NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
65800 Removal of eye fluid CPT · Eye procedure
Classification Procedure › Eye › Fluid Flow and Drainage of Eye (Any Method) (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 7,367 services ▼ 3.2% YoY · 2,786 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.1M · $154.46 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
53
Named-group FFS services
4,698
FFS of Medicare
49%
Services YoY
-3.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~8,711 services

4,698 observed fee-for-service (54%) · ~4,013 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 — 65800 (CY2024)
CA 1,836 MD 1,281 PA 791 NY 718 FL 700

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

Named-group submitted charges
$1.8M
Named-group allowed amount
$548K
Named-group Medicare payments
$429K
Avg charge / svc
$392
Avg allowed / svc
$117
Avg payment / svc
$91
Average charge per group
$118 53 groups · avg submitted charge / service $2,375
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 65800 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CUMBERLAND VALLEY RETINA CONSULTANTS PC HAGERSTOWN MD OPHTHALMOLOGY 5 1,251 $250,800 $200 97.7% 30166517121027
2 SERRANO EYE CENTER MEDICAL GROUP LOS ANGELES CA OPHTHALMOLOGY 3 1,135 $340,500 $300 61.8% (213) 380-8800
3 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 434 $202,975 $468 60.4% —
4 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 369 $529,405 $1,435 100.0% (608) 260-2900
5 VENTURA EYE INSTITUTE, INC CAMARILLO CA OPHTHALMOLOGY 2 144 $51,264 $356 7.8% (805) 388-1211
6 RETINA AND VITREOUS CENTER PC NORFOLK VA OPHTHALMOLOGY 7 140 $41,028 $293 100.0% (757) 481-4400
7 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NJ OPHTHALMOLOGY 115 100 $50,000 $500 20.6% (201) 837-7300
8 NY RETINA EYE CARE, PLLC SUFFERN NY OPHTHALMOLOGY 4 65 $19,500 $300 9.1% (845) 362-8500
9 RANDALL K TOZER MD PC SCOTTSDALE AZ OPTOMETRY 6 47 $13,641 $290 33.8% (480) 947-4493
10 LASER EYE CENTER PC HUNTSVILLE AL OPTOMETRY 2 44 $13,200 $300 100.0% —
11 RICHARD H HAVUNJIAN MD A PROFESSIONAL CORPORATION GLENDALE CA OPHTHALMOLOGY 2 42 $10,500 $250 2.3% (818) 548-5858
12 ASSOCIATED RETINA CONSULTANTS LTD PHOENIX AZ OPHTHALMOLOGY 15 40 $5,034 $126 28.8% (602) 242-4928
13 RETINA GROUP OF NEW ENGLAND PC WATERFORD CT OPHTHALMOLOGY 3 38 $11,438 $301 61.3% (860) 444-1292
14 RETINA ASSOCIATES OF CLEVELAND, INC. BEACHWOOD OH OPHTHALMOLOGY 19 38 $9,102 $240 100.0% —
15 CORNEA AND CATARACT CONSULTANTS OF ARIZONA PC PHOENIX AZ OPHTHALMOLOGY 4 36 $8,323 $231 25.9% (602) 258-4321
16 LEHMANN EYE CENTER, PA NACOGDOCHES TX OPHTHALMOLOGY 6 35 $4,762 $136 20.2% (936) 569-8278
17 TOMY STARCK MD PA SAN ANTONIO TX OPHTHALMOLOGY 4 32 $6,400 $200 18.5% (210) 308-5550
18 KENNETH R GROSSMAN MD INC MERCED CA OPHTHALMOLOGY 2 31 $6,194 $200 1.7% (209) 383-0989
19 GLAUCOMA ASSOCIATES OF TEXAS PA DALLAS MD OPHTHALMOLOGY 11 30 $15,500 $517 2.3% (214) 360-0000
20 RETINA VITREOUS CENTER, PLLC EDMOND OK OPHTHALMOLOGY 6 30 $7,500 $250 100.0% (405) 607-6699
21 LARRY M PERICH DO PA NEW PORT RICHEY FL OPHTHALMOLOGY 9 29 $5,318 $183 4.1% (727) 372-1311
22 COLUMBUS EYE ASSOCIATES COLUMBUS TX OPHTHALMOLOGY 8 29 $6,670 $230 16.8% (979) 732-5711
23 RETINA CONSULTANTS SAN DIEGO INC POWAY CA OPHTHALMOLOGY 5 29 $12,412 $428 1.6% (858) 451-1911
