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Market snapshot

67042 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

67042 — Removal of membrane of retina with removal of internal limiting membrane of retina

Billing groups
257
Named-group FFS services
12,246
FFS of Medicare
49%
Services YoY
-4.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~24,761 services

12,246 observed fee-for-service (49%) · ~12,515 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; 1 state without payer-mix data excluded. How we scale

Top states — 67042 (CY2024)
TX 3,073 FL 2,625 CA 2,122 OH 1,638 PA 1,476

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

Named-group submitted charges
$42.9M
Named-group allowed amount
$12.4M
Named-group Medicare payments
$9.9M
Avg charge / svc
$3,503
Avg allowed / svc
$1,010
Avg payment / svc
$806
Average charge per group
$426 257 groups · avg submitted charge / service $12,330
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 67042 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS RETINA ASSOCIATES DALLAS TX OPHTHALMOLOGY 18 365 $2,080,500 $5,700 11.9% (214) 692-6941
2 RETINA ASSOCIATES OF CLEVELAND, INC. BEACHWOOD OH OPHTHALMOLOGY 19 351 $578,472 $1,648 21.4% —
3 SOUTHEASTERN RETINA SPECIALISTS PA WAYCROSS FL OPHTHALMOLOGY 2 326 $948,334 $2,909 12.4% (912) 387-0020
4 ASSOCIATED RETINA CONSULTANTS LTD PHOENIX AZ OPHTHALMOLOGY 15 296 $378,041 $1,277 20.1% (602) 242-4928
5 RETINA CONSULTANTS LLC BRENTWOOD MO OPHTHALMOLOGY 18 262 $436,874 $1,667 31.6% (314) 367-1181
6 CEI PHYSICIANS PSC, LLC BLUE ASH OH OPHTHALMOLOGY 157 254 $1,133,357 $4,462 15.5% 51398451333741
7 AUSTIN RETINA ASSOCIATES PLLC AUSTIN TX OPHTHALMOLOGY 19 208 $480,480 $2,310 6.8% (512) 451-0103
8 WOLFE CLINIC INC MARSHALLTOWN IA OPHTHALMOLOGY 36 207 $630,840 $3,048 46.1% (641) 754-6200
9 SOUTHEASTERN RETINA ASSOCIATES PC KNOXVILLE TN OPHTHALMOLOGY 21 204 $1,092,012 $5,353 17.2% (865) 588-0811
10 CHARLES RETINA INSTITUTE PC GERMANTOWN TN OPHTHALMOLOGY 11 192 $943,400 $4,914 16.1% (901) 767-4499
11 PACIFIC NORTHWEST RETINA PLLC BELLEVUE WA OPHTHALMOLOGY 19 170 $649,337 $3,820 17.0% (206) 215-3850
12 RETINA ASSOCIATES LLC LENEXA KS OPHTHALMOLOGY 12 158 $474,562 $3,004 33.7% —
13 VITREO-RETINAL MEDICAL GROUP, INC. YUBA CITY CA OPHTHALMOLOGY 21 144 $611,130 $4,244 6.8% (530) 273-8358
14 RETINA VITREOUS CENTER, PLLC EDMOND OK OPHTHALMOLOGY 6 132 $316,800 $2,400 36.2% (405) 607-6699
15 RETINA VITREOUS CONSULTANTS FT LAUDERDALE FL OPHTHALMOLOGY 44 130 $501,800 $3,860 5.0% (954) 776-6880
16 SPOKANE EYE CLINIC PS SPOKANE WA OPHTHALMOLOGY 35 129 $370,746 $2,874 12.9% (509) 456-0107
17 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 128 $539,392 $4,214 15.5% —
18 TENNESSEE RETINA PC NASHVILLE TN OPHTHALMOLOGY 16 128 $476,310 $3,721 10.8% (615) 983-6000
19 RETINAL CONSULTANTS OF ARIZONA LTD PHOENIX AZ OPHTHALMOLOGY 8 115 $330,050 $2,870 7.8% (800) 640-6442
