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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
65205 Removal of foreign body from external eye (conjunctiva) CPT · Eye procedure
Classification Procedure › Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 5,915 services ▼ 2.2% YoY · 4,533 beneficiaries (CY2024, Medicare FFS)
Medicare paid $116K · $19.60 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
62
Named-group FFS services
3,143
FFS of Medicare
49%
Services YoY
-2.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,461 services

3,143 observed fee-for-service (49%) · ~3,318 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 — 65205 (CY2024)
CA 1,805 NY 1,230 AZ 855 FL 707 NJ 260

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

Named-group submitted charges
$431K
Named-group allowed amount
$87K
Named-group Medicare payments
$64K
Avg charge / svc
$137
Avg allowed / svc
$28
Avg payment / svc
$20
Average charge per group
$28 62 groups · avg submitted charge / service $454
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 65205 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 LASER AND MICROSURGERY, PC BROOKLYN NY OPHTHALMOLOGY 5 708 $106,200 $150 57.6% (718) 627-0303
2 EYES ON SITE PLLC MESA AZ OPTOMETRY 4 689 $74,823 $109 80.6% (480) 626-8925
3 GEORGE C. WONG, M.D., P.A. WEST PALM BEACH FL OPHTHALMOLOGY 2 131 $24,235 $185 18.5% (561) 659-6535
4 FLORIDA EYE MICROSURGICAL INSTITUTE INC BOYNTON BEACH FL OPHTHALMOLOGY 13 117 $11,800 $101 16.5% (561) 737-5500
5 KENNETH R GROSSMAN MD INC MERCED CA OPHTHALMOLOGY 2 97 $4,160 $43 5.4% (209) 383-0989
6 RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR PASADENA CA OPHTHALMOLOGY 82 88 $6,075 $69 4.9% (800) 898-2020
7 JEFFREY F ZWERLING MD PC ROCKAWAY PARK NY OPHTHALMOLOGY 2 78 $11,700 $150 6.3% (718) 634-5808
8 GAYTON HEALTH CENTRE PC WARNER ROBINS GA OPHTHALMOLOGY 13 67 $17,500 $261 54.0% (478) 923-5872
9 VENTURA EYE INSTITUTE, INC CAMARILLO CA OPHTHALMOLOGY 2 67 $5,025 $75 3.7% (805) 388-1211
10 EYE PHYSICIANS AND SURGEONS, PLLC JACKSONVILLE AR OPHTHALMOLOGY 3 56 $13,110 $234 80.0% (501) 985-0616
11 ATLANTIC EYE CONSULTANTS, LLC MELBOURNE FL OPHTHALMOLOGY 5 43 $7,525 $175 6.1% (321) 805-3700
12 EYE PHYSICIANS OF FLORIDA LLP PLANTATION FL OPHTHALMOLOGY 42 43 $7,740 $180 6.1% (954) 741-5555
13 GLAUCOMA SPECIALISTS OF SOUTH FLORIDA PA DELRAY BEACH FL OPHTHALMOLOGY 5 42 $4,600 $110 5.9% (561) 479-3884
14 SEDONA EYE CARE PC SEDONA AZ OPTOMETRY 2 38 $4,066 $107 4.4% (928) 282-4126
15 AEG PENNSYLVANIA PROFESSIONAL INC PITTSBURGH PA OPTOMETRY 75 37 $7,400 $200 32.2% (412) 422-5300
16 HEARTLAND EYE CONSULTANTS LLC OMAHA NE OPTOMETRY 5 34 $6,820 $201 100.0% (402) 493-6500
17 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 32 $8,250 $258 2.6% (516) 766-2519
18 KATHRYN NAJAFI TAGOL MD A PROFESSIONAL CORPORATION SAN RAFAEL CA OPHTHALMOLOGY 3 29 $1,986 $68 1.6% (415) 444-0300
19 EYE ASSOCIATES OF MANATEE, LLP BRADENTON FL OPTOMETRY 63 29 $2,175 $75 4.1% (941) 792-2020
20 NORTH COUNTY LASER EYE ASSOCIATES, APC CARLSBAD CA OPHTHALMOLOGY 2 29 $1,777 $61 1.6% (760) 930-9646
21 ROCKY MOUNTAIN EYE CENTER PC MISSOULA MT OPHTHALMOLOGY 15 28 $5,700 $204 100.0% (406) 541-3937
22 ATLANTIC EYE INSTITUTE, P.A. JACKSONVILLE FL OPHTHALMOLOGY 10 26 $6,300 $242 3.7% (904) 241-7865
23 WILLIAM J. MALLON, MD VERO BEACH FL OPHTHALMOLOGY 10 25 $1,441 $58 3.5% (772) 299-1404
24 OPHTHALMOLOGY ASSOCIATES OF GREATER ANNAPOLIS PA ARNOLD MD OPHTHALMOLOGY 4 25 $2,875 $115 55.6% (410) 757-2778
25 GREGORY L HENDERSON MD FACS INC BRANDON FL OPHTHALMOLOGY 32 24 $2,175 $91 3.4% —
26 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 24 $7,056 $294 3.4% (863) 680-7780
