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Market snapshot

J2777 in SD CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J2777 — Injection, faricimab-svoa, 0.1 mg

Billing groups
6
Named-group FFS services
353,640
FFS of Medicare
63%
Services YoY
+48.1%
FFS enrollment -2.3%
Estimated all-Medicare volume FFS + estimated MA estimate
~552,284 services

353,640 observed fee-for-service (64%) · ~198,644 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
$17.5M
Named-group allowed amount
$12.1M
Named-group Medicare payments
$9.7M
Avg charge / svc
$50
Avg allowed / svc
$34
Avg payment / svc
$27
Average charge per group
$42 6 groups · avg submitted charge / service $65
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Specialty market — Ophthalmology: 353,640 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Ophthalmology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by J2777 services, CY2024
#Physician group City Specialty Providers J2777 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 BLACK HILLS REGIONAL EYE INSTITUTE LLP RAPID CITY OPHTHALMOLOGY 14 120,180 $6,609,900 $55 premium 33.3% (605) 341-2000
2 OPHTHALMOLOGY LTD SIOUX FALLS OPHTHALMOLOGY 14 113,760 $5,232,960 $46 premium 31.5% (605) 336-6294
3 OPHTHALMOLOGY ASSOCIATES 010196 ABERDEEN OPHTHALMOLOGY 4 55,380 $2,300,943 $42 premium 15.3% (605) 226-2108
4 SLINGSBY AND HUOT EYE ASSOCIATES PROF RAPID CITY OPHTHALMOLOGY 6 36,120 $1,571,220 $44 premium 10.0% (605) 719-9499
5 RETINA ASSOCIATES OF UTAH PC MURRAY OPHTHALMOLOGY 8 21,360 $1,345,680 $63 premium 5.9% (801) 312-2020
6 TEXAS RETINA ASSOCIATES DALLAS OPHTHALMOLOGY 18 6,840 $447,383 $65 premium 1.9% (214) 692-6941

*"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 →