NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina CPT · Eye procedure
Classification Procedure › Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 6,106 services ▼ 3.0% YoY · 5,337 beneficiaries (CY2024, Medicare FFS)
Medicare paid $8.7M · $1428.46 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
79
Named-group FFS services
2,068
FFS of Medicare
49%
Services YoY
-3.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,106 services

2,068 observed fee-for-service (50%) · ~2,038 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 — 67113 (CY2024)
FL 779 TX 721 CA 683 AZ 544 OH 275

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

Named-group submitted charges
$7.8M
Named-group allowed amount
$2.2M
Named-group Medicare payments
$1.8M
Avg charge / svc
$3,768
Avg allowed / svc
$1,078
Avg payment / svc
$861
Average charge per group
$562 79 groups · avg submitted charge / service $18,738
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 67113 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ASSOCIATED RETINA CONSULTANTS LTD PHOENIX AZ OPHTHALMOLOGY 15 168 $239,772 $1,427 30.9% (602) 242-4928
2 RETINA INSTITUTE OF TEXAS PA ARLINGTON TX OPHTHALMOLOGY 4 71 $203,557 $2,867 9.8% (817) 417-7769
3 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 71 $248,346 $3,498 10.4% —
4 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 68 $451,792 $6,644 8.7% (305) 689-5437
5 CHARLES RETINA INSTITUTE PC GERMANTOWN TN OPHTHALMOLOGY 11 62 $318,220 $5,133 24.9% (901) 767-4499
6 MIDWEST RETINA CONSULTANTS SC DES PLAINES IL OPHTHALMOLOGY 6 59 $74,164 $1,257 35.8% (847) 698-6300
7 RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR PASADENA CA OPHTHALMOLOGY 82 55 $149,807 $2,724 8.1% (800) 898-2020
8 MEHRAN TABAN MD INC TORRANCE CA OPHTHALMOLOGY 2 48 $215,040 $4,480 7.0% (424) 247-9090
9 PANHANDLE EYE GROUP, LLP AMARILLO TX OPHTHALMOLOGY 11 45 $195,750 $4,350 6.2% (806) 351-1870
10 RETINAL CONSULTANTS OF ARIZONA LTD PHOENIX AZ OPHTHALMOLOGY 8 45 $150,075 $3,335 8.3% (800) 640-6442
11 RETINA VITREOUS CENTER, PLLC EDMOND OK OPHTHALMOLOGY 6 43 $120,400 $2,800 34.4% (405) 607-6699
12 RETINA CONSULTANTS LLC BRENTWOOD MO OPHTHALMOLOGY 18 40 $64,407 $1,610 19.9% (314) 367-1181
13 CUMBERLAND VALLEY RETINA CONSULTANTS PC HAGERSTOWN MD OPHTHALMOLOGY 5 40 $92,000 $2,300 28.6% 30166517121027
14 SOUTHEASTERN RETINA SPECIALISTS PA WAYCROSS FL OPHTHALMOLOGY 2 38 $128,516 $3,382 4.9% (912) 387-0020
15 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 37 $162,676 $4,397 38.9% (617) 523-7900
16 SOUND RETINA PS TACOMA WA OPHTHALMOLOGY 6 36 $141,480 $3,930 19.7% (253) 572-1444
17 RETINA PARTNERS OF FLORIDA LAKELAND FL OPHTHALMOLOGY 3 35 $113,155 $3,233 4.5% (863) 345-4350
18 BLACK HILLS REGIONAL EYE INSTITUTE LLP RAPID CITY SD OPHTHALMOLOGY 14 35 $206,500 $5,900 38.0% (605) 341-2000
19 CAROLINA EYECARE PHYSICIANS LLC CHARLESTON FL OPHTHALMOLOGY 28 34 $171,874 $5,055 4.4% (888) 856-1878
20 RETINA VITREOUS CONSULTANTS FT LAUDERDALE FL OPHTHALMOLOGY 44 34 $106,000 $3,118 4.4% (954) 776-6880
