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Market snapshot

J2781 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

J2781 — Injection, pegcetacoplan, intravitreal, 1 mg

Billing groups
292
Named-group FFS services
1,794,462
FFS of Medicare
49%
Services YoY
+490.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,544,285 services

1,794,462 observed fee-for-service (51%) · ~1,749,823 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

Top states — J2781 (CY2024)
CA 255,165 FL 215,097 TX 212,480 MD 191,417 NY 133,074

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

Named-group submitted charges
$530.1M
Named-group allowed amount
$263.1M
Named-group Medicare payments
$209.3M
Avg charge / svc
$295
Avg allowed / svc
$147
Avg payment / svc
$117
Average charge per group
$145 292 groups · avg submitted charge / service $4,500
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers J2781 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CUMBERLAND VALLEY RETINA CONSULTANTS PC HAGERSTOWN MD OPHTHALMOLOGY 5 125,492 $31,372,500 $250 65.6% 30166517121027
2 RETINA ASSOCIATES OF CLEVELAND, INC. BEACHWOOD OH OPHTHALMOLOGY 19 85,200 $26,241,600 $308 70.9% —
3 SUNIL GUPTA MD LLC PENSACOLA FL OPHTHALMOLOGY 10 47,475 $17,321,805 $365 22.1% (850) 476-6759
4 CHARLESTON NEUROSCIENCES INSTITUTE CHARLESTON SC OPHTHALMOLOGY 9 44,033 $8,380,064 $190 53.0% (843) 763-4466
5 PACIFIC NORTHWEST RETINA PLLC BELLEVUE WA OPHTHALMOLOGY 19 42,482 $11,469,600 $270 48.2% (206) 215-3850
6 LONG ISLAND VITREO RETINAL CONSULTANTS PC GREAT NECK NY OPHTHALMOLOGY 19 30,630 $9,166,501 $299 23.0% (516) 466-0390
7 AUSTIN RETINA ASSOCIATES PLLC AUSTIN TX OPHTHALMOLOGY 19 30,450 $10,231,200 $336 14.3% (512) 451-0103
8 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NJ OPHTHALMOLOGY 115 29,730 $10,901,099 $367 32.1% (201) 837-7300
9 COLORADO RETINA ASSOCIATES, PLLC ENGLEWOOD CO OPHTHALMOLOGY 14 29,505 $8,556,450 $290 42.7% (303) 261-1600
10 VITREO-RETINAL MEDICAL GROUP, INC. YUBA CITY CA OPHTHALMOLOGY 21 26,355 $8,170,050 $310 10.3% (530) 273-8358
11 RETINA VITREOUS CONSULTANTS FT LAUDERDALE FL OPHTHALMOLOGY 44 26,235 $17,721,360 $675 12.2% (954) 776-6880
12 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON VA OPHTHALMOLOGY 80 25,530 $9,361,085 $367 31.8% (202) 331-1188
13 TEXAS RETINA ASSOCIATES DALLAS TX OPHTHALMOLOGY 18 25,520 $8,505,170 $333 12.0% (214) 692-6941
14 SOUTHEASTERN RETINA ASSOCIATES PC KNOXVILLE TN OPHTHALMOLOGY 21 24,454 $6,858,600 $280 31.1% (865) 588-0811
15 RETINA CONSULTANTS SAN DIEGO INC POWAY CA OPHTHALMOLOGY 5 21,445 $8,887,375 $414 8.4% (858) 451-1911
16 RETINA CONSULTANTS OF SOUTHERN COLORADO P C COLORADO SPRINGS CO OPHTHALMOLOGY 8 20,595 $9,479,261 $460 29.8% 7194739595103
17 TENNESSEE RETINA PC NASHVILLE TN OPHTHALMOLOGY 16 19,290 $7,403,502 $384 24.5% (615) 983-6000
18 BLACK HILLS REGIONAL EYE INSTITUTE LLP RAPID CITY SD OPHTHALMOLOGY 14 17,491 $3,060,925 $175 67.1% (605) 341-2000
