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Market snapshot

66986 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

66986 — Exchange of prosthetic lens

Billing groups
60
Named-group FFS services
1,272
FFS of Medicare
49%
Services YoY
-1.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,622 services

1,272 observed fee-for-service (49%) · ~1,350 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 — 66986 (CY2024)
FL 626 TX 358 CA 346 PA 233 AZ 202

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

Named-group submitted charges
$3.1M
Named-group allowed amount
$1.0M
Named-group Medicare payments
$803K
Avg charge / svc
$2,464
Avg allowed / svc
$793
Avg payment / svc
$632
Average charge per group
$947 60 groups · avg submitted charge / service $7,391
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 66986 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 GOROVOY MD EYE SPECIALISTS PA FORT MYERS FL OPHTHALMOLOGY 3 53 $190,800 $3,600 8.5% (239) 939-1444
2 RETINA VITREOUS CONSULTANTS FT LAUDERDALE FL OPHTHALMOLOGY 44 51 $163,200 $3,200 8.1% (954) 776-6880
3 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 47 $151,810 $3,230 39.5% (919) 684-8111
4 TEXAS RETINA ASSOCIATES DALLAS TX OPHTHALMOLOGY 18 47 $70,500 $1,500 13.1% (214) 692-6941
5 CEI PHYSICIANS PSC, LLC BLUE ASH OH OPHTHALMOLOGY 157 43 $151,158 $3,515 24.2% 51398451333741
6 TRIAD EYE INSTITUTE PLLC TULSA OK OPTOMETRY 36 37 $45,325 $1,225 30.1% (918) 252-2020
7 EYE PARTNERS PC DOTHAN AL OPTOMETRY 31 34 $88,400 $2,600 48.6% (334) 793-2211
8 SOUTHEASTERN RETINA SPECIALISTS PA WAYCROSS FL OPHTHALMOLOGY 2 34 $77,792 $2,288 5.4% (912) 387-0020
9 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTON MA OPHTHALMOLOGY 70 34 $85,102 $2,503 22.2% (617) 367-4800
10 RETINA CARE CONSULTANTS PA SARASOTA FL OPHTHALMOLOGY 6 33 $43,619 $1,322 5.3% (941) 351-1200
11 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 31 $82,185 $2,651 28.2% (410) 502-4340
12 MAGIE MABREY EYE CLINIC P A CONWAY AR OPHTHALMOLOGY 5 30 $62,040 $2,068 100.0% (501) 327-4444
13 PACIFIC CATARACT AND LASER INSTITUTE INC PC GREAT FALLS WA OPTOMETRY 77 29 $123,690 $4,265 24.4% (406) 454-2202
14 COLORADO RETINA ASSOCIATES, PLLC ENGLEWOOD CO OPHTHALMOLOGY 14 29 $54,520 $1,880 26.4% (303) 261-1600
15 ST GEORGE EYE CENTER LLC ST GEORGE UT OPHTHALMOLOGY 8 28 $56,257 $2,009 18.9% (435) 628-4507
16 RASW, PC TUCSON AZ OPHTHALMOLOGY 7 28 $51,240 $1,830 13.9% (520) 886-2597
17 EYE ASSOCIATES OF NEW MEXICO LTD ALBUQUERQUE NM OPTOMETRY 67 27 $48,330 $1,790 30.0% (505) 888-5757
18 BAPTIST EYE SURGEONS, PLLC KNOXVILLE TN OPHTHALMOLOGY 12 26 $71,630 $2,755 16.7% (865) 579-3920
19 EYE PHYSICIANS, LLC COLUMBUS OH OPHTHALMOLOGY 34 25 $41,908 $1,676 14.0% (614) 221-7464
20 ATLANTIC EYE CONSULTANTS, LLC MELBOURNE FL OPHTHALMOLOGY 5 24 $42,400 $1,767 3.8% (321) 805-3700
21 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 23 $82,688 $3,595 44.2% (319) 678-8201
22 RETINA VITREOUS ASSOCIATES MEDICAL GROUP LOS ANGELES CA OPHTHALMOLOGY 17 22 $44,000 $2,000 6.4% (213) 483-8810
23 VITREO-RETINAL CONSULTANTS AND SURGEONS PA WICHITA KS OPHTHALMOLOGY 5 19 $38,000 $2,000 100.0% (316) 683-5611
24 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 19 $73,990 $3,894 12.4% (617) 523-7900
25 EYE INSTITUTE OF UTAH INC SALT LAKE CITY UT OPHTHALMOLOGY 9 19 $31,123 $1,638 12.8% (801) 266-2283
26 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 18 $59,400 $3,300 34.0% (314) 747-3000