24 LONE STAR EYE CARE PA SUGAR LAND TX OPHTHALMOLOGY 3 27 $14,850 $550 15.6% (281) 277-8400
25 FLORIDA EYE MICROSURGICAL INSTITUTE INC BOYNTON BEACH FL OPHTHALMOLOGY 13 25 $10,000 $400 3.6% (561) 737-5500
26 CAROLINA OPHTHALMOLOGY PA ASHEVILLE NC OPHTHALMOLOGY 10 24 $5,226 $218 58.5% (800) 624-6575
27 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 23 $12,995 $565 3.2% (914) 241-1050
28 ADVANCED RETINA INSTITUTE LLC BONITA SPRINGS FL OPHTHALMOLOGY 2 23 $4,255 $185 3.3% (239) 544-3122
29 MASSACHUSETTS EYE RESEARCH AND SURGERY INSTITUTION PC WALTHAM MA OPHTHALMOLOGY 5 23 $10,500 $457 47.9% —
30 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 19 $8,030 $423 38.8% —
31 RETINA INSTITUTE OF ILLINOIS PC NILES IL OPHTHALMOLOGY 10 19 $7,600 $400 7.3% (847) 297-8900
32 GREAT LAKES EYE INSTITUTE SAGINAW MI OPHTHALMOLOGY 13 18 $9,000 $500 22.5% (989) 793-2820
33 DELRAY EYE ASSOCIATES PA DELRAY BEACH FL OPHTHALMOLOGY 9 18 $9,000 $500 2.6% (561) 498-8100
34 MERCY EYE CARE MEDICAL GROUP INC MONTEBELLO CA OPHTHALMOLOGY 5 18 $5,600 $311 1.0% (562) 866-1803
35 WEST COAST RETINA MEDICAL GROUP INC SAN FRANCISCO CA OPHTHALMOLOGY 10 17 $5,400 $318 0.9% (415) 972-4600
36 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK MO OPHTHALMOLOGY 115 17 $9,000 $529 34.7% (201) 837-7300
37 RETINA ASSOCIATES OF NEW YORK,P.C. NEW YORK NY OPHTHALMOLOGY 6 17 $3,840 $226 2.4% (212) 772-0600
38 BUENA VISTA OPTHALMOLOGISTS, P.C. PHOENIX AZ OPHTHALMOLOGY 2 16 $1,883 $118 11.5% (602) 263-8098
39 CENTRAL UTAH EYE ASSOCIATES PROVO UT OPHTHALMOLOGY 18 16 $5,824 $364 100.0% (801) 374-1818
40 PAUTLER COHEN FINDLAY EICHENBAUM WHITE AND CRANE MDS PA TAMPA FL OPHTHALMOLOGY 8 15 $4,800 $320 2.1% (813) 879-5795
41 RANDALL K TOZER MD PC SCOTTSDALE WA OPTOMETRY 6 15 $4,324 $288 51.7% (480) 947-4493
42 PACIFIC NORTHWEST RETINA PLLC BELLEVUE WA OPHTHALMOLOGY 19 14 $5,362 $383 48.3% (206) 215-3850
43 FISHER-SWALE-NICHOLSON EYE CENTER SC BOURBONNAIS IL OPTOMETRY 5 14 $2,942 $210 5.4% (815) 932-2020
44 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 14 $6,570 $469 5.4% (217) 544-6464
45 NEW VISION EYE CENTER, LLC VERO BEACH TX OPHTHALMOLOGY 7 13 $3,900 $300 7.5% (772) 257-8700
46 PACIFIC EYE SURGEONS A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION PASO ROBLES CA OPHTHALMOLOGY 20 13 $2,461 $189 0.7% (805) 545-8100
47 ROCKY MOUNTAIN EYE CENTER PC MISSOULA MT OPHTHALMOLOGY 15 13 $4,225 $325 100.0% (406) 541-3937
48 RIVERSIDE EYECARE PROFESSIONALS INC A MEDICAL CORPORATION REDDING CA OPHTHALMOLOGY 3 13 $2,652 $204 0.7% (530) 244-2273
49 DELAWARE EYE SURGEONS PA WILMINGTON DE OPHTHALMOLOGY 7 13 $6,500 $500 100.0% (302) 993-1300
50 EYE CARE SPECIALISTS LLC CAPE GIRARDEAU MO OPHTHALMOLOGY 6 13 $4,550 $350 26.5% (573) 335-3577
51 SHIELDS AND SHIELDS PC PHILADELPHIA PA OPHTHALMOLOGY 2 12 $28,500 $2,375 1.5% (215) 928-3105
52 LONG ISLAND OPHTHALMIC CARE, P.L.L.C. HEMPSTEAD NY OPHTHALMOLOGY 2 12 $3,000 $250 1.7% (516) 481-1570
53 MIDWEST RETINA CONSULTANTS SC DES PLAINES IL OPHTHALMOLOGY 6 12 $1,501 $125 4.6% (847) 698-6300
54 SOUTHWEST EYE CONSULTANTS PLLC FARMINGTON NM OPHTHALMOLOGY 8 12 $1,716 $143 100.0% (970) 828-2200
55 RETINA GROUP PC BRONX NY OPHTHALMOLOGY 4 12 $14,400 $1,200 1.7% (718) 798-3030

*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 →