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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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Specialty market — Ophthalmology: 1,687,998 services across 254 groups; top group 7%. See Ophthalmology across all states →

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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 of specialty*Share of state* 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 28.9% 22.1% (850) 476-6759
4 CHARLESTON NEUROSCIENCES INSTITUTE CHARLESTON SC OPHTHALMOLOGY 9 44,033 $8,380,064 $190 60.2% 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 34.0% 23.0% (516) 466-0390
7 AUSTIN RETINA ASSOCIATES PLLC AUSTIN TX OPHTHALMOLOGY 19 30,450 $10,231,200 $336 25.9% 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 18.1% 10.3% (530) 273-8358
11 RETINA VITREOUS CONSULTANTS FT LAUDERDALE FL OPHTHALMOLOGY 44 26,235 $17,721,360 $675 16.0% 12.2% (954) 776-6880
12 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON VA OPHTHALMOLOGY 80 25,530 $9,361,085 $367 38.2% 31.8% (202) 331-1188
13 TEXAS RETINA ASSOCIATES DALLAS TX OPHTHALMOLOGY 18 25,520 $8,505,170 $333 21.7% 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 14.7% 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 11.3% 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 13.4% 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 9.2% 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 10.0% 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 15.6% 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 13.2% 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 7.9% 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 9.7% 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 6.7% 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 31.6% 19.7% (630) 833-9621
44 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 10,125 $1,559,250 $154 15.2% 12.6% 75762222003020
45 SOUND RETINA PS TACOMA WA OPHTHALMOLOGY 6 9,886 $2,471,500 $250 — 11.2% (253) 572-1444
46 MAINE EYE CENTER PA PORTLAND ME OPHTHALMOLOGY 18 9,735 $2,920,500 $300 — 81.7% (207) 774-8277
47 PREMIER EYE CARE OF EASTERN IDAHO IDAHO FALLS ID OPHTHALMOLOGY 10 9,690 $3,352,020 $346 — 30.1% (208) 529-6600
48 RIVERSIDE EYECARE PROFESSIONALS INC A MEDICAL CORPORATION REDDING CA OPHTHALMOLOGY 3 9,450 $2,201,850 $233 6.5% 3.7% (530) 244-2273
49 SPOKANE EYE CLINIC PS SPOKANE WA OPHTHALMOLOGY 35 9,435 $1,887,000 $200 — 10.7% (509) 456-0107
50 VITREOUS RETINA MACULA CONSULTANTS OF NEW YORK BROOKLYN NY OPHTHALMOLOGY 11 8,925 $2,677,500 $300 9.9% 6.7% (718) 376-3223
51 RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC LEXINGTON KY OPHTHALMOLOGY 12 8,745 $1,445,400 $165 — 66.4% (859) 263-3900
