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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
0449T Insertion of initial aqueous fluid drainage device into eye HCPCS · Eye procedure
Classification Procedure Eye Fluid Flow and Drainage of Eye (Any Method) (CMS RBCS)
First observed 2017
National scale 1,766 services ▼ 20.2% YoY · 1,480 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3.1M · $1760.16 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
19
Named-group FFS services
492
FFS of Medicare
49%
Services YoY
-20.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~938 services

492 observed fee-for-service (52%) · ~446 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 0449T (CY2024)

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$1.3M
Named-group allowed amount
$380K
Named-group Medicare payments
$302K
Avg charge / svc
$2,692
Avg allowed / svc
$773
Avg payment / svc
$613
Average charge per group
$1,426 19 groups · avg submitted charge / service $5,483
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 0449T services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 0449T svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 WYMAN SICHER EYE ASSOCIATES SC PEORIA IL OPHTHALMOLOGY 21 77 $192,500 $2,500 premium 41.0% (309) 243-2400
2 GLAUCOMA ASSOCIATES OF TEXAS PA DALLAS TX OPHTHALMOLOGY 11 55 $176,250 $3,205 premium 56.1% (214) 360-0000
3 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 34 $186,431 $5,483 premium 20.4% 75762222003020
4 TRI-STATE CENTERS FOR SIGHT INC CRESTVIEW HILLS OH OPHTHALMOLOGY 39 32 $64,000 $2,000 premium 26.7% (859) 341-4525
5 SUBURBAN ASSOCIATES IN OPHTHALMOLOGY LLC ARLINGTON HTS IL OPHTHALMOLOGY 9 32 $95,360 $2,980 premium 17.0% (847) 253-4040
6 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 31 $68,882 $2,222 premium 18.6% (434) 924-5959
7 HIGHLAND OPHTHALMOLOGY ASSOCIATES LLC NEW WINDSOR NY OPTOMETRY 5 29 $87,000 $3,000 premium 24.8% (845) 562-0138
8 EYE CENTERS OF LOUISVILLE,PSC LOUISVILLE KY OPTOMETRY 28 28 $42,000 $1,500 premium 63.6% (502) 895-0040
9 VRF EYE SPECIALTY GROUP, PLC MEMPHIS TN OPTOMETRY 16 21 $59,968 $2,856 premium 18.9% (901) 685-2200
10 VANCE THOMPSON VISION CLINIC PROF LLC SIOUX FALLS SD OPTOMETRY 44 21 $60,816 $2,896 premium 50.0% (605) 371-7100
11 BAPTIST EYE SURGEONS, PLLC KNOXVILLE TN OPHTHALMOLOGY 12 18 $41,220 $2,290 premium 16.2% (865) 579-3920
12 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 16 $43,200 $2,700 premium 13.7% (516) 766-2519
13 MASSACHUSETTS EYE RESEARCH AND SURGERY INSTITUTION PC WALTHAM MA OPHTHALMOLOGY 5 16 $28,000 $1,750 premium 16.7%
14 LONGWOOD EYE LLC WEST SPRINGFIELD MA OPHTHALMOLOGY 16 15 $28,500 $1,900 premium 15.6% (413) 452-4111
15 BERKS EYE PHYSICIANS AND SURGEONS LTD WYOMISSING PA OPHTHALMOLOGY 8 14 $25,200 $1,800 premium 21.2% (610) 372-0712
16 MEMPHIS EYE AND CATARACT ASSOCIATES PLC MEMPHIS TN OPHTHALMOLOGY 5 14 $20,566 $1,469 premium 12.6% 9017673993273
17 CHESAPEAKE EYE CARE AND LASER CENTER LLC ANNAPOLIS CA OPHTHALMOLOGY 78 14 $25,984 $1,856 premium 14.7% (410) 571-8733
18 RETINA AND VITREOUS CENTER PC NORFOLK VA OPHTHALMOLOGY 7 13 $18,538 $1,426 premium 7.8% (757) 481-4400
19 JONATHAN WOOLFSON MD PC ATLANTA GA OPHTHALMOLOGY 32 12 $60,000 $5,000 premium 100.0% (770) 804-1684

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →