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

67335 Placement of adjustable sutures during eye muscle surgery CPT · Eye procedure

Classification Procedure › Eye (CMS RBCS)

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

National scale 565 services ▼ 16.5% YoY · 552 beneficiaries (CY2024, Medicare FFS)

Medicare paid $95K · $168.89 avg / service, national

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

Billing groups

Named-group FFS services

446

FFS of Medicare

49%

Services YoY

-16.5%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~894 services

446 observed fee-for-service (50%) · ~448 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 — 67335 (CY2024)

CA 191 MA 53 CO 40 NY 37 UT 34

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

Named-group submitted charges

$416K

Named-group allowed amount

$93K

Named-group Medicare payments

$74K

Avg charge / svc

$932

Avg allowed / svc

$209

Avg payment / svc

$167

Average charge per group

$289–467

$467–645

$645–822

$822–1,000

$1,000–1,177

$1,177–1,355

$1,355–1,533

$1,533+

$289 18 groups · avg submitted charge / service $2,872

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 67335 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	67335 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	JULES STEIN EYE INSTITUTE MEDICAL GROUP	ARCADIA	CA	OPHTHALMOLOGY	116	91	$89,747	$986	premium	47.6%	(323) 442-7122
2	OMNI EYE SPECIALISTS P A	ISELIN	NY	OPHTHALMOLOGY	46	37	$39,250	$1,061	premium	100.0%	(732) 750-0400
3	MASSACHUSETTS EYE AND EAR ASSOCIATES, INC	BOSTON	MA	OPHTHALMOLOGY	406	34	$45,037	$1,325	premium	64.2%	(617) 523-7900
4	REGENTS OF THE UNIVERSITY OF CALIFORNIA	ORANGE	CA	OPHTHALMOLOGY	51	30	$19,830	$661	premium	15.7%	(714) 456-8068
5	MAYO CLINIC	ROCHESTER	MN	NURSE PRACTITIONER	4896	29	$43,648	$1,505	premium	100.0%	(507) 284-2511
6	CHILD EYE CARE ASSOCIATES LLC	TIGARD	OR	OPHTHALMOLOGY	3	28	$16,800	$600	premium	100.0%	(503) 635-4436
7	EYE CENTER OF NORTHERN COLORADO PC	FORT COLLINS	CO	OPHTHALMOLOGY	68	26	$11,200	$431	premium	65.0%	(970) 221-2222
8	ROCKY MTN EYE CARE ASSOCIATES LC	SALT LAKE CTY	UT	OPHTHALMOLOGY	5	22	$7,050	$320	premium	64.7%	(801) 264-4450
9	JOHNS HOPKINS UNIVERSITY	BALTIMORE	MD	NURSE PRACTITIONER	2900	19	$13,750	$724	premium	100.0%	(410) 502-4340
10	CHILDRENS HOSPITAL OPHTHALMOLOGY FOUNDATION INC	BOSTON	MA	OPHTHALMOLOGY	23	19	$54,564	$2,872	premium	35.8%	(617) 355-6000
11	UNIVERSITY OF MIAMI	MIAMI	FL	NURSE PRACTITIONER	2331	19	$10,868	$572	premium	100.0%	(305) 689-5437
12	BANNER-UNIVERSITY MEDICAL GROUP	TUCSON	AZ	INTERNAL MEDICINE	1068	17	$7,725	$454	premium	100.0%	(520) 694-0111
13	CHILDREN'S EYE PHYSICIANS P.C.	WHEAT RIDGE	CO	OPHTHALMOLOGY	13	14	$12,000	$857	premium	35.0%	(303) 456-9456
14	DUKE HEALTH INTEGRATED PRACTICE INC	DURHAM	NC	PHYSICIAN ASSISTANT	3051	13	$14,261	$1,097	premium	100.0%	(919) 684-8111
15	NORTHWESTERN MEDICAL FACULTY FOUNDATION	CHICAGO	IL	NURSE PRACTITIONER	4339	13	$9,926	$764	premium	43.3%	—
16	SUTTER BAY MEDICAL FOUNDATION	PALO ALTO	CA	INTERNAL MEDICINE	3716	12	$5,354	$446	premium	6.3%	(415) 600-1020
17	CENTRAL UTAH EYE ASSOCIATES	PROVO	UT	OPHTHALMOLOGY	18	12	$11,400	$950	premium	35.3%	(801) 374-1818
18	EVERETT AND HURITE OPHTHALMIC ASSOCIATION	PITTSBURGH	PA	OPHTHALMOLOGY	16	11	$3,183	$289	premium	100.0%	(412) 288-0885

*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 →