19 RETINA ASSOCIATES OF UTAH PC MURRAY UT OPHTHALMOLOGY 8 16,651 $4,386,090 $263 19.2% (801) 312-2020
20 RETINA VITREOUS ASSOCIATES MEDICAL GROUP LOS ANGELES CA OPHTHALMOLOGY 17 16,455 $6,582,000 $400 6.4% (213) 483-8810
21 RETINA ASSOCIATES LLC LENEXA KS OPHTHALMOLOGY 12 15,840 $6,890,400 $435 83.0% —
22 NEW VISION EYE CENTER, LLC VERO BEACH TX OPHTHALMOLOGY 7 15,811 $2,845,980 $180 7.4% (772) 257-8700
23 CHARLES RETINA INSTITUTE PC GERMANTOWN TN OPHTHALMOLOGY 11 15,645 $2,816,100 $180 19.9% (901) 767-4499
24 RAJ K. MATURI MD PC CARMEL IN OPHTHALMOLOGY 4 15,338 $5,856,300 $382 30.3% (317) 817-1414
25 OREGON EYE CONSULTANTS LLC EUGENE OR OPHTHALMOLOGY 8 15,230 $7,919,600 $520 40.8% (541) 687-1927
26 RETINA CARE CONSULTANTS PA SARASOTA FL OPHTHALMOLOGY 6 15,045 $2,708,100 $180 7.0% (941) 351-1200
27 RETINA AND VITREOUS SURGEONS OF UTAH LLC MURRAY UT OPHTHALMOLOGY 4 14,715 $5,727,000 $389 17.0% (801) 892-8200
28 ORANGE COUNTY RETINA MEDICAL GROUP SAN JUAN CAPISTRANO CA OPHTHALMOLOGY 4 14,595 $2,919,000 $200 5.7% (949) 496-0611
29 EYE CARE FOR THE ADIRONDACKS ASSOCIATES IN OPHTHALMOLOGY, PC PLATTSBURGH NY OPHTHALMOLOGY 8 14,055 $4,361,173 $310 10.6% (518) 566-2020
30 RETINA ASSOCIATES OF SOUTHERN UTAH ST GEORGE UT OPHTHALMOLOGY 2 13,965 $4,105,710 $294 16.1% —
31 RETINA SPECIALISTS OF IDAHO PARTNERS PLLC BOISE ID OPHTHALMOLOGY 2 13,665 $4,095,000 $300 42.4% (208) 938-5624
32 GEORGIA RETINA, PC LAWRENCEVILLE GA OPHTHALMOLOGY 23 13,380 $3,906,960 $292 53.0% (678) 405-0922
33 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTON MA OPHTHALMOLOGY 70 12,120 $4,848,000 $400 47.6% (617) 367-4800
34 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 11,895 $5,154,579 $433 8.9% (516) 766-2519
35 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON MD OPHTHALMOLOGY 80 11,505 $4,218,538 $367 6.0% (202) 331-1188
36 RETINA CONSULTANTS OF ORANGE COUNTY, A MEDICAL CORPORATION FULLERTON CA OPHTHALMOLOGY 7 11,475 $3,476,122 $303 4.5% (714) 738-4620
37 RETINA CONSULTANTS PC MANCHESTER CT OPHTHALMOLOGY 7 11,464 $3,190,085 $278 37.9% (860) 646-7704
38 HARSHI BAINS MD PA TYLER TX OPHTHALMOLOGY 4 11,404 $5,333,309 $468 5.4% (903) 597-4644
39 RETINA CONSULTANTS OF DELMARVA PA MILFORD MD OPHTHALMOLOGY 4 11,295 $1,728,135 $153 5.9% (302) 491-4497
40 FLORIDA EYE INSTITUTE PA VERO BEACH FL OPHTHALMOLOGY 5 10,938 $2,998,192 $274 5.1% (772) 569-9500
41 CEI PHYSICIANS PSC, LLC BLUE ASH OH OPHTHALMOLOGY 157 10,938 $1,686,555 $154 9.1% 51398451333741
42 SALT LAKE RETINA LLC WEST JORDAN UT OPHTHALMOLOGY 4 10,650 $1,917,000 $180 12.3% —
43 KOVACH EYE INSTITUTE LTD ELMHURST IL OPHTHALMOLOGY 6 10,470 $2,094,000 $200 19.7% (630) 833-9621
44 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 10,125 $1,559,250 $154 12.6% 75762222003020
45 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 10,065 $2,918,850 $290 4.7% (305) 689-5437
46 SOUND RETINA PS TACOMA WA OPHTHALMOLOGY 6 9,886 $2,471,500 $250 11.2% (253) 572-1444