20 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 112 $293,000 $2,616 19.1% 75762222003020
21 PANHANDLE EYE GROUP, LLP AMARILLO TX OPHTHALMOLOGY 11 110 $506,000 $4,600 3.6% (806) 351-1870
22 SUNIL GUPTA MD LLC PENSACOLA FL OPHTHALMOLOGY 10 108 $327,817 $3,035 4.1% (850) 476-6759
23 RETINA CONSULTANTS OF SOUTHERN COLORADO P C COLORADO SPRINGS CO OPHTHALMOLOGY 8 106 $385,167 $3,634 13.1% 7194739595103
24 COLORADO RETINA ASSOCIATES, PLLC ENGLEWOOD CO OPHTHALMOLOGY 14 102 $322,315 $3,160 12.6% (303) 261-1600
25 CAPE FEAR RETINAL ASSOCIATES PC WILMINGTON NC OPHTHALMOLOGY 5 100 $186,830 $1,868 15.0% (910) 332-3560
26 RETINA SPECIALISTS OF MISSISSIPPI, PLLC HATTIESBURG MS OPHTHALMOLOGY 7 99 $272,829 $2,756 31.7% (601) 255-0736
27 CHARLESTON NEUROSCIENCES INSTITUTE CHARLESTON SC OPHTHALMOLOGY 9 99 $453,420 $4,580 14.8% (843) 763-4466
28 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 91 $1,046,409 $11,499 23.9% (608) 260-2900
29 GEORGIA RETINA, PC LAWRENCEVILLE GA OPHTHALMOLOGY 23 90 $520,470 $5,783 15.7% (678) 405-0922
30 RETINA ASSOCIATES OF SOUTHERN UTAH ST GEORGE UT OPHTHALMOLOGY 2 88 $171,600 $1,950 25.7% —
31 BARNET DULANEY PERKINS EYE CENTER, PC PHOENIX AZ OPTOMETRY 103 85 $243,950 $2,870 5.8% (602) 955-1000
32 MID-SOUTH RETINA ASSOCIATES, LLC MEMPHIS TN OPHTHALMOLOGY 6 80 $280,000 $3,500 6.7% (901) 682-1100
33 JAWAD A QURESHI MD PA SOUTHLAKE TX OPHTHALMOLOGY 7 79 $272,629 $3,451 2.6% (817) 865-6800
34 SOUND RETINA PS TACOMA WA OPHTHALMOLOGY 6 79 $242,150 $3,065 7.9% (253) 572-1444
35 RETINA INSTITUTE OF TEXAS PA ARLINGTON TX OPHTHALMOLOGY 4 78 $193,752 $2,484 2.5% (817) 417-7769
36 PIEDMONT RETINA SPECIALISTS PA GREENSBORO NC OPHTHALMOLOGY 5 71 $287,846 $4,054 10.7% (336) 369-7100
37 OPHTHALMOLOGY SPECIALISTS OF TEXAS PLLC WILLOW PARK TX OPHTHALMOLOGY 6 70 $385,350 $5,505 2.3% (817) 594-0914
38 RETINAL DIAGNOSTIC CENTER A MEDICAL CORPORATION CAMPBELL CA OPHTHALMOLOGY 6 70 $528,080 $7,544 3.3% (408) 559-0666
39 RETINA CENTER OF NEBRASKA PC HASTINGS NE OPHTHALMOLOGY 2 69 $176,640 $2,560 19.7% (402) 461-4611
40 THOMPSON AND SJAARDA PA FREDERICK MD OPHTHALMOLOGY 3 69 $262,200 $3,800 10.5% (301) 682-9700
41 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 68 $544,612 $8,009 7.7% (217) 544-6464
42 MIDWEST RETINA CONSULTANTS SC DES PLAINES IL OPHTHALMOLOGY 6 67 $57,891 $864 7.5% (847) 698-6300
43 EYE SURGEONS ASSOCIATES PC BETTENDORF IL OPHTHALMOLOGY 19 67 $43,465 $649 7.5% (563) 323-2020
44 ASSOCIATED VITREORETINAL AND UVEITIS CONSULTANTS LLC CARMEL IN OPHTHALMOLOGY 7 67 $234,500 $3,500 11.0% (317) 571-1501
45 HAROLD WEISS MDANDMARK HAIMANN MDANDJOEL MILLER MDANDSUSAN MALINOWSKI SOUTHFIELD MI OPHTHALMOLOGY 7 66 $148,500 $2,250 18.2% (248) 356-8610
46 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTON MA OPHTHALMOLOGY 70 65 $275,275 $4,235 13.7% (617) 367-4800
