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Market snapshot

67105 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

67105 — Repair of detached retina using a laser

Billing groups
18
Named-group FFS services
426
FFS of Medicare
49%
Services YoY
-13.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~867 services

426 observed fee-for-service (49%) · ~441 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 — 67105 (CY2024)

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

Named-group submitted charges
$507K
Named-group allowed amount
$124K
Named-group Medicare payments
$95K
Avg charge / svc
$1,190
Avg allowed / svc
$292
Avg payment / svc
$224
Average charge per group
$309 18 groups · avg submitted charge / service $2,800
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 67105 services, CY2024
#Physician group City St Specialty Providers 67105 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 HARSHI BAINS MD PA TYLER TX OPHTHALMOLOGY 4 64 $134,400 $2,100 premium 84.2% (903) 597-4644
2 SOUTHEASTERN RETINA SPECIALISTS PA WAYCROSS FL OPHTHALMOLOGY 2 54 $40,068 $742 premium 49.1% (912) 387-0020
3 CENTER FOR VITREO RETINAL DISEASES DES PLAINES IL OPHTHALMOLOGY 2 31 $10,291 $332 premium 41.3% (847) 294-0080
4 ASSOCIATED RETINA CONSULTANTS LTD PHOENIX AZ OPHTHALMOLOGY 15 29 $9,172 $316 premium 100.0% (602) 242-4928
5 MEHRAN TABAN MD INC TORRANCE CA OPHTHALMOLOGY 2 28 $29,087 $1,039 premium 20.9% (424) 247-9090
6 REFOCUS EYE HEALTH OF PA PC PHILADELPHIA PA OPHTHALMOLOGY 15 25 $70,000 $2,800 premium 100.0% (215) 335-3088
7 ADVANCED RETINA INSTITUTE LLC BONITA SPRINGS FL OPHTHALMOLOGY 2 24 $11,040 $460 premium 21.8% (239) 544-3122
8 RETINA MACULA INSTITUTE TORRANCE CA OPHTHALMOLOGY 5 23 $37,430 $1,627 premium 17.2% (310) 944-9393
9 RETINA CARE CONSULTANTS PA SARASOTA FL OPHTHALMOLOGY 6 20 $9,119 $456 premium 18.2% (941) 351-1200
10 H DHINDSA RETINA EYE CENTER, LTD RENO NV OPHTHALMOLOGY 3 19 $51,718 $2,722 premium 100.0% (775) 737-9411
11 EYE CENTERS OF AMERICA LLC BLOOMFIELD NJ OPHTHALMOLOGY 123 17 $19,700 $1,159 premium 60.7% (973) 707-5632
12 MIDWEST RETINA CONSULTANTS SC DES PLAINES IL OPHTHALMOLOGY 6 15 $4,629 $309 premium 20.0% (847) 698-6300
13 BELLINGHAM RETINA SPECIALISTS PLLC KIRKLAND WA OPHTHALMOLOGY 2 14 $10,985 $785 premium 53.8% (425) 242-1051
14 RETINA ASSOCIATES OF NEW YORK,P.C. NEW YORK NY OPHTHALMOLOGY 6 14 $10,400 $743 premium 100.0% (212) 772-0600
15 RETINA CONSULTANTS OF THE MIDLANDS PC OMAHA NE OPHTHALMOLOGY 2 13 $5,135 $395 premium 100.0% (402) 354-4000
16 RETINA ASSOCIATES, P.A. LITTLE ROCK AR OPHTHALMOLOGY 8 13 $19,500 $1,500 premium 100.0% (501) 219-0900
17 COLORADO RETINA ASSOCIATES, PLLC ENGLEWOOD CO OPHTHALMOLOGY 14 12 $15,600 $1,300 premium 40.0% (303) 261-1600
18 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NJ OPHTHALMOLOGY 115 11 $18,623 $1,693 premium 39.3% (201) 837-7300

*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 →