Cost analysis for CPT 92235 — Exam of retinal blood vessels using a special camera after injection of a dye
Average Medicare Payment
$100.71
2023 data
Total Payments (2023)
$26.5M
Services (2023)
252.0K
Price Change (2014–2023)
+12.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $89.80 | $96.3M | 1.1M | — |
| 2015 | $90.02 | $91.0M | 1.0M | +0.2% |
| 2016 | $89.15 | $89.3M | 1.0M | -1.0% |
| 2017 | $59.68 | $29.9M | 486.1K | -33.1% |
| 2018 | $64.10 | $29.8M | 447.3K | +7.4% |
| 2019 | $68.71 | $30.1M | 422.3K | +7.2% |
| 2020 | $78.33 | $26.0M | 321.7K | +14.0% |
| 2021 | $89.01 | $30.7M | 332.2K | +13.6% |
| 2022 | $93.19 | $27.7M | 287.2K | +4.7% |
| 2023 | $100.71 | $26.5M | 252.0K | +8.1% |
The most expensive state pays 1.6x more than the cheapest for this procedure. NJ averages $120.06 vs WI at $74.19.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NJ | $120.06 | $1.2M | 9.8K | 68 |
| NY | $119.05 | $2.6M | 22.0K | 186 |
| CA | $115.17 | $4.7M | 40.8K | 274 |
| CT | $114.58 | $472.5K | 4.1K | 32 |
| HI | $114.42 | $153.8K | 1.3K | 14 |
| MD | $110.94 | $1.8M | 16.0K | 91 |
| ND | $107.21 | $11.0K | 103 | 3 |
| CO | $106.33 | $572.6K | 5.4K | 47 |
| WA | $105.71 | $439.8K | 4.2K | 53 |
| VA | $105.12 | $341.5K | 3.2K | 47 |
| SD | $104.95 | $29.8K | 284 | 4 |
| MN | $104.57 | $256.4K | 2.5K | 37 |
| RI | $103.75 | $39.9K | 385 | 11 |
| IL | $103.73 | $749.1K | 7.2K | 90 |
| MA | $102.49 | $239.1K | 2.3K | 49 |
| TX | $101.96 | $3.3M | 32.6K | 156 |
| FL | $101.50 | $2.2M | 21.9K | 186 |
| AZ | $100.76 | $598.9K | 5.9K | 42 |
| NV | $99.60 | $77.5K | 778 | 14 |
| OR | $99.40 | $367.8K | 3.7K | 33 |
| MI | $99.23 | $760.4K | 7.7K | 98 |
| GA | $98.88 | $199.4K | 2.0K | 34 |
| PA | $98.53 | $728.2K | 7.4K | 73 |
| IN | $97.67 | $554.0K | 5.7K | 35 |
| NC | $97.58 | $585.2K | 6.0K | 67 |
| SC | $97.50 | $285.8K | 2.9K | 26 |
| NM | $97.01 | $11.6K | 120 | 4 |
| NE | $95.88 | $123.3K | 1.3K | 11 |
| MO | $95.66 | $270.8K | 2.8K | 41 |
| OK | $95.13 | $350.9K | 3.7K | 18 |
| TN | $95.02 | $250.9K | 2.6K | 44 |
| KY | $94.75 | $100.8K | 1.1K | 19 |
| IA | $94.33 | $57.5K | 610 | 13 |
| UT | $94.32 | $91.6K | 971 | 17 |
| VT | $94.18 | $78.8K | 837 | 6 |
| KS | $93.98 | $356.1K | 3.8K | 29 |
| AL | $91.87 | $138.7K | 1.5K | 13 |
| ME | $91.83 | $74.8K | 815 | 10 |
| OH | $91.55 | $288.9K | 3.2K | 69 |
| WV | $90.03 | $62.8K | 698 | 7 |
| AR | $88.11 | $83.3K | 945 | 12 |
| ID | $87.11 | $50.3K | 577 | 4 |
| MS | $86.73 | $194.1K | 2.2K | 16 |
| LA | $85.72 | $497.8K | 5.8K | 44 |
| WI | $74.19 | $134.6K | 1.8K | 30 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Jason Ysasaga | Ophthalmology | TX | $410.2K | 4.0K | $101.48 |
| Antonio Aragon | Ophthalmology | TX | $313.9K | 3.1K | $101.35 |
| Ryan Rush | Ophthalmology | TX | $289.1K | 2.9K | $100.52 |
| Michael Grodin | Ophthalmology | MD | $256.4K | 2.3K | $112.94 |
| Thomas Oei | Ophthalmology | TX | $221.6K | 2.2K | $100.28 |
| Michael Samuel | Ophthalmology | CA | $207.8K | 2.0K | $103.10 |
| Mehran Taban | Ophthalmology | CA | $202.3K | 1.6K | $123.25 |
| Sergiu Marcus | Ophthalmology | NY | $184.4K | 1.4K | $128.49 |
| Nabil Srouji | Ophthalmology | OK | $168.3K | 1.8K | $95.50 |
| Shawn Agee | Ophthalmology | FL | $167.8K | 1.7K | $100.70 |
| Glenn Stoller | Ophthalmology | NY | $151.0K | 1.2K | $126.15 |
| Rodney Kusumi | Ophthalmology | IN | $134.4K | 1.4K | $99.13 |
| Joseph Khawly | Ophthalmology | TX | $129.7K | 1.3K | $102.29 |
| Yujen Wang | Ophthalmology | OR | $129.5K | 1.3K | $98.87 |
| Omar Ahmad | Ophthalmology | MD | $127.8K | 1.2K | $106.35 |
| John Sullivan | Ophthalmology | FL | $126.1K | 1.2K | $101.40 |
| Richard Scartozzi | Ophthalmology | CT | $126.1K | 1.1K | $115.30 |
| Shann Lin | Ophthalmology | PA | $123.4K | 1.2K | $100.44 |
| Thomas Baudo | Ophthalmology | FL | $115.3K | 1.1K | $105.75 |
| Edward Marcus | Ophthalmology | NY | $114.7K | 895 | $128.11 |
Based on the data, CPT 92235 shows a 1.6x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 12.1% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.