NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
67031 Release of scar tissue between lens and retina using a laser CPT · Eye procedure
Classification Procedure › Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 5,128 services ▲ 1.4% YoY · 3,457 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.4M · $280.58 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
58
Named-group FFS services
2,442
FFS of Medicare
49%
Services YoY
+1.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,975 services

2,442 observed fee-for-service (49%) · ~2,533 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 — 67031 (CY2024)
CA 1,348 FL 415 IN 290 LA 254 CO 246

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

Named-group submitted charges
$2.5M
Named-group allowed amount
$894K
Named-group Medicare payments
$689K
Avg charge / svc
$1,038
Avg allowed / svc
$366
Avg payment / svc
$282
Average charge per group
$365 58 groups · avg submitted charge / service $4,156
Market analyticsPlatform
a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 67031 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SOUTHWEST EYE CONSULTANTS PLLC FARMINGTON CO OPHTHALMOLOGY 8 155 $77,010 $497 63.0% (970) 828-2200
2 WK PIERREMONT EYE INSTITUTE SHREVEPORT LA OPHTHALMOLOGY 12 127 $146,458 $1,153 50.0% (318) 212-2020
3 ROBERT T CLARK MD PC BRIGHTON MI OPHTHALMOLOGY 3 116 $113,100 $975 65.9% (810) 474-3937
4 NORTHWEST EYE PHYSICIANS, LTD ARLINGTON HEIGHTS IL OPHTHALMOLOGY 6 115 $143,750 $1,250 50.9% (847) 392-9220
5 EYECARE ASSOCIATES OF SOUTH TULSA PC TULSA OK OPTOMETRY 5 105 $262,500 $2,500 43.9% (918) 250-2020
6 NORTHWEST INDIANA EYE ASSOCIATES PC VALPARAISO IN OPHTHALMOLOGY 9 100 $97,850 $978 34.5% (219) 462-0309
7 PHOENIX OPHTHALMOLOGISTS PA PHOENIX AZ OPTOMETRY 3 90 $49,849 $554 83.3% (602) 995-1166
8 WK ZAFFATER EYE CENTER BOSSIER CITY LA OPHTHALMOLOGY 2 83 $92,794 $1,118 32.7% (318) 747-5838
9 CHESAPEAKE EYE CARE AND LASER CENTER LLC ANNAPOLIS MD OPHTHALMOLOGY 78 75 $62,250 $830 50.0% (410) 571-8733
10 RIDGE EYE CARE INC MARYSVILLE CA OPTOMETRY 19 74 $43,538 $588 5.5% (530) 743-1873
11 LASER AND MICROSURGERY, PC BROOKLYN NY OPHTHALMOLOGY 5 73 $109,500 $1,500 35.3% (718) 627-0303
12 REGIONAL EYE CENTER PC KINGSPORT TN OPHTHALMOLOGY 6 72 $26,280 $365 100.0% (423) 246-7372
13 DAVID B KAYE MD INC FRESNO CA OPHTHALMOLOGY 6 70 $112,000 $1,600 5.2% (559) 432-1000
14 EYE AND COSMETIC SURGERY LLC HENDERSON NV GENERAL SURGERY 2 67 $50,451 $753 70.5% (702) 642-7711
15 OCULAR PARTNERS PLLC HOMEWOOD IL OPHTHALMOLOGY 22 54 $44,509 $824 23.9% (708) 798-6633
16 EYE OF HORUS PA BOCA RATON FL OPHTHALMOLOGY 3 53 $61,582 $1,162 12.8% (561) 488-1001
17 SPECIALTY EYE CARE INC NEWARK OH OPHTHALMOLOGY 2 50 $35,000 $700 26.5% (740) 522-3937
18 PANKRATZ MEDICAL LLC COLUMBUS IN OPHTHALMOLOGY 2 45 $45,000 $1,000 15.5% (812) 373-7777
19 BOSSIER EYE INSTITUTE LLC BOSSIER CITY LA OPHTHALMOLOGY 2 44 $41,492 $943 17.3% (318) 746-2020
20 EYE CENTERS OF RACINE AND KENOSHA LTD MOUNT PLEASANT WI OPTOMETRY 6 43 $69,703 $1,621 41.3% (262) 637-0500
21 SOUTHSIDE EYE CARE PLLC CHESAPEAKE VA OPHTHALMOLOGY 3 39 $21,450 $550 30.5% (757) 484-0101
22 MIDWEST EYE CONSULTANTS PC FORT WAYNE IN OPTOMETRY 70 37 $32,375 $875 12.8% (260) 471-2375
23 SUCCESS VISION EXPRESS OF SAND SPRINGS, LLC SAND SPRINGS OK OPTOMETRY 6 31 $17,050 $550 13.0% (918) 241-2020
