.4% (505) 888-5757
45 RETINA AND VITREOUS CENTER PC NORFOLK VA OPHTHALMOLOGY 7 8,648 $11,095,384 $1,283 9.3% (757) 481-4400
46 RETINA CONSULTANTS PLLC CHARLESTON WV OPHTHALMOLOGY 6 8,401 $10,165,190 $1,210 46.2% (304) 346-4400
47 RETINA ASSOCIATES LTD ELMHURST IL OPHTHALMOLOGY 5 8,258 $7,459,279 $903 8.0% (630) 571-1501
48 PENNSYLVANIA RETINA SPECIALISTS PC CAMP HILL PA OPHTHALMOLOGY 7 8,210 $11,376,360 $1,386 5.4% (717) 761-8688
49 MIDWEST RETINA, INC DUBLIN OH OPHTHALMOLOGY 10 8,202 $10,512,800 $1,282 9.9% (614) 339-8500
50 RETINA VITREOUS ASSOCIATES MEDICAL GROUP LOS ANGELES CA OPHTHALMOLOGY 17 8,174 $20,240,000 $2,476 3.4% (213) 483-8810
51 BAY AREA RETINA ASSOCIATES VALLEJO CA OPHTHALMOLOGY 8 8,166 $11,216,268 $1,374 3.4% (707) 552-9596
52 NORTHEAST WISCONSIN RETINA ASSOCIATES SC OSHKOSH WI OPHTHALMOLOGY 7 7,808 $17,240,160 $2,208 22.4% (920) 232-8060
53 CALIFORNIA RETINA CONSULTANTS SANTA BARBARA CA OPHTHALMOLOGY 11 7,740 $9,675,000 $1,250 3.2% (805) 963-1648
54 SPOKANE EYE CLINIC PS SPOKANE WA OPHTHALMOLOGY 35 7,604 $11,406,000 $1,500 14.2% (509) 456-0107
55 VITREOUS RETINA MACULA CONSULTANTS OF NEW YORK BROOKLYN NY OPHTHALMOLOGY 11 7,454 $10,008,519 $1,343 4.0% (718) 376-3223
56 RETINAL CONSULTANTS OF ARIZONA LTD PHOENIX AZ OPHTHALMOLOGY 8 7,362 $17,116,650 $2,325 16.2% (800) 640-6442
57 OPHTHALMIC PARTNERS OF FLORIDA PA ORLANDO FL OPHTHALMOLOGY 5 7,227 $8,646,266 $1,196 3.1% (407) 425-7188
58 RETINA ASSOCIATES, PC MARTINSBURG VA OPHTHALMOLOGY 6 7,074 $7,604,550 $1,075 7.6% (540) 722-3500
59 VITREO-RETINAL CONSULTANTS AND SURGEONS PA WICHITA KS OPHTHALMOLOGY 5 6,976 $8,720,000 $1,250 17.9% (316) 683-5611
60 RETINA SPECIALISTS OF MICHIGAN PC GRAND RAPIDS MI OPHTHALMOLOGY 10 6,810 $8,512,500 $1,250 7.9% (616) 954-2020
61 THOMPSON AND SJAARDA PA FREDERICK MD OPHTHALMOLOGY 3 6,714 $6,715,200 $1,000 8.3% (301) 682-9700
62 WEST COAST RETINA MEDICAL GROUP INC SAN FRANCISCO CA OPHTHALMOLOGY 10 6,702 $30,159,000 $4,500 2.8% (415) 972-4600
63 VISION INNOVATION CENTERS OF PENNSYLVANIA LLC WEST PITTSTON PA OPTOMETRY 85 6,672 $12,259,336 $1,837 4.4% (570) 602-1010
64 RETINA CARE SPECIALISTS PLLC PALM BEACH GARDENS FL OPHTHALMOLOGY 6 6,519 $7,027,482 $1,078 2.8% (561) 624-0099
65 RETINA AND VITREOUS SURGEONS OF UTAH LLC MURRAY UT OPHTHALMOLOGY 4 6,506 $9,759,000 $1,500 30.3% (801) 892-8200
66 REGIONAL EYE ASSOCIATES INC MORGANTOWN WV OPHTHALMOLOGY 15 6,454 $7,180,075 $1,112 35.5% (304) 598-3301
67 EYE SURGEONS OF RICHMOND INC RICHMOND VA OPHTHALMOLOGY 44 6,435 $8,657,550 $1,345 6.9% (804) 287-4200
68 ORANGE COUNTY RETINA MEDICAL GROUP SAN JUAN CAPISTRANO CA OPHTHALMOLOGY 4 6,420 $6,751,500 $1,052 2.7% (949) 496-0611
69 EYE CONSULTANTS OF ATLANTA, PC ATLANTA GA OPHTHALMOLOGY 30 6,290 $13,548,806 $2,154 10.6% (404) 351-2220
70 RETINA AND VITREOUS OF TEXAS PLLC BELLAIRE TX OPHTHALMOLOGY 9 6,242 $6,133,749 $983 3.9% (713) 799-9975
71 MID-SOUTH RETINA ASSOCIATES, LLC MEMPHIS TN OPHTHALMOLOGY 6 6,192 $8,668,800 $1,400 10.2% (901) 682-1100
72 THE RETINA PARTNERS ENCINO CA OPHTHALMOLOGY 6 6,062 $7,577,500 $1,250 2.5% (818) 788-9333