52 OPHTHALMOLOGY SPECIALISTS OF TEXAS PLLC WILLOW PARK TX OPHTHALMOLOGY 6 8,085 $2,587,200 $320 6.9% 3.8% (817) 594-0914
53 MONMOUTH RETINA CONSULTANTS PA LITTLE SILVER NJ OPHTHALMOLOGY 11 8,025 $1,340,505 $167 — 8.7% (732) 530-7730
54 RETINA INSTITUTE, PLLC RENTON WA OPHTHALMOLOGY 3 7,500 $3,255,000 $434 — 8.5% (425) 228-6262
55 MIDWEST RETINA CONSULTANTS SC DES PLAINES IL OPHTHALMOLOGY 6 7,500 $1,120,715 $149 22.6% 14.1% (847) 698-6300
56 JAWAD A QURESHI MD PA SOUTHLAKE TX OPHTHALMOLOGY 7 7,376 $3,831,750 $519 6.3% 3.5% (817) 865-6800
57 GRAND STRAND RETINA PC MURRELLS INLET SC OPHTHALMOLOGY 2 7,350 $1,647,801 $224 10.0% 8.8% (843) 651-3937
58 CALIFORNIA RETINA CONSULTANTS SANTA BARBARA CA OPHTHALMOLOGY 11 7,290 $3,207,600 $440 5.0% 2.9% (805) 963-1648
59 GREAT LAKES EYE CARE PC SAINT JOSEPH MI OPHTHALMOLOGY 11 7,275 $1,156,725 $159 — 25.0% (269) 428-3300
60 VITREO RETINAL ASSOCIATES PA GAINESVILLE FL OPHTHALMOLOGY 4 7,200 $2,160,000 $300 4.4% 3.3% (352) 371-2800
61 RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR PASADENA CA OPHTHALMOLOGY 82 7,170 $3,340,870 $466 4.9% 2.8% (800) 898-2020
62 HORIZON EYE CARE PA CHARLOTTE NC OPHTHALMOLOGY 25 7,170 $1,355,130 $189 — 22.7% (704) 365-0555
63 BELLINGHAM RETINA SPECIALISTS PLLC KIRKLAND WA OPHTHALMOLOGY 2 7,020 $2,035,800 $290 — 8.0% (425) 242-1051
64 RETINOVITREOUS ASSOCIATES LTD PHILADELPHIA PA OPHTHALMOLOGY 39 6,960 $3,243,360 $466 30.5% 6.1% (800) 331-6634
65 MISSISSIPPI RETINA ASSOCIATES,PLLC MADISON MS OPHTHALMOLOGY 7 6,855 $2,056,500 $300 — 29.6% (601) 981-4091
66 MANDELL RETINA CENTER PC VIRGINIA BEACH VA OPHTHALMOLOGY 3 6,780 $1,361,100 $201 10.2% 8.5% (757) 227-4300
67 RETINAL CONSULTANTS OF ARIZONA LTD PHOENIX AZ OPHTHALMOLOGY 8 6,675 $2,509,800 $376 — 18.1% (800) 640-6442
68 ROBERT E PARNES MD LLC HAGERSTOWN MD OPHTHALMOLOGY 3 6,660 $1,332,000 $200 — 3.5% (301) 671-2400
69 VIRGINIA RETINA CONSULTANTS, PLC CHARLOTTESVILLE VA OPHTHALMOLOGY 3 6,330 $1,266,000 $200 9.5% 7.9% (434) 978-2040
70 RETINAL DIAGNOSTIC CENTER A MEDICAL CORPORATION CAMPBELL CA OPHTHALMOLOGY 6 6,330 $1,856,842 $293 4.3% 2.5% (408) 559-0666
71 ASSOCIATED VITREORETINAL AND UVEITIS CONSULTANTS LLC CARMEL IN OPHTHALMOLOGY 7 6,165 $2,669,445 $433 — 12.2% (317) 571-1501
72 CENTRAL MINNESOTA RETINA CONSULTANTS, PLLC SARTELL MN OPHTHALMOLOGY 2 6,060 $1,121,100 $185 — 44.2% (320) 230-8555
73 MANATEE SARASOTA EYE CLINIC PA BRADENTON FL OPHTHALMOLOGY 10 6,045 $1,027,650 $170 3.7% 2.8% (941) 748-1818
74 RETINA CARE CENTER, LLC MEDFORD OR OPHTHALMOLOGY 2 5,970 $2,363,700 $396 — 16.0% (541) 842-2020
75 VITREOUS AND RETINA CONSULTANTS PA WINTER HAVEN FL OPHTHALMOLOGY 5 5,940 $891,252 $150 3.6% 2.8% (863) 297-5400
