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Market snapshot

J2403 nationwide CY2023

Medicare Part B FFS · CY2023 · as published by CMS

J2403 — Chloroprocaine hcl ophthalmic, 3% gel, 1 mg

Billing groups
12
Named-group FFS services
4,088,286
FFS of Medicare
49%
Services YoY
+564.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,744,041 services

4,088,286 observed fee-for-service (61%) · ~2,655,755 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2023) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — J2403 (CY2024)

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

Named-group submitted charges
$3.8M
Named-group allowed amount
$2.8M
Named-group Medicare payments
$2.2M
Avg charge / svc
$1
Avg allowed / svc
$1
Avg payment / svc
$1
Average charge per group
$1 12 groups · avg submitted charge / service $2
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Specialty market — Ophthalmology: 3,866,886 services across 11 groups; top group 63%. See Ophthalmology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J2403 services, CY2023
#Physician group City St Specialty Providers J2403 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 CUMBERLAND VALLEY RETINA CONSULTANTS PC HAGERSTOWN MD OPHTHALMOLOGY 5 2,246,401 $1,617,409 $1 premium 81.2% 30166517121027
2 CHARLES RETINA INSTITUTE PC GERMANTOWN TN OPHTHALMOLOGY 11 498,400 $433,608 $1 premium 68.1% (901) 767-4499
3 RETINA AND VITREOUS OF LOUISIANA, INC. BATON ROUGE LA OPHTHALMOLOGY 3 370,400 $629,680 $2 premium 64.1% 2257688833106
4 SK RETINA, LLC SARASOTA FL OPHTHALMOLOGY 2 185,600 $139,200 $1 premium 15.1% (941) 777-5000
5 CUMBERLAND VALLEY RETINA CONSULTANTS PC HAGERSTOWN NC OPHTHALMOLOGY 5 178,400 $128,448 $1 premium 100.0% 30166517121027
6 MCKNIGHT EYE CENTERS, PC LIBERTY MO OPHTHALMOLOGY 6 134,400 $198,000 $1 premium 13.0% (816) 781-2900
7 ACADIANA RETINA CONSULTANTS, LLC LAFAYETTE LA OPHTHALMOLOGY 3 70,400 $63,360 $1 premium 12.2% (337) 232-2710
8 ENID EYE INC. ENID OK OPHTHALMOLOGY 5 56,800 $79,520 $1 premium 25.3% (580) 233-4711
9 FLORIDA EYE CLINIC, PA ALTAMONTE SPRINGS FL OPHTHALMOLOGY 25 49,681 $37,261 $1 premium 4.0% (407) 834-7776
10 RSC AURORA, PLLC AURORA CO OPHTHALMOLOGY 4 42,400 $37,312 $1 premium 15.1% (720) 443-2425
11 RSC AURORA, PLLC AURORA NY OPHTHALMOLOGY 4 19,200 $16,896 $1 premium 2.4% (720) 443-2425
12 LOUISIANA RETINA A PROFESSIONAL MEDICAL CORPORATION DENHAM SPRINGS LA OPHTHALMOLOGY 2 13,600 $10,200 $1 premium 2.4% (225) 523-7624
13 RETINA PARTNERS OF FLORIDA LAKELAND FL OPHTHALMOLOGY 3 1,204 $2,963 $2 premium 0.1% (863) 345-4350

*"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 →