24 A JAMES SEGAL MD PA MEDEYEASSOCIATES SOUTH MIAMI FL OPHTHALMOLOGY 7 30 $33,000 $1,100 7.2% (305) 661-8588
25 CAVANAUGH EYE CENTER PA TOPEKA KS OPHTHALMOLOGY 2 30 $45,000 $1,500 30.9% (913) 897-9200
26 JACQUELINE D GRIFFITHS MD PC RESTON VA OPHTHALMOLOGY 3 30 $45,000 $1,500 23.4% (703) 834-9777
27 NORTHERN OHIO EYE CONSULTANTS, INC BRECKSVILLE OH OPTOMETRY 38 30 $17,400 $580 15.9% (440) 526-1974
28 VENTURA EYE INSTITUTE, INC CAMARILLO CA OPHTHALMOLOGY 2 30 $15,750 $525 2.2% (805) 388-1211
29 NEWSOM EYE AND LASER CENTER INC TAMPA FL OPHTHALMOLOGY 16 29 $20,155 $695 7.0% (813) 908-2020
30 BRIMHALL EYE PLLC LAS VEGAS NV OPHTHALMOLOGY 3 28 $50,260 $1,795 29.5% (702) 263-2020
31 TEXAS RETINA ASSOCIATES DALLAS SD OPHTHALMOLOGY 18 27 $12,630 $468 33.3% (214) 692-6941
32 WILMINGTON EYE, P.A. WILMINGTON NC OPHTHALMOLOGY 29 26 $59,670 $2,295 42.6% (910) 763-3601
33 WILLIAM J. MALLON, MD VERO BEACH FL OPHTHALMOLOGY 10 24 $14,400 $600 5.8% (772) 299-1404
34 FLORIDA EYE INSTITUTE PA VERO BEACH FL OPHTHALMOLOGY 5 23 $15,338 $667 5.5% (772) 569-9500
35 WISCONSIN EYE CONSULTANTS S. C. MENASHA WI OPTOMETRY 4 23 $95,592 $4,156 22.1% (920) 806-3005
36 EYE CARE CENTER OF VIRGINIA PC HENRICO VA OPHTHALMOLOGY 3 22 $12,464 $567 17.2% 8043309303204
37 HARRIS, WILCOX AND DONOVAN PA ORANGE PARK FL OPHTHALMOLOGY 17 22 $33,000 $1,500 5.3% (904) 272-2020
38 MILTON B GRIN MD PA OLATHE KS OPTOMETRY 11 20 $14,260 $713 20.6% (913) 829-5511
39 MIDWEST RETINA CONSULTANTS SC DES PLAINES IL OPHTHALMOLOGY 6 19 $8,934 $470 8.4% (847) 698-6300
40 SPACE COAST OPHTHALMOLOGY LLC TITUSVILLE FL OPHTHALMOLOGY 4 19 $11,000 $579 4.6% (321) 267-0008
41 KYLE LINSEY DO PA CLEARWATER FL OPHTHALMOLOGY 2 19 $10,687 $562 4.6% (727) 446-7578
42 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 19 $20,121 $1,059 4.6% (904) 396-1725
43 TOTAL VISION EYE CARE GROUP LLC DENVER CO OPTOMETRY 21 19 $10,000 $526 7.7% (720) 524-1001
44 PINEHURST SURGICAL CLINIC PA PINEHURST NC PHYSICIAN ASSISTANT 91 18 $32,582 $1,810 29.5% (910) 295-6831
45 OGEMAW EYE INSTITUTE PC WEST BRANCH MI OPHTHALMOLOGY 3 18 $11,322 $629 10.2% (989) 345-8113
46 BRANDON EYE ASSOCIATES PA BRANDON FL OPHTHALMOLOGY 10 17 $13,600 $800 4.1% (813) 684-2211
47 AUSTIN EYE CLINIC ASSOCIATION AUSTIN TX OPHTHALMOLOGY 7 17 $17,000 $1,000 8.7% (512) 250-2020
48 JEFFREY K CHAULK MD PC GAYLORD MI OPTOMETRY 7 17 $16,575 $975 9.7% (989) 732-6455
49 EYE SURGICAL ASSOCIATES LLC LINCOLN NE OPHTHALMOLOGY 11 17 $19,635 $1,155 50.0% (440) 248-4900
50 RETINA ASSOCIATES LLC LENEXA KS OPHTHALMOLOGY 12 17 $20,400 $1,200 17.5% —
51 PIEDMONT EYE SURGICAL AND LASER PLLC GREENSBORO NC OPHTHALMOLOGY 3 17 $11,050 $650 27.9% (336) 854-4441
52 VANCE THOMPSON VISION CLINIC PROF LLC SIOUX FALLS MN OPTOMETRY 44 16 $22,880 $1,430 51.6% (605) 371-7100
53 SNIP AND FERENCE, PA SAN ANTONIO TX OPHTHALMOLOGY 6 15 $6,750 $450 7.7% —
54 EYE PARTNERS PC DOTHAN AL OPTOMETRY 31 14 $18,900 $1,350 46.7% (334) 793-2211
55 BENEFIELD EYE CARE, PC GULFPORT MS NURSE PRACTITIONER 3 14 $14,000 $1,000 100.0% (228) 328-0972
56 LOGAN EYE INSTITUTE, PLLC LOGAN UT OPHTHALMOLOGY 2 13 $9,611 $739 100.0% (435) 787-7200
57 NEWTON WELLESLEY EYE ASSOCIATES PC WELLESLEY MA OPHTHALMOLOGY 14 13 $11,700 $900 100.0% (617) 964-1050
58 EYE PHYSICIANS GROUP LLC FARGO ND OPHTHALMOLOGY 4 12 $9,780 $815 48.0% —

*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 →