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Market snapshot

67028 in PA CY2024

Medicare Part B FFS · CY2024 · as published by CMS

67028 — Injection of drug into eye

Billing groups
49
Named-group FFS services
84,855
FFS of Medicare
46%
Services YoY
+5.2%
FFS enrollment -2.5%
Estimated all-Medicare volume FFS + estimated MA estimate
~180,183 services

84,855 observed fee-for-service (47%) · ~95,328 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
$48.6M
Named-group allowed amount
$9.9M
Named-group Medicare payments
$7.5M
Avg charge / svc
$573
Avg allowed / svc
$116
Avg payment / svc
$88
Average charge per group
$135 49 groups · avg submitted charge / service $1,329
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City Specialty Providers 67028 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PENNSYLVANIA RETINA SPECIALISTS PC CAMP HILL OPHTHALMOLOGY 7 10,617 $4,536,660 $427 5.7% (717) 761-8688
2 RETINOVITREOUS ASSOCIATES LTD PHILADELPHIA OPHTHALMOLOGY 39 6,741 $3,300,750 $490 3.6% (800) 331-6634
3 VISION INNOVATION CENTERS OF PENNSYLVANIA LLC WEST PITTSTON OPTOMETRY 85 6,176 $1,649,720 $267 3.3% (570) 602-1010
4 LEHIGH VALLEY EYE CENTER, P.C. WEST MIFFLIN OPHTHALMOLOGY 51 5,872 $7,362,744 $1,254 3.2% (412) 653-3080
5 RETINA VITREOUS CONSULTANTS INC. TRIADELPHIA OPHTHALMOLOGY 9 5,321 $3,474,900 $653 2.9% 41268353002020
6 EYE CONSULTANTS OF PENNSYLVANIA PC WYOMISSING OPHTHALMOLOGY 25 4,541 $2,898,500 $638 2.4% (610) 378-1344
7 EVERETT AND HURITE OPHTHALMIC ASSOCIATION PITTSBURGH OPHTHALMOLOGY 16 3,905 $563,242 $144 2.1% (412) 288-0885
8 LANCASTER RETINA SPECIALISTS PC LANCASTER OPHTHALMOLOGY 5 3,362 $1,249,996 $372 1.8% (717) 399-8790
9 CHESTER COUNTY EYE CARE ASSOC PC WEST CHESTER OPHTHALMOLOGY 12 2,964 $1,089,922 $368 1.6% (610) 696-1230
10 MOORE EYE CARE, P.C. MALVERN OPHTHALMOLOGY 9 2,743 $2,437,639 $889 1.5% (610) 422-5000
11 GEISINGER CLINIC DANVILLE PHYSICIAN ASSISTANT 3426 2,662 $1,995,750 $750 1.4% (570) 271-6144
12 LEHIGH RETINA SPECIALISTS, P.C. ALLENTOWN OPHTHALMOLOGY 5 2,502 $589,407 $236 1.3% (610) 969-7505
13 ERIE RETINAL SURGERY, INC. ERIE OPHTHALMOLOGY 9 2,330 $1,836,900 $788 1.3% (814) 456-4241
14 RETINA ASSOCIATES OF GREATER PHILA., LTD NORTH WALES OPHTHALMOLOGY 2 2,047 $1,023,500 $500 1.1% (215) 699-7600
15 GUTHRIE MEDICAL GROUP PC SAYRE PHYSICIAN ASSISTANT 804 2,023 $1,898,568 $938 1.1% (570) 888-5858
16 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH DIAGNOSTIC RADIOLOGY 4291 1,723 $2,289,553 $1,329 0.9% —
17 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PHYSICIAN ASSISTANT 3505 1,610 $1,748,039 $1,086 0.9% (215) 662-2777
18 NORTHEAST EYE SPECIALISTS PC HAZLE TOWNSHIP OPHTHALMOLOGY 4 1,590 $913,000 $574 0.9% (570) 459-9927
19 UNION SQUARE EYE CENTER LLC NEW YORK OPHTHALMOLOGY 15 1,446 $386,082 $267 0.8% (212) 844-2020
20 RIDDLE EYE ASSOCIATES P C MEDIA OPHTHALMOLOGY 5 1,354 $406,700 $300 0.7% (610) 565-6780