73 MONMOUTH RETINA CONSULTANTS PA LITTLE SILVER NJ OPHTHALMOLOGY 11 6,038 $6,612,840 $1,095 11.0% (732) 530-7730
74 ILLINOIS RETINA ASSOCIATES, PLLC HARVEY IL OPHTHALMOLOGY 19 6,030 $11,453,200 $1,899 5.8% (708) 596-8710
75 RETINOVITREOUS ASSOCIATES LTD PHILADELPHIA PA OPHTHALMOLOGY 39 6,010 $14,622,330 $2,433 3.9% (800) 331-6634
76 MIDWEST RETINA CONSULTANTS SC DES PLAINES IL OPHTHALMOLOGY 6 6,008 $5,085,738 $846 5.8% (847) 698-6300
77 EYE CARE FOR THE ADIRONDACKS ASSOCIATES IN OPHTHALMOLOGY, PC PLATTSBURGH NY OPHTHALMOLOGY 8 5,883 $9,882,694 $1,680 3.2% (518) 566-2020
78 RETINA VITREOUS CONSULTANTS INC. TRIADELPHIA PA OPHTHALMOLOGY 9 5,828 $6,993,600 $1,200 3.8% 41268353002020
79 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 5,824 $5,633,408 $967 3.1% (914) 241-1050
80 EAST BAY RETINA CONSULTANTS A MEDICAL GROUP INC OAKLAND CA OPHTHALMOLOGY 6 5,824 $10,058,833 $1,727 2.4% (510) 444-1600
81 WHEATON EYE CLINIC LTD WHEATON IL OPHTHALMOLOGY 45 5,806 $5,435,985 $936 5.6% (630) 668-8250
82 MAGIE MABREY EYE CLINIC P A CONWAY AR OPHTHALMOLOGY 5 5,800 $11,600,000 $2,000 31.1% (501) 327-4444
83 MID-HUDSON OPHTHALMOLOGICAL RETINA CONSULTANTS, PLLC NEWBURGH NY OPHTHALMOLOGY 3 5,794 $11,588,000 $2,000 3.1% (845) 562-1100
84 PACIFIC EYE INSTITUTE A MEDICAL GROUP INC UPLAND CA OPHTHALMOLOGY 47 5,784 $7,747,779 $1,340 2.4% (909) 982-8846
85 RETINA CONSULTANTS OF CAROLINA, PA GREENVILLE SC OPHTHALMOLOGY 11 5,689 $7,958,300 $1,399 10.2% (864) 233-5722
86 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 5,663 $10,129,318 $1,789 10.2% —
87 VITREOUS AND RETINA CONSULTANTS PA WINTER HAVEN FL OPHTHALMOLOGY 5 5,657 $5,439,432 $962 2.4% (863) 297-5400
88 REFOCUS EYE HEALTH OF CENTRAL CONNECTICUT PC STAMFORD CT OPHTHALMOLOGY 37 5,572 $7,022,920 $1,260 17.4% (203) 869-3082
89 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 5,572 $9,975,600 $1,790 6.7% (419) 291-2003
90 SOUTHERN VITREORETINAL ASSOCIATES, PL TALLAHASSEE FL OPHTHALMOLOGY 6 5,506 $8,259,000 $1,500 2.4% (850) 942-6700
91 RETINA AND VITREOUS CONSULTANTS OF WI, LTD. MILWAUKEE WI OPHTHALMOLOGY 3 5,457 $9,258,200 $1,697 15.7% (414) 775-3484
92 RETINA GROUP INC COLUMBUS OH OPHTHALMOLOGY 5 5,456 $6,876,980 $1,260 6.6% 61446439372223
93 GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC SAVANNAH GA OPHTHALMOLOGY 20 5,451 $6,745,612 $1,238 9.2% (912) 629-5968
94 ROCKY MOUNTAIN EYE CENTER PC MISSOULA MT OPHTHALMOLOGY 15 5,403 $6,383,944 $1,182 32.9% (406) 541-3937
95 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 5,309 $7,370,311 $1,388 2.3% (305) 689-5437
96 EYE CENTERS OF LOUISVILLE,PSC LOUISVILLE KY OPTOMETRY 28 5,236 $6,416,718 $1,226 13.0% (502) 895-0040
97 NEVADA RETINA ASSOCIATES, STEVEN M. FRIEDLANDER, M.D., LTD. RENO NV OPHTHALMOLOGY 4 5,170 $10,749,700 $2,079 28.8% (775) 356-7272
98 RETINA CENTER OF VERMONT INC SOUTH BURLINGTON VT OPHTHALMOLOGY 3 5,162 $11,150,000 $2,160 89.7% (802) 864-3937
99 RETINA CONSULTANTS PC MANCHESTER CT OPHTHALMOLOGY 7 5,068 $6,332,500 $1,250 15.9% (860) 646-7704
100 SOUND RETINA PS TACOMA WA OPHTHALMOLOGY 6 5,062 $7,889,160 $1,559 9.4% (253) 572-1444

Showing the top 100 of 863 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →