NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
66850 Aspiration of lens material by fragmenting and aspiration CPT · Eye procedure
Classification Procedure › Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,065 services · est. ▼ 10.0% YoY · 503 FFS beneficiaries (CY2024, all-Medicare estimate) — 545 observed fee-for-service services
Medicare paid $524K · est. · $490.37 avg / service, national — $267K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

6

Named groups billing this code
Named-group all-Medicare svcs · est.

415

Scaled from 207 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-10.0%

All-Medicare est. · observed FFS -11.4%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~415 services

207 observed fee-for-service (50%) · ~208 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Top states — 66850 (CY2024)
CA 361 FL 274 MD 128 NY 69 MN 59

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

Billed → allowed → paid
Named-group submitted charges
$260K
Named-group allowed amount
$83K
Named-group Medicare payments
$134K · est.
— $67K observed FFS
Avg charge / svc
$1,254
Avg allowed / svc
$402
Avg payment / svc
$323
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$820 6 groups · avg submitted charge / service $3,124
Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — each panel renders gated on the free tier.

See it in full: nuclear heart imaging (78452) in Arizona is open as a live example — every paid panel, on real data.

View the live example →
See the Platform — the full read, every number below, code baskets, and export. Notify me at launch →
Refine: group size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 66850 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 SAURABH N PATEL MD PA BONITA SPRINGS FL OPHTHALMOLOGY 3 94 $77,080 $820 78.3% 2393903339226
2 CUMBERLAND VALLEY RETINA CONSULTANTS PC HAGERSTOWN MD OPHTHALMOLOGY 5 62 $74,400 $1,200 63.9% 30166517121027
3 CHESTER COUNTY EYE CARE ASSOC PC WEST CHESTER PA OPHTHALMOLOGY 12 16 $28,960 $1,810 59.3% (610) 696-1230
4 SOUTHEASTERN RETINA SPECIALISTS PA WAYCROSS FL OPHTHALMOLOGY 2 13 $25,935 $1,995 10.8% (912) 387-0020
5 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 11 $34,359 $3,124 100.0% (319) 678-8201
That's the top 5 of 6 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →