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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
67220 Destruction of vascular growth between retina and sclera by photocoagulation CPT · Eye procedure
Classification Procedure Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 567 services ▼ 22.6% YoY · 413 beneficiaries (CY2024, Medicare FFS)
Medicare paid $227K · $400.88 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
9
Named-group FFS services
230
FFS of Medicare
49%
Services YoY
-22.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~462 services

230 observed fee-for-service (50%) · ~232 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 — 67220 (CY2024)

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

Named-group submitted charges
$439K
Named-group allowed amount
$117K
Named-group Medicare payments
$91K
Avg charge / svc
$1,909
Avg allowed / svc
$509
Avg payment / svc
$396
Average charge per group
$542 9 groups · avg submitted charge / service $4,430
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 67220 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 67220 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 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 48 $87,759 $1,828 premium 75.0% (903) 606-5560
2 ALEXANDRIA EYE AND LASER CENTER LLC ALEXANDRIA LA OPTOMETRY 24 39 $71,175 $1,825 premium 100.0% (318) 487-2020
3 SOUTHEASTERN RETINA SPECIALISTS PA WAYCROSS FL OPHTHALMOLOGY 2 27 $33,966 $1,258 premium 100.0% (912) 387-0020
4 KATZEN MEDICAL ASSOCIATES PC LUTHERVILLE MD OPTOMETRY 25 24 $73,368 $3,057 premium 16.0% (410) 821-9490
5 MIDWEST RETINA CONSULTANTS SC DES PLAINES IL OPHTHALMOLOGY 6 24 $13,264 $553 premium 44.4% (847) 698-6300
6 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 23 $101,890 $4,430 premium 35.9% (212) 305-8559
7 CENTER FOR VITREO RETINAL DISEASES DES PLAINES IL OPHTHALMOLOGY 2 17 $9,206 $542 premium 31.5% (847) 294-0080
8 NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 361 15 $30,975 $2,065 premium 100.0% (662) 377-3258
9 RETINA CONSULTANTS OF ALABAMA P.C. BIRMINGHAM AL OPHTHALMOLOGY 12 13 $17,550 $1,350 premium 100.0% (205) 329-7100

*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 →