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Market snapshot

J0178 in FL CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J0178 — Injection, aflibercept, 1 mg

Billing groups
73
Named-group FFS services
191,654
FFS of Medicare
43%
Services YoY
-21.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~436,993 services

191,654 observed fee-for-service (44%) · ~245,339 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. How we scale

Named-group submitted charges
$325.6M
Named-group allowed amount
$158.0M
Named-group Medicare payments
$125.4M
Avg charge / svc
$1,699
Avg allowed / svc
$824
Avg payment / svc
$654
Average charge per group
$907 73 groups · avg submitted charge / service $4,890
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Specialty market — Ophthalmology: 165,945 services across 58 groups; top group 30%. See Ophthalmology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City Specialty Providers J0178 svcs Submitted charges Avg charge Medicare $ Share of specialty*Share of state* Phone
1 RETINA VITREOUS CONSULTANTS FT LAUDERDALE OPHTHALMOLOGY 44 50,406 $113,612,420 $2,254 30.4% 21.6% (954) 776-6880
2 SUNIL GUPTA MD LLC PENSACOLA OPHTHALMOLOGY 10 15,592 $28,521,932 $1,829 9.4% 6.7% (850) 476-6759
3 VITREO RETINAL ASSOCIATES PA GAINESVILLE OPHTHALMOLOGY 4 9,326 $11,188,800 $1,200 5.6% 4.0% (352) 371-2800
4 RETINA HEALTH CENTER PL FORT MYERS OPHTHALMOLOGY 3 9,072 $17,146,080 $1,890 5.5% 3.9% 2393373337260
5 OPHTHALMIC PARTNERS OF FLORIDA PA ORLANDO OPHTHALMOLOGY 5 7,227 $8,646,266 $1,196 4.4% 3.1% (407) 425-7188
6 RETINA CARE SPECIALISTS PLLC PALM BEACH GARDENS OPHTHALMOLOGY 6 6,519 $7,027,482 $1,078 3.9% 2.8% (561) 624-0099
7 VITREOUS AND RETINA CONSULTANTS PA WINTER HAVEN OPHTHALMOLOGY 5 5,657 $5,439,432 $962 3.4% 2.4% (863) 297-5400
8 SOUTHERN VITREORETINAL ASSOCIATES, PL TALLAHASSEE OPHTHALMOLOGY 6 5,506 $8,259,000 $1,500 3.3% 2.4% (850) 942-6700
9 FLORIDA EYE MICROSURGICAL INSTITUTE INC BOYNTON BEACH OPHTHALMOLOGY 13 5,048 $6,060,000 $1,200 3.0% 2.2% (561) 737-5500
10 CENTER FOR EXCELLENCE IN EYECARE PA MIAMI OPHTHALMOLOGY 17 3,780 $3,713,850 $982 2.3% 1.6% (305) 598-2020
11 FLORIDA RETINA SPECIALISTS, P.A. MERRITT ISLAND OPHTHALMOLOGY 4 3,100 $3,730,696 $1,203 1.9% 1.3% (321) 735-8800
12 FLORIDA EYE INSTITUTE PA VERO BEACH OPHTHALMOLOGY 5 2,860 $2,942,040 $1,029 1.7% 1.2% (772) 569-9500
