Ophthalmology

Built for independent ophthalmology practices.

We benchmark independent ophthalmology practices using 100M+ Medicare claims. Surface cataract (66984) and laser (YAG, SLT) Modifier utilization gaps, intravitreal-injection administration billing patterns, and Open Payments exposure across high-pharma-touch retina and uveitis subspecialties.

Inquire about a Ophthalmology Assessment

What we benchmark for ophthalmology

Revenue + coding

E/M code distribution · modifier utilization · procedure upgrade paths · RVU production · denial risk patterns · provider productivity. Bounded ranges where the data supports them, specialty-percentile grades elsewhere.

Compliance + risk

Code concentration · CDI indicators · MIPS quality measures · Open Payments exposure · HIPAA security posture · WCAG 2.2 AA accessibility · OWASP A06 vulnerability. Cited control mappings throughout.

Market + growth

Payer network gaps · geographic expansion opportunities · specialty workforce density · practice maturity + network analysis. Federal-data-cited at every layer.

Trends + forecast

Reimbursement trends · new vs established patient mix · panel size · revenue forecasting. Counterfactual analysis at prior-rate baselines for diagnostic framing.

Our methodology

47 customer-ready analysis modules. 5compliance scanners. Cited sources at every finding. Bounded ranges where the data supports them, specialty-percentile grades elsewhere. CMS public data runs ~18 months behind real-time — we surface that vintage transparently.

Specialty-deep where it pays off. Specialty-agnostic where the math is universal.

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