21 VITREO-RETINAL CONSULTANTS, INC. CANTON OPHTHALMOLOGY 8 1,300 $524,060 $403 0.7% (330) 494-1116
22 REFOCUS EYE HEALTH OF PA PC PHILADELPHIA OPHTHALMOLOGY 15 1,285 $1,285,500 $1,000 0.7% (215) 335-3088
23 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK OPHTHALMOLOGY 115 1,152 $705,664 $613 0.6% (201) 837-7300
24 BERNSTEIN, HILLIKER, HARTZELL EYE CENTER, LLP LEWISBURG OPTOMETRY 17 1,085 $665,372 $613 0.6% (866) 995-3937
25 CAPE CORAL EYE CENTER PA CAPE CORAL OPTOMETRY 18 894 $198,220 $222 0.5% (239) 542-2020
26 FAMILY EYE GROUP PC LANCASTER OPHTHALMOLOGY 4 666 $333,000 $500 0.4% —
27 COMMUNITY EYE CARE SPECIALISTS P C JAMESTOWN OPTOMETRY 8 653 $298,224 $457 0.4% (716) 483-2020
28 KAY AND TABAS OPHTHALMOLOGY BALA CYNWYD OPHTHALMOLOGY 9 637 $192,000 $301 0.3% (610) 667-6760
29 GEISINGER-HM JOINT VENTURE LLC MUNCY DIAGNOSTIC RADIOLOGY 425 576 $450,813 $783 0.3% (570) 308-2600
30 LASER EYE SURGERY OF ERIE, INC ERIE OPHTHALMOLOGY 2 570 $142,500 $250 0.3% (814) 455-7591
31 STOKEN WAGNER OPHTHALMIC ASSOCIATES LLC CARLISLE OPHTHALMOLOGY 3 515 $195,300 $379 0.3% (717) 249-6337
32 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM PHYSICIAN ASSISTANT 3051 469 $441,947 $942 0.3% (919) 684-8111
33 H. KING HARTMAN M.D., LTD. GREENSBURG OPHTHALMOLOGY 4 394 $121,050 $307 0.2% (724) 836-0190
34 SUSQUEHANNA EYE ASSOCIATES LLC LOCK HAVEN OPHTHALMOLOGY 3 389 $213,414 $549 0.2% (570) 748-8900
35 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PHYSICIAN ASSISTANT 1599 346 $130,414 $377 0.2% (717) 531-5638
36 LEHIGH VALLEY CENTER FOR SIGHT PC ALLENTOWN OPHTHALMOLOGY 7 337 $88,968 $264 0.2% (610) 437-4988
37 EYE PHYSICIANS AND SURGEONS, PA WILMINGTON OPHTHALMOLOGY 11 308 $101,400 $329 0.2% (302) 652-3353
38 FOCUS EYE GROUP PC THORNDALE OPHTHALMOLOGY 8 304 $148,276 $488 0.2% (610) 384-9100
39 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PHYSICIAN ASSISTANT 1330 264 $204,750 $776 0.1% —
40 WILLS EYE OPHTHALMOLOGY CLINIC, INC PHILADELPHIA OPHTHALMOLOGY 143 204 $97,300 $477 0.1% (215) 928-3041
41 EYE SURGICAL MEDICAL ASSOCIATES PC PHILADELPHIA OPHTHALMOLOGY 3 171 $34,400 $201 0.1% (215) 342-8118
42 GEORGE E. FAVA MD PC LEBANON OPTOMETRY 7 155 $20,925 $135 0.1% (717) 275-2010
43 SHIELDS AND SHIELDS PC PHILADELPHIA OPHTHALMOLOGY 2 144 $135,000 $937 0.1% (215) 928-3105
44 ALEXANDER CHANG MD PC PITTSBURGH OPHTHALMOLOGY 9 117 $18,900 $162 0.1% (412) 429-2020
45 VANTAGE EYE CENTER A MEDICAL CORP MONTEREY OPHTHALMOLOGY 19 113 $131,712 $1,166 0.1% (831) 647-3900
46 ZEITER EYE MEDICAL GROUP INC STOCKTON OPHTHALMOLOGY 13 90 $32,100 $357 0.0% (209) 466-5566
47 THE AROOSTOOK MEDICAL CENTER PRESQUE ISLE NURSE PRACTITIONER 112 73 $26,971 $369 0.0% —
48 VITTONE EYE SURGICAL ASSOCIATES PC LATROBE OPTOMETRY 5 67 $34,505 $515 0.0% (724) 539-1671
49 PERMANENTE MEDICAL GROUP INC SANTA CLARA INTERNAL MEDICINE 10890 48 $22,032 $459 0.0% (408) 851-1000

*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 →