13 DELRAY EYE ASSOCIATES PA DELRAY BEACH OPHTHALMOLOGY 9 2,853 $2,995,650 $1,050 1.7% 1.2% (561) 498-8100
14 SOUTHEASTERN RETINA SPECIALISTS PA WAYCROSS OPHTHALMOLOGY 2 2,780 $4,086,438 $1,470 1.7% 1.2% (912) 387-0020
15 RETINA PARTNERS OF FLORIDA LAKELAND OPHTHALMOLOGY 3 2,595 $3,285,868 $1,266 1.6% 1.1% (863) 345-4350
16 FLORIDA EYE ASSOCIATES INC MELBOURNE OPHTHALMOLOGY 14 2,586 $3,361,800 $1,300 1.6% 1.1% (321) 727-2020
17 PAUTLER COHEN FINDLAY EICHENBAUM WHITE AND CRANE MDS PA TAMPA OPHTHALMOLOGY 8 2,364 $4,726,632 $1,999 1.4% 1.0% (813) 879-5795
18 ATLANTIC RETINA CONSULTANTS MELBOURNE OPHTHALMOLOGY 2 2,090 $2,400,328 $1,148 1.3% 0.9% (321) 999-7456
19 OCALA EYE PA OCALA OPHTHALMOLOGY 24 2,018 $2,650,000 $1,313 1.2% 0.9% (352) 622-5183
20 SHALOM J. KIEVAL, MD PC LATHAM OPHTHALMOLOGY 3 1,910 $3,151,500 $1,650 1.2% 0.8% (518) 218-1234
21 EYE ASSOCIATES OF BOCA RATON, P.A. BOCA RATON OPHTHALMOLOGY 7 1,780 $2,296,000 $1,290 1.1% 0.8% (561) 391-8300
22 FLORIDA EYE CLINIC, PA ALTAMONTE SPRINGS OPHTHALMOLOGY 25 1,674 $1,757,700 $1,050 1.0% 0.7% (407) 834-7776
23 THE EYE PHYSICIANS OF PINELLAS, PA LARGO OPHTHALMOLOGY 39 1,615 $2,018,750 $1,250 1.0% 0.7% (727) 581-8706
24 ATLANTIC EYE INSTITUTE, P.A. JACKSONVILLE OPHTHALMOLOGY 10 1,590 $1,987,500 $1,250 1.0% 0.7% (904) 241-7865
25 MID FLORIDA EYE CENTER PA MOUNT DORA OPHTHALMOLOGY 11 1,512 $2,321,204 $1,535 0.9% 0.6% (352) 744-7002
26 RETINA CARE CONSULTANTS PA SARASOTA OPHTHALMOLOGY 6 1,404 $1,346,520 $959 0.8% 0.6% (941) 351-1200
27 EYE SITE OF TAMPA BAY PA CLEARWATER OPHTHALMOLOGY 4 1,060 $1,039,330 $980 0.6% 0.5% (727) 799-3772
28 RETINA CENTER PA GAINESVILLE OPHTHALMOLOGY 2 1,040 $1,326,450 $1,275 0.6% 0.4% (352) 333-5050
29 SAURABH N PATEL MD PA BONITA SPRINGS OPHTHALMOLOGY 3 978 $2,445,000 $2,500 0.6% 0.4% 2393903339226
30 RETINA CENTER OF PENSACOLA PA PENSACOLA OPHTHALMOLOGY 4 864 $1,900,800 $2,200 0.5% 0.4% —
31 RETINA MACULA SPECIALISTS OF MIAMI LLC PLANTATION OPHTHALMOLOGY 23 772 $1,428,200 $1,850 0.5% 0.3% (954) 452-9922
32 FLORIDA VISION INSTITUTE INC STUART OPHTHALMOLOGY 11 736 $1,357,184 $1,844 0.4% 0.3% (772) 283-2020
33 SK RETINA, LLC SARASOTA OPHTHALMOLOGY 2 690 $690,000 $1,000 0.4% 0.3% (941) 777-5000
34 PALM BEACH EYE CENTER INC DELRAY BEACH OPHTHALMOLOGY 5 566 $1,126,000 $1,989 0.3% 0.2% (561) 287-3295
35 NIELSEN EYE CENTER, INC. QUINCY OPHTHALMOLOGY 14 520 $780,000 $1,500 0.3% 0.2% (617) 471-5665
