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Medicare · fee-for-service Part B

Ophthalmology — Medicare Part B billing by state

$4.63B
Medicare payments
2,167
Physician groups
58,571,109
Services

2,167 physician groups whose primary specialty is Ophthalmology billed $4.63B to Medicare fee-for-service in 2023.

Calendar year 2023 · Medicare fee-for-service Part B

You're viewing calendar year 2023. State market links open the latest data year.

Physician groups whose primary specialty is Ophthalmology, by billing state · CY2023
State Groups Services Beneficiary-episodes Medicare payments Standardized payments ↓ Payments / group Services / group
Florida 219 5,449,935 1,658,634 $435,274,564 $435,751,476 $1,987,555 24,886
California 284 5,350,541 1,858,385 $457,934,991 $434,355,216 $1,612,447 18,840
Texas 208 4,000,834 1,238,020 $335,774,983 $339,067,055 $1,614,303 19,235
New York 210 3,240,728 1,273,117 $283,954,334 $269,205,365 $1,352,163 15,432
Maryland 76 4,351,491 657,102 $184,669,404 $179,303,249 $2,429,861 57,256
Virginia 69 1,879,776 639,655 $172,761,547 $171,638,315 $2,503,791 27,243
North Carolina 75 2,057,916 561,867 $155,368,857 $158,399,550 $2,071,585 27,439
Illinois 116 1,947,246 689,912 $154,863,340 $152,980,010 $1,335,029 16,787
Ohio 94 1,681,778 526,936 $148,691,958 $151,224,724 $1,581,829 17,891
Pennsylvania 144 1,678,394 677,766 $148,028,800 $148,072,396 $1,027,978 11,656
Tennessee 50 2,182,682 378,177 $140,960,149 $145,039,776 $2,819,203 43,654
New Jersey 90 1,569,018 737,862 $145,112,832 $136,939,709 $1,612,365 17,434
South Carolina 49 1,480,506 466,668 $131,028,348 $134,427,390 $2,674,048 30,214
Georgia 67 1,420,075 478,211 $115,159,553 $116,910,255 $1,718,799 21,195
Massachusetts 82 1,236,150 610,040 $115,940,829 $111,307,064 $1,413,913 15,075
Michigan 104 1,275,182 434,387 $109,785,721 $110,890,710 $1,055,632 12,261
Washington 55 1,428,181 306,190 $108,327,007 $107,388,700 $1,969,582 25,967
Arizona 45 1,040,032 324,973 $83,674,905 $84,642,381 $1,859,442 23,112
Colorado 52 1,059,770 248,121 $82,744,624 $81,917,364 $1,591,243 20,380
Iowa 24 1,399,122 210,620 $79,446,285 $81,222,266 $3,310,262 58,297
Kansas 35 804,071 201,769 $74,725,683 $76,516,663 $2,135,020 22,973
Indiana 46 680,610 265,061 $70,463,686 $72,523,777 $1,531,819 14,796
Missouri 55 947,211 275,142 $67,785,329 $69,124,327 $1,232,461 17,222
Oregon 39 752,075 214,569 $64,902,639 $65,222,840 $1,664,170 19,284
Connecticut 37 657,117 211,620 $59,161,913 $57,602,506 $1,598,971 17,760
Mississippi 33 466,896 199,818 $53,084,683 $55,690,106 $1,608,627 14,148
Utah 37 597,890 138,176 $49,729,916 $50,498,084 $1,344,052 16,159
Oklahoma 35 702,313 153,056 $48,905,780 $50,493,613 $1,397,308 20,066
Kentucky 35 499,042 146,517 $49,019,738 $50,260,227 $1,400,564 14,258
Minnesota 30 559,370 137,653 $48,956,181 $48,982,199 $1,631,873 18,646
Nebraska 16 873,713 123,538 $47,482,811 $48,649,844 $2,967,676 54,607
Alabama 44 446,698 186,765 $43,563,145 $45,349,995 $990,071 10,152
Louisiana 57 979,579 206,454 $41,323,224 $43,120,696 $724,969 17,186
Wisconsin 39 461,618 140,450 $41,580,331 $42,475,531 $1,066,162 11,836
Nevada 23 538,832 178,690 $42,121,381 $42,225,099 $1,831,364 23,428
Arkansas 23 479,025 162,448 $36,882,336 $38,796,348 $1,603,580 20,827
South Dakota 10 375,183 62,349 $27,751,700 $28,001,894 $2,775,170 37,518
Idaho 17 251,332 88,630 $25,094,050 $25,969,695 $1,476,121 14,784
West Virginia 10 209,100 60,660 $22,522,348 $23,075,880 $2,252,235 20,910
Montana 8 217,296 82,796 $21,465,158 $21,429,592 $2,683,145 27,162
New Hampshire 11 303,195 109,939 $20,189,016 $20,031,889 $1,835,365 27,563
Maine 9 189,660 36,631 $14,878,831 $14,948,342 $1,653,203 21,073
Hawaii 19 148,773 62,590 $11,453,990 $11,120,041 $602,842 7,830
North Dakota 7 149,325 23,406 $10,269,951 $10,309,672 $1,467,136 21,332
Rhode Island 15 87,714 43,861 $10,087,446 $10,002,784 $672,496 5,848
New Mexico 10 143,173 29,095 $9,800,710 $9,992,964 $980,071 14,317
Delaware 12 93,004 72,698 $8,191,788 $8,138,013 $682,649 7,750
District of Columbia 15 90,332 52,120 $8,030,842 $7,492,869 $535,389 6,022
Vermont 6 51,077 22,736 $6,093,030 $6,122,597 $1,015,505 8,513
Alaska 6 47,181 16,838 $4,708,335 $4,223,028 $784,723 7,864
AE 1 6,856 2,416 $1,216,229 $1,258,236 $1,216,229 6,856
PR 16 16,875 9,521 $790,008 $790,959 $49,376 1,055
Wyoming 1 7,942 6,218 $648,051 $636,910 $648,051 7,942
VI 1 5,402 4,267 $536,327 $539,431 $536,327 5,402
AA 1 978 826 $60,023 $64,398 $60,023 978
GU 1 674 434 $62,709 $58,301 $62,709 674
ZZ 1 617 505 $41,457 $43,067 $41,457 617
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 CY2023

Code Services Medicare payments ↓ Largest state markets
J0178 · Injection, aflibercept, 1 mg 2,233,007 $1,533,873,845 FLCATXNYMD
J2777 · Injection, faricimab-svoa, 0.1 mg 23,638,734 $683,326,210 FLCATXNYMD
92014 · Established patient complete exam of visual system 3,876,365 $337,864,925 FLCATXNYMD
66984 · Removal of cataract with insertion of prosthetic lens 962,143 $311,543,659 FLCATXNYMD
J2778 · Injection, ranibizumab, 0.1 mg 1,150,822 $207,827,685 FLCATXNYMD
67028 · Injection of drug into eye 2,179,744 $202,638,109 FLCATXNYMD
99214 · Established patient office or other outpatient visit, 30-39 minutes 1,857,638 $163,955,790 FLCATXNYMD
92134 · Imaging of retina 4,314,557 $127,963,720 FLCATXNYMD
99213 · Established patient office or other outpatient visit, 20-29 minutes 1,744,828 $109,692,763 FLCATXNYMD
92012 · Established patient problem focused exam of visual system 1,558,876 $102,657,350 FLCATXNYMD
J2403 · Chloroprocaine hcl ophthalmic, 3% gel, 1 mg top by services 3,866,886 $2,117,608 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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