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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. Specialties
  3. Ophthalmology vs Optometry

Ophthalmology vs Optometry

Medicare billing comparison between Ophthalmology and Optometry providers

Ophthalmology
Optometry
Total Medicare Payments
$66.3B
$7.9B
↑ 735.9% difference
Total Providers
172.7K
284.2K
↓ 39.2% difference
Avg Payment per Provider
$383.7K
$27.9K
↑ 1275.7% difference
Markup Ratio
2.93x
2.27x
↑ 29.1% difference
Total Services
589.3M
176.9M
↑ 233.2% difference
Avg Payment per Service
$130.75
$55.19
↑ 136.9% difference

Key Insights

  • •Ophthalmology accounts for $58.3B more in Medicare payments than Optometry.
  • •Ophthalmology providers earn $355.8K more per provider on average.
  • •Ophthalmology has a higher markup ratio (2.93x vs 2.27x).

Top Procedures — Ophthalmology

J0178
Injection, aflibercept, 1 mg
$2.3B
J2777
Injection, faricimab-svoa, 0.1 mg
$965.2M
66984
Removal of cataract with insertion of prosthetic lens
$578.5M
92014
Established patient complete exam of visual system
$507.9M
67028
Injection of drug into eye
$320.2M

Top Procedures — Optometry

92014
Established patient complete exam of visual system
$273.8M
99213
Established patient office or other outpatient visit, 20-29 minutes
$104.0M
99214
Established patient office or other outpatient visit, 30-39 minutes
$99.3M
92004
New patient complete exam of visual system
$78.8M
92012
Established patient problem focused exam of visual system
$53.2M

Explore Individual Specialties

View OphthalmologyView Optometry

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

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

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