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Medicare New York · CY2024

Who bills the most Injection, pegcetacoplan, intravitreal, 1 mg (J2781) to Medicare in New York?

Medicare Part B FFS · CY2024 · as published by CMS
15
Billing groups
95,975
Named-group FFS services
$29,186,026
Named-group submitted charges
$304
Avg charge / service
$147
Avg allowed / service
74%
Top-5 concentration
0%
Independent share

15 physician groups billed Injection, pegcetacoplan, intravitreal, 1 mg (J2781) to Medicare fee-for-service in New York in 2024; the top five named groups hold 74% of that volume, and independent (non-hospital-affiliated) groups deliver 0%.

J2781 — Injection, pegcetacoplan, intravitreal, 1 mg · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

Snapshot covers the whole New York market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 47% of Medicare in New York; Medicare Advantage penetration 44% → 53% since 2020.

Market structure — concentration, independent share, and the consolidation trend for this market — is part of the market analytics platform — built, not launched yet. Notify me at launch →
#Physician groupCityStSpecialty Providers J2781 svcs Share*Phone
1 LONG ISLAND VITREO RETINAL CONSULTANTS PC GREAT NECKNYOPHTHALMOLOGY 19 30,630 23.0% (516) 466-0390
2 EYE CARE FOR THE ADIRONDACKS ASSOCIATES IN OPHTHALMOLOGY, PC PLATTSBURGHNYOPHTHALMOLOGY 8 14,055 10.6% (518) 566-2020
3 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRENYOPHTHALMOLOGY 107 11,895 8.9% (516) 766-2519
4 VITREOUS RETINA MACULA CONSULTANTS OF NEW YORK BROOKLYNNYOPHTHALMOLOGY 11 8,925 6.7% (718) 376-3223
5 NY RETINA EYE CARE, PLLC SUFFERNNYOPHTHALMOLOGY 4 5,820 4.4% (845) 362-8500
6 MACULACARE PLLC NEW YORKNYOPHTHALMOLOGY 4 3,900 2.9% (212) 439-9600
7 ALBANY TROY CATARACT AND LASER ASSOCIATES ALBANYNYOPHTHALMOLOGY 12 3,465 2.6% 5185124151124
8 ALASKA RETINAL CONSULTANTS ANCHORAGENYOPHTHALMOLOGY 3 3,255 2.4% (907) 561-1530
9 OPHTHALMOLOGY MEDICAL SERVICE GROUP INC SYRACUSENYOPHTHALMOLOGY 30 2,940 2.2% (315) 464-5230
10 RETINA ASSOCIATES OF NEW YORK,P.C. NEW YORKNYOPHTHALMOLOGY 6 2,520 1.9% (212) 772-0600
11 UNIVERSITY EYE SPECIALISTS, PC WARSAWNYOPTOMETRY 6 2,235 1.7% (585) 786-2288
12 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORKNYPHYSICIAN ASSISTANT 2818 1,995 1.5% (212) 241-4812
13 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWNNYDIAGNOSTIC RADIOLOGY 315 1,640 1.2% (631) 628-5000
14 MEDICAL SURGICAL EYE CARE SERVICES PC WEST ISLIPNYOPHTHALMOLOGY 9 1,530 1.1% (631) 422-1112
15 RETINA SERVICES OF THE UNIVERSITY OF ROCHESTER ROCHESTERNYOPHTHALMOLOGY 6 1,170 0.9% (585) 273-3937

*Share of New York's disclosed Medicare-FFS services for J2781, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing J2781 in New York — including groups registered elsewhere ("City" is each 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.

How to read this. Figures are Medicare fee-for-service only — not all-payer — from the CMS Medicare Physician & Other Practitioners Public Use File (Part B), CY2024 release. CMS suppresses any provider×code row under 11 beneficiaries, so a missing group means "suppressed," never zero. "Charges" are provider-submitted amounts, not payments. Groups are ranked by measured service volume attributed to clinicians in exactly one group — clinicians affiliated with several groups are listed in rosters but never volume-attributed to a single group — a direct read of the public record, not a rating or quality score. Full method: Methods & Sources.

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 →

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