47 RETINA CONSULTANTS SAN DIEGO INC POWAY CA OPHTHALMOLOGY 5 65 $139,576 $2,147 3.1% (858) 451-1911
48 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 64 $313,973 $4,906 9.7% —
49 PALMETTO RETINA CENTER LLC WEST COLUMBIA SC OPHTHALMOLOGY 13 62 $406,348 $6,554 9.3% (803) 744-0156
50 RETINA ASSOCIATES OF ALABAMA INC DOTHAN AL OPHTHALMOLOGY 2 62 $213,900 $3,450 12.0% (334) 712-1700
51 MAGIE MABREY EYE CLINIC P A CONWAY AR OPHTHALMOLOGY 5 61 $193,980 $3,180 70.1% (501) 327-4444
52 RETINOVITREOUS ASSOCIATES LTD PHILADELPHIA PA OPHTHALMOLOGY 39 60 $367,500 $6,125 4.1% (800) 331-6634
53 NEVADA RETINA ASSOCIATES, STEVEN M. FRIEDLANDER, M.D., LTD. RENO NV OPHTHALMOLOGY 4 59 $213,155 $3,613 33.0% (775) 356-7272
54 THOMAS EYE GROUP PC ROSWELL GA OPTOMETRY 56 58 $214,310 $3,695 10.1% (770) 475-5515
55 NEW VISION EYE CENTER, LLC VERO BEACH TX OPHTHALMOLOGY 7 57 $102,600 $1,800 1.9% (772) 257-8700
56 CUMBERLAND VALLEY RETINA CONSULTANTS PC HAGERSTOWN MD OPHTHALMOLOGY 5 56 $112,000 $2,000 8.5% 30166517121027
57 BAYCARE CLINIC LLP GREEN BAY WI PHYSICIAN ASSISTANT 199 56 $504,336 $9,006 14.7% —
58 CAROLINA OPHTHALMOLOGY PA ASHEVILLE NC OPHTHALMOLOGY 10 54 $230,364 $4,266 8.1% (800) 624-6575
59 SOUTHWEST EYE CONSULTANTS PLLC FARMINGTON CO OPHTHALMOLOGY 8 53 $69,960 $1,320 6.6% (970) 828-2200
60 MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY MEDICAL GROUP INC SACRAMENTO CA OPHTHALMOLOGY 9 53 $40,810 $770 2.5% (916) 731-8040
61 UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ INTERNAL MEDICINE 381 52 $54,846 $1,055 10.0% (973) 972-5004
62 OREGON EYE CONSULTANTS LLC EUGENE OR OPHTHALMOLOGY 8 52 $135,525 $2,606 16.2% (541) 687-1927
63 RETINA CONSULTANTS, LTD FARGO ND OPHTHALMOLOGY 5 52 $123,561 $2,376 41.9% (701) 293-9829
64 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 52 $476,847 $9,170 8.5% (507) 284-2511
65 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 52 $170,304 $3,275 2.5% —
66 CAROLINA EYE ASSOCIATES INC SOUTHERN PINES NC OPHTHALMOLOGY 37 52 $107,328 $2,064 7.8% (910) 295-2100
67 RETINA ASSOCIATES OF UTAH PC MURRAY UT OPHTHALMOLOGY 8 51 $194,257 $3,809 14.9% (801) 312-2020
68 RETINA AND VITREOUS OF TEXAS PLLC BELLAIRE TX OPHTHALMOLOGY 9 50 $143,497 $2,870 1.6% (713) 799-9975
69 RETINA SPECIALISTS OF ALABAMA IN MONTGOMERY LLC MONTGOMERY AL OPHTHALMOLOGY 5 49 $376,539 $7,684 9.5% (334) 263-0105
70 VITREO RETINAL SURGERY PLLC MINNEAPOLIS MN OPHTHALMOLOGY 26 48 $219,360 $4,570 7.9% (952) 929-1131
71 EYE CARE CENTER OF NORTHERN COLORADO, PC LONGMONT CO OPHTHALMOLOGY 16 48 $114,428 $2,384 5.9% (303) 772-3300
72 EYE ASSOCIATES OF NEW MEXICO LTD ALBUQUERQUE NM OPTOMETRY 67 48 $102,206 $2,129 33.1% (505) 888-5757
73 RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC LEXINGTON KY OPHTHALMOLOGY 12 48 $102,038 $2,126 14.6% (859) 263-3900