76 NY RETINA EYE CARE, PLLC SUFFERN NY OPHTHALMOLOGY 4 5,820 $1,181,625 $203 6.5% 4.4% (845) 362-8500
77 RETINA ASSOCIATES OF ALABAMA INC DOTHAN AL OPHTHALMOLOGY 2 5,775 $1,386,000 $240 — 33.5% (334) 712-1700
78 EYE SURGICAL ASSOCIATES LLC LINCOLN NE OPHTHALMOLOGY 11 5,745 $880,996 $153 — 28.6% (440) 248-4900
79 REFOCUS EYE HEALTH OF CENTRAL CONNECTICUT PC STAMFORD CT OPHTHALMOLOGY 37 5,563 $1,748,395 $314 — 18.4% (203) 869-3082
80 PAUTLER COHEN FINDLAY EICHENBAUM WHITE AND CRANE MDS PA TAMPA FL OPHTHALMOLOGY 8 5,550 $2,220,000 $400 3.4% 2.6% (813) 879-5795
81 PIEDMONT RETINA SPECIALISTS PA GREENSBORO NC OPHTHALMOLOGY 5 5,535 $1,164,967 $210 — 17.5% (336) 369-7100
82 1960 EYE SURGEONS, P.A. HOUSTON TX OPHTHALMOLOGY 6 5,405 $990,750 $183 4.6% 2.5% (281) 890-1784
83 SOUTHEAST RETINA CENTER PC AUGUSTA GA OPHTHALMOLOGY 3 5,355 $1,927,200 $360 — 21.2% (706) 650-0061
84 MAGIE MABREY EYE CLINIC P A CONWAY AR OPHTHALMOLOGY 5 5,010 $1,653,300 $330 — 50.5% (501) 327-4444
85 OPHTHALMIC PARTNERS OF FLORIDA PA ORLANDO FL OPHTHALMOLOGY 5 4,999 $816,536 $163 3.0% 2.3% (407) 425-7188
86 MID-SOUTH RETINA ASSOCIATES, LLC MEMPHIS TN OPHTHALMOLOGY 6 4,951 $924,190 $187 — 6.3% (901) 682-1100
87 ASSOCIATED RETINAL CONSULTANTS PC ROYAL OAK MI OPHTHALMOLOGY 32 4,950 $816,750 $165 — 17.0% (248) 288-2280
88 TIAN XIA MD PA LIVINGSTON NJ OPHTHALMOLOGY 2 4,905 $1,111,473 $227 — 5.3% (973) 716-0123
89 RETINA PARTNERS OF FLORIDA LAKELAND FL OPHTHALMOLOGY 3 4,905 $1,380,213 $281 3.0% 2.3% (863) 345-4350
90 OPHTHALMOLOGY LTD SIOUX FALLS SD OPHTHALMOLOGY 14 4,876 $900,328 $185 — 18.7% (605) 336-6294
91 RETINA CONSULTANTS, LTD FARGO ND OPHTHALMOLOGY 5 4,875 $920,400 $189 — 69.4% (701) 293-9829
92 PACIFIC EYE INSTITUTE A MEDICAL GROUP INC UPLAND CA OPHTHALMOLOGY 47 4,846 $1,283,392 $265 3.3% 1.9% (909) 982-8846
93 ACADIANA RETINA CONSULTANTS, LLC LAFAYETTE LA OPHTHALMOLOGY 3 4,815 $1,415,610 $294 — 15.8% (337) 232-2710
94 VISTAR EYE CENTER, INC ROANOKE VA OPHTHALMOLOGY 29 4,590 $734,400 $160 6.9% 5.7% (540) 855-5100
95 EYE CARE CENTER OF NORTHERN COLORADO, PC LONGMONT CO OPHTHALMOLOGY 16 4,485 $757,965 $169 — 6.5% (303) 772-3300
96 EYE ASSOCIATES LLC GRETNA LA OPHTHALMOLOGY 6 4,290 $1,287,000 $300 — 14.1% (504) 391-7545
97 RSC AURORA, PLLC AURORA CO OPHTHALMOLOGY 4 4,230 $1,960,935 $464 — 6.1% (720) 443-2425
98 HIGHLAND RETINA ASSOCIATES, LLC TERRE HAUTE IN OPHTHALMOLOGY 2 4,200 $1,307,880 $311 — 8.3% (812) 281-2608
99 SOUTHERN EYE PHYSICIANS CENTER, LLC HATTIESBURG MS OPHTHALMOLOGY 3 4,140 $1,279,380 $309 — 17.9% (601) 264-3937
100 EYE HEALTH NORTHWEST PC PORTLAND OR OPHTHALMOLOGY 69 4,080 $1,471,530 $361 — 10.9% (503) 255-2291

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 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 →