21 PACIFIC NORTHWEST RETINA PLLC BELLEVUE WA OPHTHALMOLOGY 19 33 $49,097 $1,488 18.0% (206) 215-3850
22 MISSISSIPPI RETINA ASSOCIATES,PLLC MADISON MS OPHTHALMOLOGY 7 32 $144,000 $4,500 19.3% (601) 981-4091
23 OPHTHALMOLOGY SPECIALISTS OF TEXAS PLLC WILLOW PARK TX OPHTHALMOLOGY 6 31 $198,555 $6,405 4.3% (817) 594-0914
24 RETINA CONSULTANTS OF THE MIDLANDS PC OMAHA NE OPHTHALMOLOGY 2 30 $58,900 $1,963 56.6% (402) 354-4000
25 EYE SURGEONS ASSOCIATES PC BETTENDORF IL OPHTHALMOLOGY 19 29 $16,284 $562 17.6% (563) 323-2020
26 EYE ASSOCIATES OF NEW MEXICO LTD ALBUQUERQUE NM OPTOMETRY 67 26 $68,900 $2,650 35.6% (505) 888-5757
27 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 25 $122,575 $4,903 12.4% —
28 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 25 $46,250 $1,850 3.7% (800) 926-8273
29 UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK NJ INTERNAL MEDICINE 381 23 $31,084 $1,351 29.9% (973) 972-5004
30 RETINA CONSULTANTS, LTD FARGO ND OPHTHALMOLOGY 5 23 $60,425 $2,627 65.7% (701) 293-9829
31 MIDWEST RETINA, INC DUBLIN OH OPHTHALMOLOGY 10 23 $103,500 $4,500 8.4% (614) 339-8500
32 SOUTHERN EYE PHYSICIANS CENTER, LLC HATTIESBURG MS OPHTHALMOLOGY 3 21 $75,198 $3,581 12.7% (601) 264-3937
33 IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC MOBILE AL INTERNAL MEDICINE 167 20 $72,000 $3,600 100.0% —
34 MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY MEDICAL GROUP INC SACRAMENTO CA OPHTHALMOLOGY 9 20 $18,000 $900 2.9% (916) 731-8040
35 RETINA AND VITREOUS SURGEONS OF UTAH LLC MURRAY UT OPHTHALMOLOGY 4 19 $79,800 $4,200 27.1% (801) 892-8200
36 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 18 $135,657 $7,536 25.4% (319) 678-8201
37 ADVANCED RETINA INSTITUTE LLC BONITA SPRINGS FL OPHTHALMOLOGY 2 17 $38,570 $2,269 2.2% (239) 544-3122
38 TEXAS RETINA ASSOCIATES DALLAS TX OPHTHALMOLOGY 18 17 $110,500 $6,500 2.4% (214) 692-6941
39 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 17 $318,553 $18,738 100.0% (608) 287-2050
40 UNIVERSITY RETINA AND MACULA ASSOCIATES P C OAK FOREST IL OPHTHALMOLOGY 6 17 $12,750 $750 10.3% —
41 CHARLESTON NEUROSCIENCES INSTITUTE CHARLESTON SC OPHTHALMOLOGY 9 17 $84,830 $4,990 14.9% (843) 763-4466
42 NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 361 16 $59,712 $3,732 9.6% (662) 377-3258
43 PACIFIC EYE SURGEONS A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION PASO ROBLES CA OPHTHALMOLOGY 20 16 $33,298 $2,081 2.3% (805) 545-8100
44 VITREO-RETINAL MEDICAL GROUP, INC. YUBA CITY CA OPHTHALMOLOGY 21 16 $32,590 $2,037 2.3% (530) 273-8358
45 SUNIL GUPTA MD LLC PENSACOLA FL OPHTHALMOLOGY 10 15 $52,351 $3,490 1.9% (850) 476-6759
46 RETINA ASSOCIATES OF SOUTHERN UTAH ST GEORGE UT OPHTHALMOLOGY 2 15 $54,000 $3,600 21.4% —
47 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 15 $55,500 $3,700 9.4% (516) 766-2519
48 ST LUKES CATARACT AND LASER INSTITUTE TARPON SPRINGS FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 48 15 $31,905 $2,127 1.9% (727) 943-3111
49 PALMETTO RETINA CENTER LLC WEST COLUMBIA GA OPHTHALMOLOGY 13 15 $104,280 $6,952 17.9% (803) 744-0156