27 POCONO EYE ASSOCIATES INC E STROUDSBURG PA OPHTHALMOLOGY 10 23 $4,680 $203 20.0% 57042188421007
28 MOSAIC EYE SPECIALISTS PC SAN DIEGO CA OPHTHALMOLOGY 2 22 $1,760 $80 1.2% (619) 226-1877
29 SPEARE MEMORIAL HOSPITAL PLYMOUTH NH NURSE PRACTITIONER 53 22 $3,696 $168 100.0% (603) 481-8780
30 WYCKOFF OPHTHALMOLOGY, LLC WYCKOFF NJ OPHTHALMOLOGY 2 21 $3,633 $173 8.1% (201) 257-5222
31 WEST FLORIDA OPHTHALMOLOGY INC OLDSMAR FL OPHTHALMOLOGY 2 19 $2,185 $115 2.7% (727) 216-2020
32 AUDREY RALEY OD PLLC NEW BRAUNFELS TX OPTOMETRY 2 19 $4,305 $227 13.6% (830) 302-3357
33 DELRAY EYE ASSOCIATES PA DELRAY BEACH FL OPHTHALMOLOGY 9 18 $3,330 $185 2.5% (561) 498-8100
34 EYE PHYSICIANS OF LONG BEACH A MEDICAL GROUP INC LONG BEACH CA OPHTHALMOLOGY 8 17 $1,722 $101 0.9% (562) 799-2020
35 AARCHAN JOSHI, M.D. INC LOS ALAMITOS CA OPHTHALMOLOGY 8 17 $1,785 $105 0.9% (562) 598-2020
36 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 16 $4,656 $291 100.0% (601) 264-6000
37 HARVARD EYE ASSOCIATES FKA ROGER OHANESIAN MD AND EDWARD KIM MD INC SAN CLEMENTE CA OPHTHALMOLOGY 20 16 $2,064 $129 0.9% (949) 951-2020
38 PIH HEALTH PHYSICIANS WHITTIER CA INTERNAL MEDICINE 606 15 $827 $55 0.8% (562) 698-0811
39 FAMILY VISION AND CONTACT LENS CLINIC LLC CASPER WY OPTOMETRY 3 15 $1,050 $70 100.0% (307) 237-8713
40 JEFFREY L MORER OD PC FRAMINGHAM OH OPTOMETRY 57 15 $630 $42 57.7% (617) 964-6681
41 EUGENE B GABIANELLI MD AND ASSOC LLC ATLANTA GA OPHTHALMOLOGY 29 15 $1,797 $120 12.1% (404) 531-9988
42 DES MOINES EYE SURGEONS, LLP WEST DES MOINES IA OPHTHALMOLOGY 6 15 $1,480 $99 100.0% (515) 225-3546
43 ANDREW S RIEMER DO PC LUDINGTON MI OPTOMETRY 9 14 $1,260 $90 100.0% (231) 845-6261
44 NORTHERN VALLEY EYECARE INC SAINT ALBANS VT OPTOMETRY 2 14 $2,550 $182 100.0% (802) 524-9561
45 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 14 $1,953 $140 10.0% (903) 606-5560
46 HEA CLINIC PA HOUSTON TX OPHTHALMOLOGY 42 14 $6,356 $454 10.0% (713) 467-6474
47 EDISON OPHTHALMOLOGY ASSOCIATES L.L.C. EDISON NJ OPHTHALMOLOGY 5 13 $2,875 $221 5.0% (908) 822-0070
48 BAILEY WAKIL AND AURINGER EYE PHYSICIANS AND SURGEONS PLLC ALBANY NY OPHTHALMOLOGY 2 13 $2,450 $188 1.1% (518) 452-6002
49 CHAMPION EYE INC JACKSONVILLE FL OPHTHALMOLOGY 2 13 $763 $59 1.8% (904) 903-4068
50 EYE ASSOCIATES OF OKLAHOMA PLLC MIDWEST CITY OK OPHTHALMOLOGY 15 13 $1,820 $140 100.0% (405) 733-4545
51 WHITTAKER AND TANG PA SENECA KS OPTOMETRY 2 13 $845 $65 100.0% (785) 336-3571
52 PERRY S MOLLICK MDPC LEVITTOWN NY OPHTHALMOLOGY 4 13 $2,600 $200 1.1% (516) 579-5400
53 WILLIAM J OKTAVEC MD PA ST AUGUSTINE FL OPHTHALMOLOGY 2 13 $1,300 $100 1.8% (904) 826-3937
54 THE CENTER FOR SIGHT, PA LUFKIN TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 6 13 $1,235 $95 9.3% (409) 634-8434
55 CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD TAYLORVILLE VA OPTOMETRY 4 12 $337 $28 36.4% (217) 824-4991
56 ATLANTIC EYE PHYSICIANS, PA EATONTOWN NJ OPHTHALMOLOGY 12 12 $1,025 $85 4.6% (732) 222-7373
57 INVISION EYECARE SPECIALISTS LAKEWOOD NJ OPHTHALMOLOGY 6 12 $2,460 $205 4.6% 7329055600217
58 EYE CENTERS OF TENNESSEE, LLC COOKEVILLE TN OPTOMETRY 17 12 $1,092 $91 100.0% (931) 650-4100
59 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 11 $3,113 $283 42.3% (419) 291-2003
60 VISION INNOVATION CENTERS OF PENNSYLVANIA LLC WEST PITTSTON PA OPTOMETRY 85 11 $759 $69 9.6% (570) 602-1010
61 GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC SAVANNAH GA OPHTHALMOLOGY 20 11 $2,750 $250 8.9% (912) 629-5968
62 BARNET DULANEY PERKINS EYE CENTER, PC PHOENIX AZ OPTOMETRY 103 11 $1,045 $95 1.3% (602) 955-1000

*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 →