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Market snapshot

65430 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

65430 — Scraping of cornea for diagnosis

Billing groups
24
Named-group FFS services
411
FFS of Medicare
49%
Services YoY
+19.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~794 services

411 observed fee-for-service (52%) · ~383 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 — 65430 (CY2024)

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

Named-group submitted charges
$153K
Named-group allowed amount
$45K
Named-group Medicare payments
$34K
Avg charge / svc
$373
Avg allowed / svc
$110
Avg payment / svc
$83
Average charge per group
$131 24 groups · avg submitted charge / service $813
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 65430 services, CY2024
#Physician group City St Specialty Providers 65430 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 ROBERT J S MACK MD PC HOFFMAN ESTATES IL OPHTHALMOLOGY 4 65 $16,950 $261 premium 61.9% (847) 755-9393
2 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 24 $19,508 $813 premium 35.3% (323) 442-7122
3 JERVEY EYE GROUP PA GREENVILLE SC OPHTHALMOLOGY 20 20 $4,851 $243 premium 43.5% (864) 458-7956
4 EYE CONSULTANTS OF PENNSYLVANIA PC WYOMISSING PA OPHTHALMOLOGY 25 19 $7,600 $400 premium 100.0% (610) 378-1344
5 JACKSON EYE ASSOCIATES PLLC MADISON MS OPHTHALMOLOGY 13 19 $6,785 $357 premium 61.3% (601) 353-2020
6 EAST TEXAS EYE CARE ASSOCIATES PLLC TYLER TX OPHTHALMOLOGY 12 18 $7,380 $410 premium 52.9% (903) 595-0500
7 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 17 $5,758 $339 premium 100.0% (206) 223-6600
8 RANDALL K TOZER MD PC SCOTTSDALE AZ OPTOMETRY 6 17 $5,175 $304 premium 54.8% (480) 947-4493
9 CORNEA ASSOCIATES OF TEXAS PA PLANO TX OPHTHALMOLOGY 10 16 $6,800 $425 premium 47.1% (214) 692-0146
10 WHEATON EYE CLINIC LTD WHEATON IL OPHTHALMOLOGY 45 16 $2,090 $131 premium 15.2% (630) 668-8250
11 BISHOP EYE ASSOCIATES, PA HILTON HEAD SC OPHTHALMOLOGY 6 15 $5,250 $350 premium 32.6% (843) 689-3937
12 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 14 $7,714 $551 premium 20.6% (650) 723-4000
13 BARNET DULANEY PERKINS EYE CENTER, PC PHOENIX AZ OPTOMETRY 103 14 $4,060 $290 premium 45.2% (602) 955-1000
14 EYE CARE SPECIALISTS LLC CAPE GIRARDEAU MO OPHTHALMOLOGY 6 14 $3,400 $243 premium 100.0% (573) 335-3577
15 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM CA PHYSICIAN ASSISTANT 3051 13 $7,410 $570 premium 19.1% (919) 684-8111
16 SOPHIA SIU M.D. PLLC BROOKLYN IL OPHTHALMOLOGY 3 13 $5,109 $393 premium 12.4% (212) 858-9828
17 COASTAL EYE CLINIC, PA NEW BERN NC OPHTHALMOLOGY 5 13 $5,200 $400 premium 100.0%
18 DAKOTA EYE INSTITUTE PC BISMARCK ND OPTOMETRY 15 13 $7,410 $570 premium 100.0% (701) 222-3937
19 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 13 $6,214 $478 premium 100.0%
20 STEVEN A KUHL OD LLC WICHITA KS OPTOMETRY 35 12 $2,940 $245 premium 100.0% (316) 722-8883
21 BOOZMAN-HOF REGIONAL EYE CLINIC PA ROGERS AR OPTOMETRY 11 12 $5,106 $426 premium 100.0% (479) 246-1700
22 EYE ASSOCIATES OF MANATEE, LLP BRADENTON FL OPTOMETRY 63 12 $1,800 $150 premium 10.3% (941) 792-2020
23 CAROLINA CATARACT AND VISION CENTER LADSON SC OPHTHALMOLOGY 9 11 $3,804 $346 premium 23.9% (843) 797-3676
24 GOROVOY MD EYE SPECIALISTS PA FORT MYERS FL OPHTHALMOLOGY 3 11 $4,950 $450 premium 9.5% (239) 939-1444

*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 →