50 ROBERT E PARNES MD LLC HAGERSTOWN MD OPHTHALMOLOGY 3 15 $68,750 $4,583 10.7% (301) 671-2400
51 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 14 $10,500 $750 6.2% —
52 WOLFE CLINIC INC MARSHALLTOWN IA OPHTHALMOLOGY 36 14 $12,600 $900 19.7% (641) 754-6200
53 ACADIANA RETINA CONSULTANTS, LLC LAFAYETTE LA OPHTHALMOLOGY 3 14 $84,000 $6,000 31.8% (337) 232-2710
54 VIRGINIA RETINA CONSULTANTS, PLC CHARLOTTESVILLE VA OPHTHALMOLOGY 3 14 $70,000 $5,000 17.3% (434) 978-2040
55 RETINAL CONSULTANTS OF ARIZONA LTD PHOENIX MO OPHTHALMOLOGY 8 14 $46,690 $3,335 7.0% (800) 640-6442
56 MARION EYE CENTERS LTD MARION IL OPTOMETRY 39 14 $67,382 $4,813 8.5% (618) 993-5686
57 RETINA CONSULTANTS OF CAROLINA, PA GREENVILLE SC OPHTHALMOLOGY 11 14 $42,000 $3,000 12.3% (864) 233-5722
58 CEI PHYSICIANS PSC, LLC BLUE ASH OH OPHTHALMOLOGY 157 14 $70,190 $5,014 5.1% 51398451333741
59 OMNI EYE SPECIALISTS P A ISELIN NJ OPHTHALMOLOGY 46 14 $98,000 $7,000 18.2% (732) 750-0400
60 LSUHN BILLING LLC LAFAYETTE LA GASTROENTEROLOGY 205 14 $77,000 $5,500 31.8% (337) 261-6000
61 SOUTHERN VITREORETINAL ASSOCIATES, PL TALLAHASSEE FL OPHTHALMOLOGY 6 13 $62,218 $4,786 1.7% (850) 942-6700
62 VISION EYE CARE PORTAGE IA OPHTHALMOLOGY 3 13 $236,639 $18,203 18.3% (269) 343-0377
63 THE EYE PHYSICIANS OF PINELLAS, PA LARGO FL OPHTHALMOLOGY 39 13 $70,642 $5,434 1.7% (727) 581-8706
64 MAGIE MABREY EYE CLINIC P A CONWAY AR OPHTHALMOLOGY 5 13 $50,180 $3,860 100.0% (501) 327-4444
65 HARSHI BAINS MD PA TYLER TX OPHTHALMOLOGY 4 13 $67,600 $5,200 1.8% (903) 597-4644
66 RETINOVITREOUS ASSOCIATES LTD PHILADELPHIA PA OPHTHALMOLOGY 39 13 $96,525 $7,425 5.8% (800) 331-6634
67 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 13 $35,659 $2,743 4.7% (419) 291-2003
68 MAINE EYE CENTER PA PORTLAND ME OPHTHALMOLOGY 18 13 $63,050 $4,850 26.5% (207) 774-8277
69 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 12 $51,912 $4,326 18.5% (919) 684-8111
70 TRINITY HEALTH MINOT ND NURSE PRACTITIONER 296 12 $73,080 $6,090 34.3% (701) 418-8000
71 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTON MA OPHTHALMOLOGY 70 12 $65,664 $5,472 12.6% (617) 367-4800
72 EYE CENTERS OF LOUISVILLE,PSC LOUISVILLE KY OPTOMETRY 28 12 $30,000 $2,500 18.8% (502) 895-0040
73 TENNESSEE RETINA PC NASHVILLE TN OPHTHALMOLOGY 16 12 $51,952 $4,329 4.8% (615) 983-6000
74 GEORGIA RETINA, PC LAWRENCEVILLE TX OPHTHALMOLOGY 23 12 $73,164 $6,097 1.7% (678) 405-0922
75 BARNET DULANEY PERKINS EYE CENTER, PC PHOENIX AZ OPTOMETRY 103 12 $40,020 $3,335 2.2% (602) 955-1000
76 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 11 $58,300 $5,300 5.5% (314) 747-3000
77 RETINA CONSULTANTS OF NEW MEXICO LLC ALBUQUERQUE NM OPHTHALMOLOGY 2 11 $20,792 $1,890 15.1% (505) 235-4005
78 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 11 $87,511 $7,956 9.6% (843) 792-1414
79 RETINA VITREOUS ASSOCIATES MEDICAL GROUP LOS ANGELES CA OPHTHALMOLOGY 17 11 $69,392 $6,308 1.6% (213) 483-8810
80 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NJ OPHTHALMOLOGY 115 11 $18,302 $1,664 14.3% (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 →