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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
67311 Realignment of horizontal eye muscle CPT · Eye procedure
Classification Procedure › Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 2,711 services ▲ 1.2% YoY · 2,309 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.3M · $470.78 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
58
Named-group FFS services
1,252
FFS of Medicare
49%
Services YoY
+1.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,547 services

1,252 observed fee-for-service (49%) · ~1,295 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 — 67311 (CY2024)
CA 471 TX 351 GA 242 AZ 154 TN 131

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

Named-group submitted charges
$3.7M
Named-group allowed amount
$615K
Named-group Medicare payments
$487K
Avg charge / svc
$2,931
Avg allowed / svc
$491
Avg payment / svc
$389
Average charge per group
$924 58 groups · avg submitted charge / service $12,921
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 67311 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 OMNI EYE SPECIALISTS P A ISELIN NY OPHTHALMOLOGY 46 58 $139,400 $2,403 57.4% (732) 750-0400
2 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 53 $271,013 $5,113 11.3% (323) 442-7122
3 PHOENIX CHILDREN'S HOSPITAL PHOENIX AZ NURSE PRACTITIONER 417 52 $123,050 $2,366 33.8% (602) 933-0930
4 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA OPHTHALMOLOGY 51 49 $183,872 $3,752 10.4% (714) 456-8068
5 EYE CONSULTANTS OF ATLANTA, PC ATLANTA GA OPHTHALMOLOGY 30 43 $115,500 $2,686 17.8% (404) 351-2220
6 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 41 $138,532 $3,379 8.7% (858) 455-9100
7 THOMAS EYE GROUP PC ROSWELL GA OPTOMETRY 56 40 $99,076 $2,477 16.5% (770) 475-5515
8 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 39 $128,307 $3,290 29.8% (615) 322-5000
9 SHULKIN EYE ASSOCIATES DALLAS TX OPHTHALMOLOGY 2 37 $45,692 $1,235 10.5% (972) 566-7999
10 CHILDRENS EYE SPECIALISTS LLC. LADSON SC OPHTHALMOLOGY 2 34 $123,522 $3,633 47.9% (843) 202-0288
11 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 32 $102,500 $3,203 42.1% (314) 747-3000
12 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 28 $141,656 $5,059 71.8% (507) 284-2511
13 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 28 $100,499 $3,589 5.9% (800) 926-8273
14 GRENE VISION GROUP LLC WICHITA KS OPHTHALMOLOGY 9 27 $34,695 $1,285 44.3% (316) 722-8883
15 EYE CENTER OF NORTHERN COLORADO PC FORT COLLINS CO OPHTHALMOLOGY 68 26 $41,615 $1,601 32.1% (970) 221-2222
16 ASHEVILLE EYE ASSOCIATES PLLC ASHEVILLE NC OPHTHALMOLOGY 24 26 $30,105 $1,158 24.8% (828) 258-1586
17 HEA CLINIC PA HOUSTON TX OPHTHALMOLOGY 42 26 $181,485 $6,980 7.4% (713) 467-6474
18 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 24 $103,236 $4,302 48.0% (617) 523-7900
19 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 23 $32,193 $1,400 4.9% (805) 681-7500
20 FLORIDA PEDIATRIC ASSOCIATES, LLC MAITLAND FL OPHTHALMOLOGY 35 22 $79,980 $3,635 28.2% (407) 767-6411
21 WHEATON EYE CLINIC LTD WHEATON IL OPHTHALMOLOGY 45 21 $24,204 $1,153 31.8% (630) 668-8250
22 CHILD EYE CARE ASSOCIATES LLC TIGARD OR OPHTHALMOLOGY 3 20 $44,250 $2,212 60.6% (503) 635-4436
23 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 19 $70,081 $3,688 4.0% (916) 681-8852
24 WOLFE CLINIC INC MARSHALLTOWN IA OPHTHALMOLOGY 36 19 $40,800 $2,147 48.7% (641) 754-6200