47 MAINE EYE CENTER PA PORTLAND ME OPHTHALMOLOGY 18 9,735 $2,920,500 $300 81.7% (207) 774-8277
48 PREMIER EYE CARE OF EASTERN IDAHO IDAHO FALLS ID OPHTHALMOLOGY 10 9,690 $3,352,020 $346 30.1% (208) 529-6600
49 RIVERSIDE EYECARE PROFESSIONALS INC A MEDICAL CORPORATION REDDING CA OPHTHALMOLOGY 3 9,450 $2,201,850 $233 3.7% (530) 244-2273
50 SPOKANE EYE CLINIC PS SPOKANE WA OPHTHALMOLOGY 35 9,435 $1,887,000 $200 10.7% (509) 456-0107
51 VITREOUS RETINA MACULA CONSULTANTS OF NEW YORK BROOKLYN NY OPHTHALMOLOGY 11 8,925 $2,677,500 $300 6.7% (718) 376-3223
52 RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC LEXINGTON KY OPHTHALMOLOGY 12 8,745 $1,445,400 $165 66.4% (859) 263-3900
53 OPHTHALMOLOGY SPECIALISTS OF TEXAS PLLC WILLOW PARK TX OPHTHALMOLOGY 6 8,085 $2,587,200 $320 3.8% (817) 594-0914
54 MONMOUTH RETINA CONSULTANTS PA LITTLE SILVER NJ OPHTHALMOLOGY 11 8,025 $1,340,505 $167 8.7% (732) 530-7730
55 JEFFREY V. WINSTON, M.D., A PROFESSIONAL CORP. FULLERTON CA OPTOMETRY 7 7,905 $5,159,100 $653 3.1% (714) 888-2080
56 RETINA INSTITUTE, PLLC RENTON WA OPHTHALMOLOGY 3 7,500 $3,255,000 $434 8.5% (425) 228-6262
57 MIDWEST RETINA CONSULTANTS SC DES PLAINES IL OPHTHALMOLOGY 6 7,500 $1,120,715 $149 14.1% (847) 698-6300
58 JAWAD A QURESHI MD PA SOUTHLAKE TX OPHTHALMOLOGY 7 7,376 $3,831,750 $519 3.5% (817) 865-6800
59 GRAND STRAND RETINA PC MURRELLS INLET SC OPHTHALMOLOGY 2 7,350 $1,647,801 $224 8.8% (843) 651-3937
60 CALIFORNIA RETINA CONSULTANTS SANTA BARBARA CA OPHTHALMOLOGY 11 7,290 $3,207,600 $440 2.9% (805) 963-1648
61 GREAT LAKES EYE CARE PC SAINT JOSEPH MI OPHTHALMOLOGY 11 7,275 $1,156,725 $159 25.0% (269) 428-3300
62 VITREO RETINAL ASSOCIATES PA GAINESVILLE FL OPHTHALMOLOGY 4 7,200 $2,160,000 $300 3.3% (352) 371-2800
63 RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR PASADENA CA OPHTHALMOLOGY 82 7,170 $3,340,870 $466 2.8% (800) 898-2020
64 HORIZON EYE CARE PA CHARLOTTE NC OPHTHALMOLOGY 25 7,170 $1,355,130 $189 22.7% (704) 365-0555
65 BELLINGHAM RETINA SPECIALISTS PLLC KIRKLAND WA OPHTHALMOLOGY 2 7,020 $2,035,800 $290 8.0% (425) 242-1051
66 RETINOVITREOUS ASSOCIATES LTD PHILADELPHIA PA OPHTHALMOLOGY 39 6,960 $3,243,360 $466 6.1% (800) 331-6634
67 EYE CENTERS OF TENNESSEE, LLC COOKEVILLE TN OPTOMETRY 17 6,932 $1,275,488 $184 8.8% (931) 650-4100
68 MISSISSIPPI RETINA ASSOCIATES,PLLC MADISON MS OPHTHALMOLOGY 7 6,855 $2,056,500 $300 29.6% (601) 981-4091
69 EYE ASSOCIATES OF MANATEE, LLP BRADENTON FL OPTOMETRY 63 6,840 $2,496,600 $365 3.2% (941) 792-2020
70 MANDELL RETINA CENTER PC VIRGINIA BEACH VA OPHTHALMOLOGY 3 6,780 $1,361,100 $201 8.5% (757) 227-4300
71 RETINAL CONSULTANTS OF ARIZONA LTD PHOENIX AZ OPHTHALMOLOGY 8 6,675 $2,509,800 $376 18.1% (800) 640-6442
72 ROBERT E PARNES MD LLC HAGERSTOWN MD OPHTHALMOLOGY 3 6,660 $1,332,000 $200 3.5% (301) 671-2400
73 VIRGINIA RETINA CONSULTANTS, PLC CHARLOTTESVILLE VA OPHTHALMOLOGY 3 6,330 $1,266,000 $200 7.9% (434) 978-2040
