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Market snapshot

66984 in DE CY2024

Medicare Part B FFS · CY2024 · as published by CMS

66984 — Removal of cataract with insertion of prosthetic lens

Billing groups
15
Named-group FFS services
6,915
FFS of Medicare
67%
Services YoY
+4.1%
FFS enrollment -0.5%
Estimated all-Medicare volume FFS + estimated MA estimate
~10,154 services

6,915 observed fee-for-service (68%) · ~3,239 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

Named-group submitted charges
$11.1M
Named-group allowed amount
$3.2M
Named-group Medicare payments
$2.5M
Avg charge / svc
$1,612
Avg allowed / svc
$458
Avg payment / svc
$359
Average charge per group
$162 15 groups · avg submitted charge / service $3,002
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Specialty market — Ophthalmology: 5,121 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Ophthalmology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 66984 services, CY2024
#Physician group City Specialty Providers 66984 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 DELAWARE EYE CARE CENTER PA REHOBOTH BEACH OPHTHALMOLOGY 19 1,618 $2,707,085 $1,673 premium 10.4% (302) 645-2300
2 HALPERN MEDICAL SERVICES LLC DOVER OPHTHALMOLOGY 6 1,133 $2,266,000 $2,000 premium 7.3% (302) 678-1700
3 SURGICAL EYE ASSOCIATES OF DELAWARE, LLC NEWARK OPHTHALMOLOGY 4 875 $876,000 $1,001 premium 5.6% (302) 454-8800
4 CENTER FOR ADVANCED EYE CARE LANGHORNE OPHTHALMOLOGY 13 543 $1,357,500 $2,500 premium 3.5% 30223919336283
5 DELAWARE EYE SURGEONS PA WILMINGTON OPHTHALMOLOGY 7 537 $1,612,074 $3,002 premium 3.5% (302) 993-1300
6 EYE PHYSICIANS AND SURGEONS, PA WILMINGTON OPHTHALMOLOGY 11 248 $620,000 $2,500 premium 1.6% (302) 652-3353
7 ADVANCED EYE CARE P A WILMINGTON OPHTHALMOLOGY 3 167 $271,200 $1,624 premium 1.1% (302) 656-8867

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →