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Medicare · fee-for-service Part B

Ophthalmology — Medicare Part B billing by state

$5.13B
Medicare payments
2,168
Physician groups
99,249,008
Services

2,168 physician groups whose primary specialty is Ophthalmology billed $5.13B to Medicare fee-for-service in 2024.

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

Physician groups whose primary specialty is Ophthalmology, by billing state · CY2024
State Groups Services Beneficiary-episodes Medicare payments Standardized payments ↓ Payments / group Services / group
Florida 215 9,018,230 1,695,409 $471,001,381 $469,219,345 $2,190,704 41,945
California 284 7,201,183 1,949,880 $490,927,665 $463,913,807 $1,728,619 25,356
Texas 209 6,707,700 1,289,160 $382,549,068 $383,698,943 $1,830,378 32,094
New York 210 4,552,338 1,314,753 $296,752,453 $282,118,392 $1,413,107 21,678
Maryland 72 14,857,212 685,907 $219,380,015 $214,610,115 $3,046,945 206,350
Virginia 72 2,751,808 706,873 $205,105,488 $204,172,525 $2,848,687 38,220
Ohio 86 2,153,410 547,648 $176,897,724 $179,358,050 $2,056,950 25,040
North Carolina 70 3,820,608 561,000 $166,463,666 $169,400,193 $2,378,052 54,580
Tennessee 46 4,150,514 395,455 $159,717,411 $163,022,088 $3,472,118 90,229
New Jersey 91 3,721,861 769,545 $165,739,501 $157,076,275 $1,821,313 40,900
Pennsylvania 133 2,056,230 688,031 $155,355,626 $155,465,706 $1,168,087 15,460
Illinois 110 2,386,457 695,853 $154,148,254 $152,624,526 $1,401,348 21,695
South Carolina 49 2,152,642 496,544 $149,752,104 $152,241,830 $3,056,165 43,931
Massachusetts 77 1,615,151 642,990 $134,632,532 $129,755,198 $1,748,474 20,976
Georgia 61 1,798,357 484,571 $124,769,817 $125,964,340 $2,045,407 29,481
Colorado 50 1,830,438 278,272 $121,209,321 $120,096,781 $2,424,186 36,609
Washington 48 1,979,485 310,070 $115,109,627 $113,659,831 $2,398,117 41,239
Michigan 101 1,594,964 436,104 $111,974,086 $112,843,684 $1,108,654 15,792
Arizona 42 1,538,254 345,910 $99,705,304 $99,942,506 $2,373,936 36,625
Indiana 40 971,757 273,083 $84,901,107 $86,755,255 $2,122,528 24,294
Missouri 55 1,568,761 286,927 $79,672,820 $80,644,878 $1,448,597 28,523
Kansas 34 1,019,155 195,909 $78,472,629 $80,157,602 $2,308,018 29,975
Iowa 20 1,620,366 208,546 $77,988,167 $79,485,661 $3,899,408 81,018
Oregon 36 1,262,353 225,978 $70,831,938 $70,098,099 $1,967,554 35,065
Connecticut 33 1,207,216 222,943 $63,813,224 $62,195,748 $1,933,734 36,582
Mississippi 32 694,096 193,363 $56,226,578 $58,466,955 $1,757,081 21,690
Utah 36 803,009 140,052 $56,588,950 $57,262,117 $1,571,915 22,306
Oklahoma 33 1,286,487 160,616 $55,923,827 $57,148,121 $1,694,661 38,984
Minnesota 27 698,270 143,734 $56,018,304 $55,790,318 $2,074,752 25,862
Kentucky 34 712,031 153,420 $51,795,833 $52,921,696 $1,523,407 20,942
Nebraska 15 1,125,240 120,677 $48,702,390 $49,839,108 $3,246,826 75,016
Nevada 19 794,982 192,731 $49,668,473 $49,657,548 $2,614,130 41,841
Louisiana 55 1,295,663 208,907 $44,365,365 $45,991,006 $806,643 23,558
Wisconsin 36 651,091 142,364 $45,152,996 $45,789,605 $1,254,250 18,086
Alabama 41 506,137 175,411 $40,191,504 $42,068,083 $980,281 12,345
Arkansas 23 578,975 170,089 $39,655,016 $41,587,575 $1,724,131 25,173
South Dakota 8 3,785,262 67,052 $34,472,369 $34,785,250 $4,309,046 473,158
Idaho 18 332,406 91,054 $27,133,467 $27,817,027 $1,507,415 18,467
Montana 8 320,314 89,999 $26,956,694 $26,902,585 $3,369,587 40,039
West Virginia 10 276,161 66,432 $25,127,381 $25,634,774 $2,512,738 27,616
New Hampshire 11 479,338 124,651 $24,500,646 $24,405,838 $2,227,331 43,576
Maine 9 367,226 37,742 $16,699,992 $16,675,858 $1,855,555 40,803
North Dakota 6 227,494 26,460 $12,218,148 $12,211,768 $2,036,358 37,916
Hawaii 18 179,761 64,733 $11,494,586 $11,100,036 $638,588 9,987
Rhode Island 13 88,042 41,295 $9,768,108 $9,714,572 $751,393 6,772
District of Columbia 14 109,764 49,362 $8,726,676 $8,318,182 $623,334 7,840
Delaware 10 92,705 71,573 $8,160,313 $8,148,154 $816,031 9,270
Vermont 6 71,980 26,511 $7,100,792 $7,133,280 $1,183,465 11,997
New Mexico 9 104,927 26,495 $5,424,073 $5,553,663 $602,675 11,659
Alaska 5 64,300 16,381 $5,250,534 $4,757,252 $1,050,107 12,860
PR 15 36,658 11,541 $2,934,690 $2,936,447 $195,646 2,444
AE 1 6,969 2,358 $1,208,615 $1,239,653 $1,208,615 6,969
Wyoming 2 9,863 7,722 $728,728 $735,760 $364,364 4,932
VI 1 10,073 6,058 $634,988 $656,737 $634,988 10,073
ZZ 1 1,250 815 $176,047 $180,398 $176,047 1,250
AA 1 1,322 1,200 $75,505 $81,262 $75,505 1,322
GU 1 762 441 $65,099 $66,820 $65,099 762
Ranked by standardized payments — the cross-state basis (regional price differences removed). The Medicare payments column shows what Medicare actually paid. Each state opens the ranked Ophthalmology market for that state's biggest code.

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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

Code Services Medicare payments ↓ Largest state markets
J0178 · Injection, aflibercept, 1 mg 1,768,722 $1,154,042,388 FLCATXNYMD
J2777 · Injection, faricimab-svoa, 0.1 mg 37,654,699 $1,028,745,179 FLCATXNYMD
J0177 · Injection, aflibercept hd, 1 mg 1,306,552 $343,241,253 FLCATXNYMD
92014 · Established patient complete exam of visual system 3,943,872 $340,285,219 FLCATXNYMD
66984 · Removal of cataract with insertion of prosthetic lens 945,804 $307,615,814 FLCATXNYMD
67028 · Injection of drug into eye 2,273,345 $213,593,597 FLCATXNYMD
J2781 · Injection, pegcetacoplan, intravitreal, 1 mg 1,687,998 $196,902,052 FLCATXNYMD
99214 · Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 2,055,453 $181,198,646 FLCATXNYMD
92134 · Imaging of retina 4,517,902 $134,180,537 FLCATXNYMD
99213 · Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 1,856,035 $117,026,699 FLCATXNYMD
92012 · Established patient problem focused exam of visual system top by services 1,456,848 $94,926,958 FLCATXNYMD
J2403 · Chloroprocaine hcl ophthalmic, 3% gel, 1 mg top by services 26,702,928 $13,500,902 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 free at full depth; state links open that code's ranked market page.

Every code above is searchable free at full depth. Ranking organizations across several codes at once — one combined market view — is part of a Nevvi subscription.

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