36 ST MICHAELS EYE AND LASER INSTITUTE INC LARGO OPHTHALMOLOGY 5 482 $761,372 $1,580 0.3% 0.2% (727) 585-2200
37 GOROVOY MD EYE SPECIALISTS PA FORT MYERS OPHTHALMOLOGY 3 474 $711,000 $1,500 0.3% 0.2% (239) 939-1444
38 RETINA ASSOCIATES OF FLORIDA, P.A. TAMPA OPHTHALMOLOGY 3 426 $852,000 $2,000 0.3% 0.2% (813) 875-6373
39 NEWSOM EYE AND LASER CENTER INC TAMPA OPHTHALMOLOGY 16 426 $745,500 $1,750 0.3% 0.2% (813) 908-2020
40 RIVERSIDE EYE CENTER PLLC SEBASTIAN OPHTHALMOLOGY 4 421 $421,000 $1,000 0.3% 0.2% (772) 589-8111
41 MANATEE SARASOTA EYE CLINIC PA BRADENTON OPHTHALMOLOGY 10 326 $342,300 $1,050 0.2% 0.1% (941) 748-1818
42 SOUTH FLORIDA RETINA INSTITUTE PLLC MIAMI OPHTHALMOLOGY 2 319 $397,500 $1,246 0.2% 0.1% (786) 590-1777
43 ADVANCED RETINA INSTITUTE LLC BONITA SPRINGS OPHTHALMOLOGY 2 314 $556,355 $1,772 0.2% 0.1% (239) 544-3122
44 MAGRUDER EYE INSTITUTE, PLLC ORLANDO OPHTHALMOLOGY 24 308 $616,000 $2,000 0.2% 0.1% (407) 893-8200
45 EYE SURGERY ASSOCIATES LLC HOLLYWOOD OPHTHALMOLOGY 13 288 $501,120 $1,740 0.2% 0.1% (954) 925-2740
46 STUART J KAUFMAN MD AND ASSOC PA ZEPHYRHILLS OPHTHALMOLOGY 7 258 $283,800 $1,100 0.2% 0.1% (813) 788-7616
47 HARRIS, WILCOX AND DONOVAN PA ORANGE PARK OPHTHALMOLOGY 17 252 $302,400 $1,200 0.2% 0.1% (904) 272-2020
48 EYE PHYSICIANS OF FLORIDA LLP PLANTATION OPHTHALMOLOGY 42 234 $292,500 $1,250 0.1% 0.1% (954) 741-5555
49 CAROLINA EYECARE PHYSICIANS LLC CHARLESTON OPHTHALMOLOGY 28 216 $259,200 $1,200 0.1% 0.1% (888) 856-1878
50 EYE ASSOCIATES OF TALLAHASSEE, P.A. TALLAHASSEE OPHTHALMOLOGY 12 187 $653,846 $3,496 0.1% 0.1% (850) 878-6161
51 MARC F COMARATTA MD PC BOZEMAN OPHTHALMOLOGY 2 182 $227,500 $1,250 0.1% 0.1% (406) 284-2370
52 BRANDON EYE ASSOCIATES PA BRANDON OPHTHALMOLOGY 10 164 $328,000 $2,000 0.1% 0.1% (813) 684-2211
53 CAPITAL EYE CONSULTANTS PA TALLAHASSEE OPHTHALMOLOGY 2 132 $198,000 $1,500 0.1% 0.1% 8502014733103
54 JULIA NEMIROFF, MD PLLC PALM BEACH GARDENS OPHTHALMOLOGY 2 126 $189,000 $1,500 0.1% 0.1% (561) 331-1797
55 GREGORY L HENDERSON MD FACS INC BRANDON OPHTHALMOLOGY 32 94 $173,146 $1,842 0.1% 0.0% —
56 ROBSON EYE INSTITUTE PLLC CLEARWATER OPHTHALMOLOGY 5 92 $156,335 $1,699 0.1% 0.0% (727) 266-2393
57 SARASOTA RETINA INSTITUTE P A SARASOTA OPHTHALMOLOGY 3 76 $76,000 $1,000 0.0% 0.0% (941) 921-5335
58 WEST COAST EYE INSTITUTE PA LECANTO OPHTHALMOLOGY 5 58 $69,600 $1,200 0.0% 0.0% (352) 746-2246

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →