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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
67312 Realignment of eye by repair of 2 horizontal muscles CPT · Eye procedure
Classification Procedure Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 237 services ▼ 29.9% YoY · 233 beneficiaries (CY2024, Medicare FFS)
Medicare paid $181K · $761.65 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
8
Named-group FFS services
111
FFS of Medicare
49%
Services YoY
-29.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~228 services

111 observed fee-for-service (49%) · ~117 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 — 67312 (CY2024)

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

Named-group submitted charges
$322K
Named-group allowed amount
$75K
Named-group Medicare payments
$58K
Avg charge / svc
$2,898
Avg allowed / svc
$672
Avg payment / svc
$522
Average charge per group
$1,350 8 groups · avg submitted charge / service $6,134
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 67312 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 67312 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 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 19 $30,780 $1,620 premium 59.4% (704) 295-3414
2 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 18 $48,690 $2,705 premium 58.1% (305) 689-5437
3 EYE CONSULTANTS OF ATLANTA, PC ATLANTA GA OPHTHALMOLOGY 30 14 $49,300 $3,521 premium 51.9% (404) 351-2220
4 GRENE VISION GROUP LLC WICHITA KS OPHTHALMOLOGY 9 14 $26,095 $1,864 premium 50.0% (316) 722-8883
5 MIKE S. MCFARLAND MDPA LITTLE ROCK AR OPTOMETRY 14 12 $16,200 $1,350 premium 100.0% (501) 830-2020
6 HEA CLINIC PA HOUSTON TX OPHTHALMOLOGY 42 12 $73,608 $6,134 premium 28.6% (713) 467-6474
7 ROCKY MTN EYE CARE ASSOCIATES LC SALT LAKE CTY UT OPHTHALMOLOGY 5 11 $14,950 $1,359 premium 100.0% (801) 264-4450
8 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 11 $62,010 $5,637 premium 47.8% (323) 442-7122

*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 →