74 RETINAL DIAGNOSTIC CENTER A MEDICAL CORPORATION CAMPBELL CA OPHTHALMOLOGY 6 6,330 $1,856,842 $293 2.5% (408) 559-0666
75 ASSOCIATED VITREORETINAL AND UVEITIS CONSULTANTS LLC CARMEL IN OPHTHALMOLOGY 7 6,165 $2,669,445 $433 12.2% (317) 571-1501
76 CENTRAL MINNESOTA RETINA CONSULTANTS, PLLC SARTELL MN OPHTHALMOLOGY 2 6,060 $1,121,100 $185 44.2% (320) 230-8555
77 MANATEE SARASOTA EYE CLINIC PA BRADENTON FL OPHTHALMOLOGY 10 6,045 $1,027,650 $170 2.8% (941) 748-1818
78 RETINA CARE CENTER, LLC MEDFORD OR OPHTHALMOLOGY 2 5,970 $2,363,700 $396 16.0% (541) 842-2020
79 VITREOUS AND RETINA CONSULTANTS PA WINTER HAVEN FL OPHTHALMOLOGY 5 5,940 $891,252 $150 2.8% (863) 297-5400
80 NY RETINA EYE CARE, PLLC SUFFERN NY OPHTHALMOLOGY 4 5,820 $1,181,625 $203 4.4% (845) 362-8500
81 RETINA ASSOCIATES OF ALABAMA INC DOTHAN AL OPHTHALMOLOGY 2 5,775 $1,386,000 $240 33.5% (334) 712-1700
82 EYE SURGICAL ASSOCIATES LLC LINCOLN NE OPHTHALMOLOGY 11 5,745 $880,996 $153 28.6% (440) 248-4900
83 REFOCUS EYE HEALTH OF CENTRAL CONNECTICUT PC STAMFORD CT OPHTHALMOLOGY 37 5,563 $1,748,395 $314 18.4% (203) 869-3082
84 PAUTLER COHEN FINDLAY EICHENBAUM WHITE AND CRANE MDS PA TAMPA FL OPHTHALMOLOGY 8 5,550 $2,220,000 $400 2.6% (813) 879-5795
85 PIEDMONT RETINA SPECIALISTS PA GREENSBORO NC OPHTHALMOLOGY 5 5,535 $1,164,967 $210 17.5% (336) 369-7100
86 1960 EYE SURGEONS, P.A. HOUSTON TX OPHTHALMOLOGY 6 5,405 $990,750 $183 2.5% (281) 890-1784
87 SOUTHEAST RETINA CENTER PC AUGUSTA GA OPHTHALMOLOGY 3 5,355 $1,927,200 $360 21.2% (706) 650-0061
88 CLEMSON EYE PA EASLEY SC OPTOMETRY 51 5,265 $1,910,775 $363 6.3% (864) 654-6706
89 MAGIE MABREY EYE CLINIC P A CONWAY AR OPHTHALMOLOGY 5 5,010 $1,653,300 $330 50.5% (501) 327-4444
90 OPHTHALMIC PARTNERS OF FLORIDA PA ORLANDO FL OPHTHALMOLOGY 5 4,999 $816,536 $163 2.3% (407) 425-7188
91 MID-SOUTH RETINA ASSOCIATES, LLC MEMPHIS TN OPHTHALMOLOGY 6 4,951 $924,190 $187 6.3% (901) 682-1100
92 ASSOCIATED RETINAL CONSULTANTS PC ROYAL OAK MI OPHTHALMOLOGY 32 4,950 $816,750 $165 17.0% (248) 288-2280
93 TIAN XIA MD PA LIVINGSTON NJ OPHTHALMOLOGY 2 4,905 $1,111,473 $227 5.3% (973) 716-0123
94 RETINA PARTNERS OF FLORIDA LAKELAND FL OPHTHALMOLOGY 3 4,905 $1,380,213 $281 2.3% (863) 345-4350
95 RF EYE PC SIERRA VISTA AZ OPTOMETRY 3 4,890 $880,200 $180 13.3% (520) 458-8131
96 OPHTHALMOLOGY LTD SIOUX FALLS SD OPHTHALMOLOGY 14 4,876 $900,328 $185 18.7% (605) 336-6294
97 RETINA CONSULTANTS, LTD FARGO ND OPHTHALMOLOGY 5 4,875 $920,400 $189 69.4% (701) 293-9829
98 PACIFIC EYE INSTITUTE A MEDICAL GROUP INC UPLAND CA OPHTHALMOLOGY 47 4,846 $1,283,392 $265 1.9% (909) 982-8846
99 ACADIANA RETINA CONSULTANTS, LLC LAFAYETTE LA OPHTHALMOLOGY 3 4,815 $1,415,610 $294 15.8% (337) 232-2710
100 GUTHRIE MEDICAL GROUP PC SAYRE PA PHYSICIAN ASSISTANT 804 4,635 $1,409,040 $304 4.1% (570) 888-5858

Showing the top 100 of 292 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 →