25 SUBURBAN EYE SPECIALISTS CHICAGO RIDGE IL OPHTHALMOLOGY 8 19 $28,500 $1,500 28.8% (708) 873-0088
26 WILLS EYE OPHTHALMOLOGY CLINIC, INC PHILADELPHIA PA OPHTHALMOLOGY 143 17 $22,000 $1,294 22.4% (215) 928-3041
27 ST. LOUIS EYE CARE SPECIALISTS, LLC SAINT LOUIS MO OPTOMETRY 2 17 $112,000 $6,588 22.4% (314) 997-3937
28 PLECHA DURANT STANKO JOHNSON AND COHEN A PROFESSIONAL CORPORATION RENO NV OPHTHALMOLOGY 4 17 $36,801 $2,165 20.7% (775) 329-0286
29 VIRGINIA OPHTHALMOLOGY ASSOCIATES PC NORFOLK VA OPHTHALMOLOGY 5 17 $25,200 $1,482 100.0% (757) 461-1444
30 MARIETTA EYE CLINIC, PA MARIETTA GA OPHTHALMOLOGY 41 17 $41,208 $2,424 7.0% (770) 427-8111
31 SIGHT PARTNERS PHYSICIANS PC RENTON WA OPTOMETRY 59 16 $23,940 $1,496 40.0% (425) 235-1200
32 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 16 $47,364 $2,960 100.0% (802) 847-0000
33 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 16 $22,230 $1,389 15.2% (704) 295-3414
34 WILMINGTON EYE, P.A. WILMINGTON NC OPHTHALMOLOGY 29 15 $43,080 $2,872 14.3% (910) 763-3601
35 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 15 $43,289 $2,886 100.0% (406) 657-4000
36 MIKE S. MCFARLAND MDPA LITTLE ROCK AR OPTOMETRY 14 15 $25,760 $1,717 100.0% (501) 830-2020
37 CONESTOGA EYE PC HERSHEY PA OPTOMETRY 7 15 $42,000 $2,800 19.7% (717) 541-9700
38 CHILDRENS HOSPITAL OPHTHALMOLOGY FOUNDATION INC BOSTON MA OPHTHALMOLOGY 23 14 $99,729 $7,124 28.0% (617) 355-6000
39 OPHTHALMIC PARTNERS , PA FORT WORTH TX OPHTHALMOLOGY 14 14 $16,480 $1,177 4.0% (817) 332-2020
40 SHEPHERD EYE CENTER LTD LAS VEGAS NV OPHTHALMOLOGY 41 13 $29,304 $2,254 15.9% (702) 896-6043
41 TRI-STATE CENTERS FOR SIGHT INC CRESTVIEW HILLS OH OPHTHALMOLOGY 39 13 $20,160 $1,551 100.0% (859) 341-4525
42 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 13 $25,375 $1,952 100.0% (859) 257-1412
43 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 13 $25,347 $1,950 39.4% (503) 494-8311
44 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 12 $25,235 $2,103 30.0% (425) 313-5422
45 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 12 $35,620 $2,968 11.4% (919) 684-8111
46 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 12 $21,398 $1,783 30.0% —
47 OKALOOSA OPHTHALMOLOGY PEDIATRIC AND ADULT EYE CARE CRESTVIEW FL OPHTHALMOLOGY 2 12 $11,083 $924 15.4% (850) 683-3937
48 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 12 $155,054 $12,921 15.4% (904) 953-2000
49 ALABAMA OPHTHALMOLOGY ASSOCIATES, P.C. BIRMINGHAM AL OPHTHALMOLOGY 7 12 $20,800 $1,733 40.0% (205) 930-0700
50 EYE ASSOCIATES OF SOUTHERN INDIANA PC JEFFERSONVILLE IN OPHTHALMOLOGY 25 12 $18,360 $1,530 13.6% (812) 284-0660
51 CENTRAL UTAH EYE ASSOCIATES PROVO UT OPHTHALMOLOGY 18 12 $36,140 $3,012 40.0% (801) 374-1818
52 PEDIATRIC OPHTHALMOLOGY PA DALLAS TX OPHTHALMOLOGY 2 11 $11,460 $1,042 3.1% (214) 369-6434
53 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 11 $31,303 $2,846 100.0% (410) 502-4340
54 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 11 $56,925 $5,175 10.9% (212) 305-8559
55 DELL CHILDRENS MEDICAL GROUP AUSTIN TX PEDIATRIC MEDICINE 121 11 $27,074 $2,461 3.1% —
56 CHILDREN'S EYE PHYSICIANS P.C. WHEAT RIDGE CO OPHTHALMOLOGY 13 11 $52,250 $4,750 13.6% (303) 456-9456
57 CHARLES L. HEATON, M.D. P.A. TYLER TX OPHTHALMOLOGY 18 11 $25,900 $2,355 3.1% 90352604442111
58 MAINE EYE CENTER PA PORTLAND ME OPHTHALMOLOGY 18 11 $15,400 $1,400 100.0% (207) 774-8277

*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 →