Cost analysis for CPT Q5124 — Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg
Average Medicare Payment
$170.29
2023 data
Total Payments (2023)
$24.2M
Services (2023)
141.8K
Price Change (2022–2023)
-5.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2022 | $179.96 | $600.4K | 3.3K | — |
| 2023 | $170.29 | $24.2M | 141.8K | -5.4% |
The most expensive state pays 1.1x more than the cheapest for this procedure. TN averages $177.65 vs OR at $156.45.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| TN | $177.65 | $1.4M | 7.8K | 10 |
| UT | $174.08 | $43.5K | 250 | 1 |
| AZ | $173.62 | $1.3M | 7.2K | 6 |
| TX | $173.50 | $735.3K | 4.2K | 4 |
| MN | $173.46 | $295.1K | 1.7K | 6 |
| CA | $173.28 | $5.4M | 31.4K | 25 |
| MO | $173.08 | $331.4K | 1.9K | 3 |
| MS | $172.29 | $249.8K | 1.4K | 4 |
| NY | $171.76 | $1.3M | 7.7K | 19 |
| WA | $171.52 | $194.9K | 1.1K | 4 |
| SD | $171.35 | $153.2K | 894 | 1 |
| MD | $170.81 | $7.9M | 46.4K | 3 |
| AR | $170.75 | $105.0K | 615 | 1 |
| NC | $170.39 | $1.3M | 7.6K | 5 |
| IN | $170.37 | $260.7K | 1.5K | 3 |
| MI | $169.57 | $37.5K | 221 | 1 |
| IA | $169.53 | $522.2K | 3.1K | 4 |
| SC | $169.23 | $92.2K | 545 | 1 |
| ME | $169.06 | $225.0K | 1.3K | 2 |
| IL | $166.79 | $81.7K | 490 | 1 |
| LA | $163.06 | $246.2K | 1.5K | 2 |
| KY | $161.53 | $18.6K | 115 | 1 |
| MA | $160.17 | $1.9M | 11.6K | 10 |
| OK | $160.13 | $68.9K | 430 | 2 |
| OR | $156.45 | $75.9K | 485 | 1 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| David Warrow | Ophthalmology | MD | $5.0M | 29.1K | $171.32 |
| Allen Hu | Ophthalmology | MD | $2.9M | 17.1K | $170.02 |
| Nathan Steinle | Ophthalmology | CA | $798.7K | 4.5K | $175.93 |
| Jay Berdia | Ophthalmology | NC | $773.0K | 4.6K | $168.97 |
| Rangram Chandran | Ophthalmology | CA | $721.6K | 4.2K | $171.00 |
| Sarju Patel | Ophthalmology | CA | $643.2K | 3.8K | $170.62 |
| Babak Jian Seyedahmadi | Ophthalmology | MA | $641.4K | 4.1K | $156.63 |
| Carlos Medina Mendez | Ophthalmology | CA | $527.7K | 3.1K | $169.95 |
| Roger Goldberg | Ophthalmology | CA | $449.3K | 2.5K | $177.58 |
| Suhail Alam | Ophthalmology | AZ | $337.1K | 1.9K | $176.50 |
| Jordan Graff | Ophthalmology | AZ | $334.8K | 1.9K | $175.29 |
| Jason Ysasaga | Ophthalmology | TX | $320.0K | 1.9K | $172.50 |
| Stephen Couvillion | Ophthalmology | CA | $315.3K | 1.8K | $178.64 |
| Gisela Velez | Ophthalmology | MA | $305.2K | 1.8K | $170.97 |
| Ryan Rush | Ophthalmology | TX | $304.8K | 1.7K | $174.67 |
| Brandon Busbee | Ophthalmology | TN | $296.5K | 1.6K | $181.04 |
| Joel Pearlman | Ophthalmology | CA | $284.1K | 1.6K | $174.86 |
| Chirag Shah | Ophthalmology | MA | $283.7K | 1.8K | $157.61 |
| Cameron Pole | Ophthalmology | CA | $274.6K | 1.6K | $170.59 |
| Mahmood El-Gasim | Ophthalmology | AZ | $258.2K | 1.5K | $169.89 |
Based on the data, CPT Q5124 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 5.4% since 2022. 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.