74 VITREO-RETINAL CONSULTANTS AND SURGEONS PA WICHITA KS OPHTHALMOLOGY 5 47 $206,800 $4,400 10.0% (316) 683-5611
75 SOUTHERN VITREORETINAL ASSOCIATES, PL TALLAHASSEE FL OPHTHALMOLOGY 6 47 $195,191 $4,153 1.8% (850) 942-6700
76 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 46 $181,948 $3,955 2.2% (650) 723-4000
77 KRUTI DAJEE MD PA MCKINNEY TX OPHTHALMOLOGY 2 46 $108,589 $2,361 1.5% (469) 343-4231
78 RETINA VITREOUS CONSULTANTS INC. TRIADELPHIA PA OPHTHALMOLOGY 9 45 $94,500 $2,100 3.0% 41268353002020
79 RETINA CONSULTANTS OF DELMARVA PA MILFORD MD OPHTHALMOLOGY 4 45 $55,660 $1,237 6.8% (302) 491-4497
80 H DHINDSA RETINA EYE CENTER, LTD RENO NV OPHTHALMOLOGY 3 44 $246,990 $5,613 24.6% (775) 737-9411
81 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 44 $151,712 $3,448 5.3% (573) 882-2667
82 CAROLINA EYECARE PHYSICIANS LLC CHARLESTON FL OPHTHALMOLOGY 28 43 $186,856 $4,345 1.6% (888) 856-1878
83 RETINA CONSULTANTS OF HAWAII INC HONOLULU HI OPHTHALMOLOGY 5 43 $210,497 $4,895 44.8% (808) 487-8928
84 UNIVERSITY RETINA AND MACULA ASSOCIATES P C OAK FOREST IL OPHTHALMOLOGY 6 43 $25,800 $600 4.8% —
85 SLINGSBY AND HUOT EYE ASSOCIATES PROF RAPID CITY SD OPHTHALMOLOGY 6 43 $49,944 $1,161 21.9% (605) 719-9499
86 TEXOMA RETINA CENTER PA SHERMAN TX OPHTHALMOLOGY 2 42 $105,000 $2,500 1.4% —
87 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 42 $25,200 $600 2.8% —
88 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NJ OPHTHALMOLOGY 115 42 $115,880 $2,759 8.1% (201) 837-7300
89 ROBERT E PARNES MD LLC HAGERSTOWN MD OPHTHALMOLOGY 3 42 $121,821 $2,901 6.4% (301) 671-2400
90 RETINA CONSULTANTS OF NEW MEXICO LLC ALBUQUERQUE NM OPHTHALMOLOGY 2 41 $66,244 $1,616 28.3% (505) 235-4005
91 ROCKY MOUNTAIN EYE CENTER PC MISSOULA MT OPHTHALMOLOGY 15 40 $132,720 $3,318 25.2% (406) 541-3937
92 RETINA AND VITREOUS CONSULTANTS OF WI, LTD. MILWAUKEE WI OPHTHALMOLOGY 3 40 $50,123 $1,253 10.5% (414) 775-3484
93 RETINA CONSULTANTS OF ORANGE COUNTY, A MEDICAL CORPORATION FULLERTON CA OPHTHALMOLOGY 7 39 $153,398 $3,933 1.8% (714) 738-4620
94 EYE SURGICAL ASSOCIATES LLC LINCOLN NE OPHTHALMOLOGY 11 39 $132,678 $3,402 11.1% (440) 248-4900
95 MARC F COMARATTA MD PC BOZEMAN MT OPHTHALMOLOGY 2 39 $109,200 $2,800 24.5% (406) 284-2370
96 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 38 $150,620 $3,964 1.8% (800) 926-8273
97 GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC SAVANNAH GA OPHTHALMOLOGY 20 38 $46,284 $1,218 6.6% (912) 629-5968
98 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 37 $306,545 $8,285 1.7% (323) 442-7122
99 JERVEY EYE GROUP PA GREENVILLE SC OPHTHALMOLOGY 20 37 $88,864 $2,402 5.5% (864) 458-7956
100 BLACK HILLS REGIONAL EYE INSTITUTE LLP RAPID CITY SD OPHTHALMOLOGY 14 36 $179,640 $4,990 18.4% (605) 341-2000

Showing the top 100 of 257 groups — 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. 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 →