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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
66172 Creation of eye fluid drainage tract for treatment of glaucoma with previous scarring 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 1,079 services ▼ 13.8% YoY · 1,012 beneficiaries (CY2024, Medicare FFS)
Medicare paid $951K · $881.81 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
20
Named-group FFS services
423
FFS of Medicare
49%
Services YoY
-13.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~837 services

423 observed fee-for-service (51%) · ~414 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 — 66172 (CY2024)

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

Named-group submitted charges
$1.7M
Named-group allowed amount
$470K
Named-group Medicare payments
$374K
Avg charge / svc
$4,001
Avg allowed / svc
$1,112
Avg payment / svc
$884
Average charge per group
$2,265 20 groups · avg submitted charge / service $8,439
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 66172 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 66172 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 DAVID JOSEPH PINHAS MD PC BROOKLYN NY OPHTHALMOLOGY 2 94 $376,000 $4,000 premium 39.7% (718) 339-5100
2 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 37 $312,249 $8,439 premium 38.1% (323) 442-7122
3 CENTRAL ARKANSAS OPHTHALMOLOGY LITTLE ROCK AR OPHTHALMOLOGY 3 37 $103,600 $2,800 premium 44.6% (501) 664-5354
4 MIDWEST EYE CARE PC OMAHA NE OPHTHALMOLOGY 24 27 $73,305 $2,715 premium 50.9% (402) 552-2020
5 PANHANDLE EYE GROUP, LLP AMARILLO TX OPHTHALMOLOGY 11 20 $74,500 $3,725 premium 37.0% (806) 351-1870
6 BEND OPHTHALMOLOGY BEND OR OPHTHALMOLOGY 5 18 $80,190 $4,455 premium 56.2% (541) 389-3166
7 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 17 $58,519 $3,442 premium 17.5% (805) 681-7500
8 SHEPHERD EYE CENTER LTD LAS VEGAS NV OPHTHALMOLOGY 41 16 $55,920 $3,495 premium 100.0% (702) 896-6043
9 EYE PHYSICIANS, LLC COLUMBUS OH OPHTHALMOLOGY 34 16 $36,624 $2,289 premium 25.0% (614) 221-7464
10 GLAUCOMA CENTER OF MICHIGAN PC SOUTHFIELD MI OPHTHALMOLOGY 5 15 $47,250 $3,150 premium 29.4% (248) 356-0098
11 EYE CARE ASSOCIATES, INC YOUNGSTOWN OH OPHTHALMOLOGY 14 15 $45,000 $3,000 premium 23.4% (330) 884-6584
12 OPHTHALMIC PARTNERS , PA FORT WORTH TX OPHTHALMOLOGY 14 14 $31,710 $2,265 premium 25.9% (817) 332-2020
13 STILES EYECARE EXCELLENCE AND GLAUCOMA INSTITUTE PA OVERLAND PARK KS OPHTHALMOLOGY 5 13 $32,168 $2,474 premium 43.3% (913) 897-9299
14 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 13 $74,503 $5,731 premium 32.5% (305) 689-5437
15 UNIVERSITY EYE SPECIALISTS LTD NORTHBROOK IL OPHTHALMOLOGY 4 13 $39,000 $3,000 premium 27.7% (847) 562-4330
16 LOS ANGELES VISION CENTER INC CULVER CITY CA OPHTHALMOLOGY 4 12 $29,664 $2,472 premium 12.4% (310) 838-0202
17 OPHTHALMIC ASSOCIATES A PROFESSIONAL CORPORATION ANCHORAGE AK OPHTHALMOLOGY 8 12 $92,568 $7,714 premium 100.0% (907) 276-1617
18 CHESAPEAKE EYE CARE AND LASER CENTER LLC ANNAPOLIS MD OPHTHALMOLOGY 78 12 $33,492 $2,791 premium 50.0% (410) 571-8733
19 OPHTHALMIC SURGEONS OF GR BPT PC FAIRFIELD CT OPHTHALMOLOGY 6 11 $41,250 $3,750 premium 100.0% (203) 371-0141
20 QUINCY PHYSICIANS AND SURGEONS CLINIC, PLLC QUINCY IL NURSE PRACTITIONER 230 11 $55,114 $5,010 premium 23.4%

*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 →