27 AUSTIN EYE CLINIC ASSOCIATION AUSTIN TX OPHTHALMOLOGY 7 17 $34,000 $2,000 4.7% (512) 250-2020
28 CORNEAL CONSULTANTS OF INDIANA INDIANAPOLIS IN OPTOMETRY 8 17 $18,486 $1,087 14.0% (317) 844-5530
29 JACKSON EYE ASSOCIATES PLLC MADISON MS OPHTHALMOLOGY 13 17 $39,355 $2,315 28.8% (601) 353-2020
30 CAROLINA EYECARE PHYSICIANS LLC CHARLESTON SC OPHTHALMOLOGY 28 16 $54,840 $3,427 18.6% (888) 856-1878
31 NEW YORK RETINA CONSULTANTS, PLLC NEW YORK NY OPHTHALMOLOGY 3 16 $48,000 $3,000 8.6% (212) 353-5926
32 GREAT LAKES EYE CARE PC SAINT JOSEPH MI OPHTHALMOLOGY 11 16 $40,000 $2,500 28.1% (269) 428-3300
33 PROFESSIONAL EYE ASSOCIATES, INC. DALTON GA OPTOMETRY 7 16 $46,960 $2,935 25.4% (706) 226-2020
34 SLIDELL EYE SPECIALISTS APMC SLIDELL LA OPHTHALMOLOGY 4 15 $38,000 $2,533 53.6% (985) 649-0206
35 DAVID F CHANG M D INC LOS ALTOS CA OPHTHALMOLOGY 2 15 $17,887 $1,192 4.3% (650) 948-9123
36 NEW VISION EYE CENTER, LLC VERO BEACH TX OPHTHALMOLOGY 7 15 $22,500 $1,500 4.2% (772) 257-8700
37 MINNESOTA EYE CONSULTANTS, PA BLOOMINGTON MN OPTOMETRY 33 15 $29,775 $1,985 15.6% (952) 888-5800
38 BARNET DULANEY PERKINS EYE CENTER, PC PHOENIX AZ OPTOMETRY 103 15 $33,900 $2,260 7.4% (602) 955-1000
39 LANSING OPHTHALMOLOGY, PC EAST LANSING MI OPTOMETRY 25 14 $19,247 $1,375 24.6% (517) 337-1668
40 MIRAMAR EYE SPECIALISTS MEDICAL GROUP INC VENTURA CA OPHTHALMOLOGY 25 14 $28,840 $2,060 4.0% (805) 648-3085
41 CONSULTING OPHTHALMOLOGISTS, P.C. FARMINGTON CT OPHTHALMOLOGY 12 14 $35,000 $2,500 31.1% (860) 678-0202
42 VITREOUS RETINA MACULA CONSULTANTS OF NEW YORK BROOKLYN NY OPHTHALMOLOGY 11 14 $103,474 $7,391 7.5% (718) 376-3223
43 FLORIDA RETINA SPECIALISTS, P.A. MERRITT ISLAND FL OPHTHALMOLOGY 4 14 $25,303 $1,807 2.2% (321) 735-8800
44 EYE CARE CENTER OF VIRGINIA PC HENRICO VA OPHTHALMOLOGY 3 13 $24,700 $1,900 11.6% 8043309303204
45 ASSOCIATED RETINA CONSULTANTS LTD PHOENIX AZ OPHTHALMOLOGY 15 13 $12,311 $947 6.4% (602) 242-4928
46 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 13 $53,638 $4,126 7.0% —
47 WK PIERREMONT EYE INSTITUTE SHREVEPORT LA OPHTHALMOLOGY 12 13 $25,467 $1,959 46.4% (318) 212-2020
48 UNIVERSITY EYE SPECIALISTS, P.C. KNOXVILLE TN OPHTHALMOLOGY 15 13 $21,827 $1,679 8.3% —
49 MAINE EYE CENTER PA PORTLAND NH OPHTHALMOLOGY 18 13 $14,900 $1,146 100.0% (207) 774-8277
50 DAVID JOSEPH PINHAS MD PC BROOKLYN NY OPHTHALMOLOGY 2 12 $30,000 $2,500 6.4% (718) 339-5100
51 PACIFIC NORTHWEST RETINA PLLC BELLEVUE WA OPHTHALMOLOGY 19 12 $35,376 $2,948 10.1% (206) 215-3850
52 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 12 $41,364 $3,447 1.9% (305) 689-5437
53 EYE SURGEONS OF RICHMOND INC RICHMOND VA OPHTHALMOLOGY 44 11 $22,825 $2,075 9.8% (804) 287-4200
54 OSU EYE PHYSICIANS AND SURGEONS, LLC COLUMBUS OH OPHTHALMOLOGY 49 11 $33,715 $3,065 6.2% (614) 293-8116
55 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON MD OPHTHALMOLOGY 80 11 $27,863 $2,533 10.0% (202) 331-1188
56 MID MICHIGAN EYE CARE CENTER PC JACKSON MI OPHTHALMOLOGY 30 11 $21,615 $1,965 19.3% (517) 782-9436
57 CORNEA CONSULTANTS OF NASHVILLE, PLLC FRANKLIN TN OPHTHALMOLOGY 6 11 $33,814 $3,074 7.1% 6153207200224
58 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 11 $26,887 $2,444 3.2% (415) 600-1020
59 RETINA CARE SPECIALISTS PLLC PALM BEACH GARDENS FL OPHTHALMOLOGY 6 11 $12,004 $1,091 1.8% (561) 624-0099
60 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 11 $28,666 $2,606 7.4% (801) 581-2121

*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 →