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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 92235
  4. Cost Analysis

How Much Does Exam of retinal blood vessels using a special camera after injection of a dye Cost on Medicare?

Cost analysis for CPT 92235 — Exam of retinal blood vessels using a special camera after injection of a dye

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Average Medicare Payment

$100.71

2023 data

Total Payments (2023)

$26.5M

Services (2023)

252.0K

Price Change (2014–2023)

+12.1%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$89.80$96.3M1.1M—
2015$90.02$91.0M1.0M+0.2%
2016$89.15$89.3M1.0M-1.0%
2017$59.68$29.9M486.1K-33.1%
2018$64.10$29.8M447.3K+7.4%
2019$68.71$30.1M422.3K+7.2%
2020$78.33$26.0M321.7K+14.0%
2021$89.01$30.7M332.2K+13.6%
2022$93.19$27.7M287.2K+4.7%
2023$100.71$26.5M252.0K+8.1%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.6x more than the cheapest for this procedure. NJ averages $120.06 vs WI at $74.19.

StateAvg PaymentTotal PaymentsServicesProviders
NJ$120.06$1.2M9.8K68
NY$119.05$2.6M22.0K186
CA$115.17$4.7M40.8K274
CT$114.58$472.5K4.1K32
HI$114.42$153.8K1.3K14
MD$110.94$1.8M16.0K91
ND$107.21$11.0K1033
CO$106.33$572.6K5.4K47
WA$105.71$439.8K4.2K53
VA$105.12$341.5K3.2K47
SD$104.95$29.8K2844
MN$104.57$256.4K2.5K37
RI$103.75$39.9K38511
IL$103.73$749.1K7.2K90
MA$102.49$239.1K2.3K49
TX$101.96$3.3M32.6K156
FL$101.50$2.2M21.9K186
AZ$100.76$598.9K5.9K42
NV$99.60$77.5K77814
OR$99.40$367.8K3.7K33
MI$99.23$760.4K7.7K98
GA$98.88$199.4K2.0K34
PA$98.53$728.2K7.4K73
IN$97.67$554.0K5.7K35
NC$97.58$585.2K6.0K67
SC$97.50$285.8K2.9K26
NM$97.01$11.6K1204
NE$95.88$123.3K1.3K11
MO$95.66$270.8K2.8K41
OK$95.13$350.9K3.7K18
TN$95.02$250.9K2.6K44
KY$94.75$100.8K1.1K19
IA$94.33$57.5K61013
UT$94.32$91.6K97117
VT$94.18$78.8K8376
KS$93.98$356.1K3.8K29
AL$91.87$138.7K1.5K13
ME$91.83$74.8K81510
OH$91.55$288.9K3.2K69
WV$90.03$62.8K6987
AR$88.11$83.3K94512
ID$87.11$50.3K5774
MS$86.73$194.1K2.2K16
LA$85.72$497.8K5.8K44
WI$74.19$134.6K1.8K30

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Jason YsasagaOphthalmologyTX$410.2K4.0K$101.48
Antonio AragonOphthalmologyTX$313.9K3.1K$101.35
Ryan RushOphthalmologyTX$289.1K2.9K$100.52
Michael GrodinOphthalmologyMD$256.4K2.3K$112.94
Thomas OeiOphthalmologyTX$221.6K2.2K$100.28
Michael SamuelOphthalmologyCA$207.8K2.0K$103.10
Mehran TabanOphthalmologyCA$202.3K1.6K$123.25
Sergiu MarcusOphthalmologyNY$184.4K1.4K$128.49
Nabil SroujiOphthalmologyOK$168.3K1.8K$95.50
Shawn AgeeOphthalmologyFL$167.8K1.7K$100.70
Glenn StollerOphthalmologyNY$151.0K1.2K$126.15
Rodney KusumiOphthalmologyIN$134.4K1.4K$99.13
Joseph KhawlyOphthalmologyTX$129.7K1.3K$102.29
Yujen WangOphthalmologyOR$129.5K1.3K$98.87
Omar AhmadOphthalmologyMD$127.8K1.2K$106.35
John SullivanOphthalmologyFL$126.1K1.2K$101.40
Richard ScartozziOphthalmologyCT$126.1K1.1K$115.30
Shann LinOphthalmologyPA$123.4K1.2K$100.44
Thomas BaudoOphthalmologyFL$115.3K1.1K$105.75
Edward MarcusOphthalmologyNY$114.7K895$128.11

🤔 Is Exam of retinal blood vessels using a special camera after injection of a dye Overpriced?

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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.