NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

J0178 in IN CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J0178 — Injection, aflibercept, 1 mg

Billing groups
22
Named-group FFS services
48,614
FFS of Medicare
50%
Services YoY
-14.4%
FFS enrollment -3.0%
Estimated all-Medicare volume FFS + estimated MA estimate
~95,811 services

48,614 observed fee-for-service (51%) · ~47,197 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
$80.5M
Named-group allowed amount
$39.9M
Named-group Medicare payments
$31.7M
Avg charge / svc
$1,657
Avg allowed / svc
$822
Avg payment / svc
$651
Average charge per group
$980 22 groups · avg submitted charge / service $3,235
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →

Specialty market — Ophthalmology: 41,795 services across 13 groups; top group 30%. See Ophthalmology across all states →

Refine: practice size any 5+ 25+ 100+ independent only
Filter results: clear filters

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J0178 services, CY2024
#Physician group City Specialty Providers J0178 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 ASSOCIATED VITREORETINAL AND UVEITIS CONSULTANTS LLC CARMEL OPHTHALMOLOGY 7 12,601 $18,898,500 $1,500 premium 30.1% 19.1% (317) 571-1501
2 TALLEY MEDICAL-SURGICAL EYE CARE ASSOCIATES PC EVANSVILLE OPHTHALMOLOGY 10 10,912 $21,198,278 $1,943 premium 26.1% 16.5% (812) 424-2020
3 RAJ K. MATURI MD PC CARMEL OPHTHALMOLOGY 4 4,358 $8,688,000 $1,994 premium 10.4% 6.6% (317) 817-1414
4 WHITEWATER EYE CENTERS LLC RICHMOND OPHTHALMOLOGY 13 3,994 $3,916,117 $980 premium 9.6% 6.1% (765) 962-2020
5 INTEG HEALTH SYSTEM PC BLOOMINGTON OPHTHALMOLOGY 8 2,350 $3,779,183 $1,608 premium 5.6% 3.6% (812) 334-1213
6 INDIANA RETINA CENTER LLC FORT WAYNE OPHTHALMOLOGY 3 2,098 $3,965,220 $1,890 premium 5.0% 3.2% (260) 305-2822
7 EYE SURGEONS OF INDIANA, PC INDIANAPOLIS OPHTHALMOLOGY 18 1,522 $1,902,500 $1,250 premium 3.6% 2.3% (317) 841-2020
8 BOLING VISION CENTER LLC ELKHART OPHTHALMOLOGY 11 1,092 $1,696,200 $1,553 premium 2.6% 1.7% (574) 293-8366
9 EYE PHYSICIANS INC KOKOMO OPHTHALMOLOGY 3 1,054 $1,238,450 $1,175 premium 2.5% 1.6% (317) 453-3777
10 PANKRATZ MEDICAL LLC COLUMBUS OPHTHALMOLOGY 2 720 $720,000 $1,000 premium 1.7% 1.1% (812) 373-7777
11 HIGHLAND RETINA ASSOCIATES, LLC TERRE HAUTE OPHTHALMOLOGY 2 448 $769,608 $1,718 premium 1.1% 0.7% (812) 281-2608
12 HOMETOWN OPHTHALMOLOGY LLC EVANSVILLE OPHTHALMOLOGY 2 412 $1,332,820 $3,235 premium 1.0% 0.6% (812) 616-2020
13 NICHOLAS F. HRISOMALOS MD, PC INDIANAPOLIS OPHTHALMOLOGY 2 234 $292,500 $1,250 premium 0.6% 0.4% (317) 817-1500

*"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 →