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Medicare · fee-for-service Part B

Ophthalmology — Medicare Part B billing by state

$5.3B
Medicare payments
2,186
Physician groups
$2.4M
per group

2,186 physician groups whose primary specialty is Ophthalmology billed $5.3B to Medicare fee-for-service in 2024.

Calendar year 2024 · Medicare fee-for-service Part B

On this page: Billing by state · Top codes

Medicare billing by state

Physician groups whose primary specialty is Ophthalmology, by billing state · CY2024
State Standardized payments Medicare payments Groups Pay / group Services Benef.-episodes Svc / group
Florida $491.2M $492.8M 223 $2.2M 9.4M 1.8M 42,102
California $468.2M $495.1M 288 $1.7M 7.2M 2.0M 25,145
Texas $451.6M $450.4M 223 $2.0M 7.2M 1.4M 32,392
New York $278.0M $292.3M 213 $1.4M 4.5M 1.3M 21,084
Maryland $215.3M $220.2M 76 $2.9M 14.9M 710K 196K
Virginia $202.2M $203.2M 72 $2.8M 2.7M 706K 37,988
Ohio $179.0M $176.5M 85 $2.1M 2.2M 546K 25,300
North Carolina $169.7M $166.8M 73 $2.3M 3.8M 557K 52,355
Tennessee $161.4M $158.1M 47 $3.4M 4.1M 394K 88,026
New Jersey $158.8M $167.6M 94 $1.8M 3.7M 784K 39,825
Pennsylvania $155.1M $155.0M 140 $1.1M 2.0M 703K 14,637
Illinois $153.1M $154.7M 113 $1.4M 2.4M 687K 21,251
South Carolina $151.8M $149.3M 50 $3.0M 2.1M 491K 42,920
Massachusetts $130.3M $135.2M 77 $1.8M 1.6M 651K 21,108
Georgia $125.6M $124.4M 62 $2.0M 1.8M 484K 28,977
Washington $124.5M $126.0M 48 $2.6M 2.1M 373K 44,196
Colorado $123.3M $124.5M 53 $2.3M 1.9M 300K 35,414
Michigan $114.9M $114.0M 103 $1.1M 1.6M 434K 15,663
Arizona $101.0M $100.8M 44 $2.3M 1.6M 344K 35,652
Oregon $90.9M $92.1M 38 $2.4M 1.7M 453K 44,317
Indiana $86.4M $84.5M 42 $2.0M 970K 272K 23,099
Kansas $80.2M $78.5M 37 $2.1M 1.0M 198K 27,628
Iowa $79.0M $77.6M 19 $4.1M 1.6M 203K 84,980
Missouri $77.6M $76.7M 58 $1.3M 1.5M 280K 26,055
Connecticut $60.3M $61.9M 35 $1.8M 808K 221K 23,082
Utah $58.7M $58.0M 37 $1.6M 828K 147K 22,376
Oklahoma $56.7M $55.5M 32 $1.7M 1.3M 158K 40,110
Minnesota $56.0M $56.2M 30 $1.9M 701K 145K 23,361
Mississippi $53.7M $51.4M 33 $1.6M 681K 195K 20,639
Kentucky $52.4M $51.3M 36 $1.4M 707K 148K 19,652
Nebraska $52.3M $51.2M 15 $3.4M 1.2M 119K 77,842
Alabama $51.9M $49.4M 43 $1.1M 716K 225K 16,656
Louisiana $49.5M $47.8M 57 $838K 1.3M 222K 23,567
Nevada $47.3M $47.3M 19 $2.5M 772K 184K 40,622
Wisconsin $47.1M $46.4M 39 $1.2M 668K 149K 17,115
Arkansas $44.2M $42.3M 24 $1.8M 671K 170K 27,942
Idaho $33.8M $33.1M 19 $1.7M 466K 93,711 24,501
South Dakota $30.4M $30.1M 8 $3.8M 3.7M 62,005 466K
Montana $26.6M $26.6M 9 $3.0M 314K 87,113 34,923
New Hampshire $25.7M $25.7M 12 $2.1M 502K 123K 41,850
West Virginia $25.6M $25.1M 10 $2.5M 276K 66,432 27,616
Maine $18.3M $18.4M 10 $1.8M 412K 40,083 41,169
North Dakota $12.2M $12.2M 6 $2.0M 227K 26,439 37,912
Delaware $11.1M $11.1M 10 $1.1M 151K 76,034 15,078
Hawaii $10.0M $10.3M 19 $545K 161K 58,591 8,500
Rhode Island $9.7M $9.8M 13 $750K 87,731 40,925 6,749
District of Columbia $8.7M $9.1M 17 $537K 115K 52,660 6,766
Vermont $7.1M $7.1M 6 $1.2M 71,980 26,511 11,997
New Mexico $5.6M $5.5M 10 $546K 106K 27,119 10,557
Alaska $4.8M $5.3M 5 $1.1M 64,300 16,381 12,860
PR $735K $736K 15 $49K 16,976 9,360 1,132
Wyoming $679K $670K 2 $335K 9,031 6,958 4,516
VI $657K $635K 1 $635K 10,073 6,058 10,073
GU $67K $65K 1 $65K 762 441 762
Ranked by standardized payments — the cross-state basis (regional price differences removed); the bar tracks it. The Medicare payments column shows what Medicare actually paid. A state opens the ranked Ophthalmology groups for that state's biggest code, unless that code is CPT®-coded and withheld under AMA licensing — the state's name then stays unlinked.

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Each group carries one specialty label — the specialty most common among its clinicians in CMS's Doctors and Clinicians register — so every figure on this page counts groups, not individual clinicians. An organization's entire Medicare billing is credited to that one label, so a specialty's totals reflect how organizations are labeled, not the specialty of each service; large multi-specialty organizations — where no single specialty is a majority of the clinicians — account for much of the volume shown under many specialties. Totals include only volume that can be credited to a single group; clinicians registered with more than one group are left out of group totals and shown as “—” elsewhere on Nevvi. Clinicians not registered with any group, and groups without a specialty label, are also not included. A group is counted in every state its clinicians bill Medicare from, so state figures overlap and never sum to the national figure.

All figures are Medicare fee-for-service Part B only; Medicare Advantage claims are not included. Cross-state comparisons use standardized payments, which remove regional differences in what Medicare pays; services without a standardized amount — mainly Part B drugs — are not in that column, and the Medicare payments column shows what Medicare actually paid. Beneficiary counts are beneficiary-episodes: one person treated in more than one setting or state is counted in each.

Top codes by Medicare payments CY2024

7 more CPT-coded procedures — shown with a trial or subscription, under AMA licensing.

Code Medicare payments Services Largest state markets
J0178 · Injection, aflibercept, 1 mg $1.2B 1.8M FLCATXNYMD
J2777 · Injection, faricimab-svoa, 0.1 mg $1.0B 38.4M FLCATXNYMD
J0177 · Injection, aflibercept hd, 1 mg $355.8M 1.4M FLCATXNYMD
J2781 · Injection, pegcetacoplan, intravitreal, 1 mg $207.3M 1.8M FLCATXNYMD
J2403 · Chloroprocaine hcl ophthalmic, 3% gel, 1 mg top by services $13.3M 26.4M FLCATXNYMD
Top codes by Medicare payments and by services (both rankings, duplicates merged; capped, never the full code list). “top by services” marks codes here on service volume rather than payments. Each code is searchable without an account; state links open the ranked groups for that code in that state.