Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

67218 Destruction of growth of retina by implantation of radiation source CPT · Eye procedure

Classification Procedure › Eye (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 212 services ▼ 35.4% YoY · 207 beneficiaries (CY2024, Medicare FFS)

Medicare paid $234K · $1105.30 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

173

FFS of Medicare

49%

Services YoY

-35.4%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~380 services

173 observed fee-for-service (46%) · ~207 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 — 67218 (CY2024)

NY 38 PA 36 NV 21 TN 20 NC 20

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

Named-group submitted charges

$1.6M

Named-group allowed amount

$239K

Named-group Medicare payments

$191K

Avg charge / svc

$8,989

Avg allowed / svc

$1,383

Avg payment / svc

$1,104

Average charge per group

$1,632–3,391

$3,391–5,150

$5,150–6,909

$6,909–8,668

$8,668–10,428

$10,428–12,187

$12,187–13,946

$13,946+

$1,632 9 groups · avg submitted charge / service $18,975

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 67218 services, highest first, CY2024
#	Physician group activate to sort	City activate to sort	St activate to sort	Specialty activate to sort	Providers activate to sort	67218 svcs sorted descending — activate to reverse	Submitted charges activate to sort	Avg charge activate to sort	Medicare $ locked column	Share* activate to sort	Phone
1	SHIELDS AND SHIELDS PC	PHILADELPHIA	PA	OPHTHALMOLOGY	2	36	$683,100	$18,975	premium	100.0%	(215) 928-3105
2	TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK	NEW YORK	NY	NURSE PRACTITIONER	2273	26	$280,800	$10,800	premium	68.4%	(212) 305-8559
3	DUKE HEALTH INTEGRATED PRACTICE INC	DURHAM	NC	PHYSICIAN ASSISTANT	3051	20	$67,100	$3,355	premium	100.0%	(919) 684-8111
4	TENNESSEE RETINA PC	NASHVILLE	TN	OPHTHALMOLOGY	16	20	$91,100	$4,555	premium	100.0%	(615) 983-6000
5	JULES STEIN EYE INSTITUTE MEDICAL GROUP	ARCADIA	CA	OPHTHALMOLOGY	116	17	$156,910	$9,230	premium	100.0%	(323) 442-7122
6	REGENTS OF THE UNIVERSITY OF MICHIGAN	ANN ARBOR	MI	INTERNAL MEDICINE	3330	15	$75,420	$5,028	premium	100.0%	(734) 763-5459
7	MAYO CLINIC	ROCHESTER	MN	NURSE PRACTITIONER	4896	14	$119,826	$8,559	premium	100.0%	(507) 284-2511
8	OSU EYE PHYSICIANS AND SURGEONS, LLC	COLUMBUS	OH	OPHTHALMOLOGY	49	13	$61,230	$4,710	premium	100.0%	(614) 293-8116
9	ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND	NEW ORLEANS	NY	INTERNAL MEDICINE	412	12	$19,581	$1,632	premium	31.6%	—

*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 →