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Market snapshot

65426 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

65426 — Removal or relocation of corneal conjunctiva with graft

Billing groups
22
Named-group FFS services
367
FFS of Medicare
49%
Services YoY
+9.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~729 services

367 observed fee-for-service (50%) · ~362 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 — 65426 (CY2024)

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

Named-group submitted charges
$566K
Named-group allowed amount
$181K
Named-group Medicare payments
$142K
Avg charge / svc
$1,541
Avg allowed / svc
$494
Avg payment / svc
$388
Average charge per group
$930 22 groups · avg submitted charge / service $2,100
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 65426 services, CY2024
#Physician group City St Specialty Providers 65426 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 VISIONARY OPHTHALMOLOGY LLC ROCKVILLE MD OPHTHALMOLOGY 17 26 $52,272 $2,010 premium 66.7% (301) 896-0890
2 TRIAD EYE INSTITUTE PLLC TULSA OK OPTOMETRY 36 25 $27,500 $1,100 premium 69.4% (918) 252-2020
3 SACRAMENTO EYE CONSULTANTS A MED CORP SACRAMENTO IL OPHTHALMOLOGY 11 25 $49,867 $1,995 premium 45.5% (916) 649-1515
4 KENNETH R GROSSMAN MD INC MERCED CA OPHTHALMOLOGY 2 20 $18,760 $938 premium 2.8% (209) 383-0989
5 PUERTO RICO EYE INSTITUTE CAGUAS NC OPHTHALMOLOGY 7 19 $20,900 $1,100 premium 20.9% (787) 641-3030
6 WILMINGTON EYE, P.A. WILMINGTON NC OPHTHALMOLOGY 29 18 $30,600 $1,700 premium 19.8% (910) 763-3601
7 VANTAGE EYE CENTER A MEDICAL CORP MONTEREY CA OPHTHALMOLOGY 19 17 $28,050 $1,650 premium 2.4% (831) 647-3900
8 CALIFORNIA RETINA ASSOCIATES, LP CHULA VISTA IL OPHTHALMOLOGY 19 17 $29,520 $1,736 premium 30.9% 6194257755257755
9 NEWSOM EYE AND LASER CENTER INC TAMPA FL OPHTHALMOLOGY 16 17 $15,810 $930 premium 33.3% (813) 908-2020
10 TALLEY MEDICAL-SURGICAL EYE CARE ASSOCIATES PC EVANSVILLE IN OPHTHALMOLOGY 10 16 $32,384 $2,024 premium 32.7% (812) 424-2020
11 ST GEORGE EYE CENTER LLC ST GEORGE MI OPHTHALMOLOGY 8 14 $19,884 $1,420 premium 100.0% (435) 628-4507
12 WEST TEXAS EYE PA LUBBOCK TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 24 14 $23,100 $1,650 premium 10.9% (806) 792-5900
13 CALIFORNIA RETINA ASSOCIATES, LP CHULA VISTA CA OPHTHALMOLOGY 19 14 $24,780 $1,770 premium 1.9% 6194257755257755
14 RIDGE EYE CARE INC MARYSVILLE CA OPTOMETRY 19 14 $15,512 $1,108 premium 1.9% (530) 743-1873
15 BARNET DULANEY PERKINS EYE CENTER, PC PHOENIX AZ OPTOMETRY 103 14 $23,100 $1,650 premium 10.4% (602) 955-1000
16 JOSEPH AND SWAN EYE CENTER, A PROFESSIONAL MEDICAL CORPORATION LAFAYETTE LA OPHTHALMOLOGY 4 13 $15,717 $1,209 premium 100.0% (337) 981-6430
17 DAVID B KAYE MD INC FRESNO CA OPHTHALMOLOGY 6 13 $27,300 $2,100 premium 1.8% (559) 432-1000
18 EYE CLINIC OF BREMERTON, INC. P.S. SILVERDALE WA OPHTHALMOLOGY 7 13 $13,000 $1,000 premium 33.3% (360) 698-9500
19 WOLSTAN AND GOLDBERG EYE ASSOCIATES INC A MEDICAL CORPORATON TORRANCE CA OPHTHALMOLOGY 7 12 $16,200 $1,350 premium 1.7% (310) 543-2611
20 ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION SANTA MARIA CA OPHTHALMOLOGY 14 12 $22,800 $1,900 premium 1.7% (805) 925-2637
21 HARVARD EYE ASSOCIATES FKA ROGER OHANESIAN MD AND EDWARD KIM MD INC SAN CLEMENTE CA OPHTHALMOLOGY 20 12 $23,664 $1,972 premium 1.7% (949) 951-2020
22 DELTA EYE MEDICAL GROUP, INC. STOCKTON CA OPHTHALMOLOGY 8 11 $12,914 $1,174 premium 1.5% (209) 478-1797
23 CORNEA ASSOCIATES OF TEXAS PA PLANO TX OPHTHALMOLOGY 10 11 $22,000 $2,000 premium 8.6% (214) 692-0146

*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 →