Ophthalmology — Medicare Part B billing by state
2,185 physician groups whose primary specialty is Ophthalmology billed $4.8B 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.
On this page: Billing by state · Top codes
Medicare billing by state
| State | Standardized payments | Medicare payments | Groups | Pay / group | Services | Benef.-episodes | Svc / group |
|---|---|---|---|---|---|---|---|
| Florida | $453.4M | $452.7M | 227 | $2.0M | 5.7M | 1.7M | 25,157 |
| California | $437.4M | $460.9M | 288 | $1.6M | 5.4M | 1.9M | 18,680 |
| Texas | $403.3M | $399.8M | 226 | $1.8M | 4.4M | 1.3M | 19,365 |
| New York | $265.2M | $279.5M | 212 | $1.3M | 3.2M | 1.3M | 15,002 |
| Maryland | $179.7M | $185.2M | 78 | $2.4M | 4.4M | 675K | 56,025 |
| Virginia | $171.1M | $172.3M | 72 | $2.4M | 1.9M | 645K | 26,196 |
| North Carolina | $158.7M | $155.7M | 80 | $1.9M | 2.0M | 558K | 25,600 |
| Illinois | $151.8M | $153.8M | 119 | $1.3M | 1.9M | 679K | 16,337 |
| Ohio | $151.0M | $148.5M | 95 | $1.6M | 1.7M | 530K | 17,744 |
| Pennsylvania | $148.4M | $148.4M | 151 | $983K | 1.7M | 694K | 11,172 |
| Tennessee | $139.8M | $135.8M | 50 | $2.7M | 2.1M | 370K | 42,968 |
| New Jersey | $138.9M | $147.3M | 93 | $1.6M | 1.6M | 754K | 17,125 |
| South Carolina | $134.0M | $130.6M | 50 | $2.6M | 1.5M | 462K | 29,521 |
| Washington | $117.6M | $118.6M | 55 | $2.2M | 1.5M | 364K | 28,165 |
| Georgia | $116.8M | $115.0M | 70 | $1.6M | 1.4M | 478K | 20,277 |
| Michigan | $111.9M | $110.8M | 107 | $1.0M | 1.3M | 432K | 11,936 |
| Massachusetts | $111.6M | $116.3M | 83 | $1.4M | 1.2M | 617K | 15,003 |
| Arizona | $85.0M | $84.0M | 47 | $1.8M | 1.0M | 323K | 22,230 |
| Colorado | $84.6M | $85.5M | 56 | $1.5M | 1.1M | 266K | 20,030 |
| Oregon | $83.6M | $83.2M | 42 | $2.0M | 1.0M | 397K | 24,379 |
| Iowa | $80.7M | $79.0M | 24 | $3.3M | 1.4M | 205K | 58,038 |
| Kansas | $76.3M | $74.5M | 37 | $2.0M | 804K | 202K | 21,739 |
| Indiana | $72.1M | $70.1M | 47 | $1.5M | 678K | 263K | 14,423 |
| Missouri | $66.5M | $65.3M | 57 | $1.1M | 905K | 270K | 15,878 |
| Connecticut | $56.4M | $57.9M | 39 | $1.5M | 653K | 211K | 16,748 |
| Alabama | $55.9M | $53.7M | 47 | $1.1M | 583K | 237K | 12,410 |
| Utah | $51.8M | $51.0M | 39 | $1.3M | 619K | 145K | 15,866 |
| Mississippi | $50.6M | $48.0M | 34 | $1.4M | 454K | 202K | 13,355 |
| Nebraska | $50.4M | $49.3M | 16 | $3.1M | 899K | 122K | 56,213 |
| Oklahoma | $50.1M | $48.5M | 34 | $1.4M | 701K | 152K | 20,603 |
| Kentucky | $49.7M | $48.5M | 36 | $1.3M | 494K | 142K | 13,709 |
| Minnesota | $49.1M | $49.1M | 33 | $1.5M | 561K | 139K | 17,002 |
| Louisiana | $45.9M | $44.0M | 60 | $733K | 1.0M | 219K | 16,989 |
| Wisconsin | $43.9M | $43.0M | 43 | $1.0M | 476K | 148K | 11,071 |
| Arkansas | $40.2M | $38.2M | 24 | $1.6M | 509K | 161K | 21,215 |
| Nevada | $40.1M | $40.0M | 22 | $1.8M | 524K | 170K | 23,832 |
| Idaho | $30.1M | $29.2M | 18 | $1.6M | 335K | 90,634 | 18,626 |
| South Dakota | $24.6M | $24.4M | 9 | $2.7M | 343K | 57,226 | 38,064 |
| West Virginia | $23.2M | $22.6M | 11 | $2.1M | 210K | 61,477 | 19,107 |
| New Hampshire | $21.4M | $21.6M | 13 | $1.7M | 323K | 108K | 24,828 |
| Montana | $21.2M | $21.2M | 9 | $2.4M | 215K | 81,282 | 23,918 |
| Maine | $15.1M | $15.1M | 9 | $1.7M | 192K | 38,187 | 21,316 |
| Delaware | $11.5M | $11.6M | 12 | $964K | 139K | 77,105 | 11,611 |
| North Dakota | $10.3M | $10.3M | 7 | $1.5M | 149K | 23,406 | 21,332 |
| Hawaii | $10.2M | $10.5M | 20 | $526K | 133K | 57,498 | 6,653 |
| New Mexico | $10.0M | $9.8M | 11 | $893K | 144K | 29,644 | 13,065 |
| Rhode Island | $10.0M | $10.0M | 15 | $669K | 87,157 | 43,294 | 5,810 |
| District of Columbia | $7.7M | $8.2M | 18 | $458K | 92,793 | 53,770 | 5,155 |
| Vermont | $6.1M | $6.1M | 6 | $1.0M | 51,077 | 22,736 | 8,513 |
| Alaska | $4.2M | $4.7M | 6 | $785K | 47,181 | 16,838 | 7,864 |
| PR | $779K | $778K | 16 | $49K | 16,660 | 9,348 | 1,041 |
| Wyoming | $586K | $594K | 1 | $594K | 7,128 | 5,490 | 7,128 |
| VI | $539K | $536K | 1 | $536K | 5,402 | 4,267 | 5,402 |
| GU | $58K | $63K | 1 | $63K | 674 | 434 | 674 |
Need this specialty's market in one document?
Register your interestEach 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
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 | $1.6B | 2.3M | FLCATXNYMD |
| J2777 · Injection, faricimab-svoa, 0.1 mg | $695.4M | 24.1M | FLCATXNYMD |
| J2778 · Injection, ranibizumab, 0.1 mg | $213.7M | 1.2M | FLCATXNYMD |
| J2403 · Chloroprocaine hcl ophthalmic, 3% gel, 1 mg top by services | $2.1M | 3.9M | FLCATXNYMD |