NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
67700 Incision and drainage of abscess of eyelid CPT · Eye procedure
Classification Procedure › Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 4,932 services ▼ 7.4% YoY · 3,239 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.1M · $218.91 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
42
Named-group FFS services
1,638
FFS of Medicare
49%
Services YoY
-7.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,304 services

1,638 observed fee-for-service (50%) · ~1,666 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 — 67700 (CY2024)
CA 1,703 NY 1,459 FL 954 NJ 137 TX 101

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

Named-group submitted charges
$834K
Named-group allowed amount
$415K
Named-group Medicare payments
$321K
Avg charge / svc
$509
Avg allowed / svc
$254
Avg payment / svc
$196
Average charge per group
$295 42 groups · avg submitted charge / service $1,074
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 67700 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 VENTURA EYE INSTITUTE, INC CAMARILLO CA OPHTHALMOLOGY 2 462 $185,250 $401 27.1% (805) 388-1211
2 SPECIALTY EYE CARE MEDICAL CENTER , INC GLENDALE CA OPHTHALMOLOGY 4 229 $91,600 $400 13.4% (818) 265-7777
3 DELRAY EYE ASSOCIATES PA DELRAY BEACH FL OPHTHALMOLOGY 9 88 $30,894 $351 9.2% (561) 498-8100
4 OPHTHALMOLOGY ASSOCIATES OF GLEN COVE, PC GLEN COVE NY OPHTHALMOLOGY 2 72 $73,440 $1,020 4.9% (516) 676-4596
5 CHESAPEAKE EYE CARE AND LASER CENTER LLC ANNAPOLIS MD OPHTHALMOLOGY 78 47 $34,310 $730 77.0% (410) 571-8733
6 C AND LI PA INC PITTSBURGH PA OPHTHALMOLOGY 2 46 $35,704 $776 100.0% (412) 681-8505
7 MILLSBORO EYE CARE LLC MILTON DE OPTOMETRY 4 36 $21,600 $600 100.0% (302) 684-2020
8 E JOSEPH NADJI MD A MEDICAL CORPORATION SANTA MONICA CA OPHTHALMOLOGY 2 34 $16,694 $491 2.0% (310) 453-0551
9 BOOZMAN-HOF REGIONAL EYE CLINIC PA ROGERS AR OPTOMETRY 11 33 $12,729 $386 100.0% (479) 246-1700
10 REJUVA DERMATOLOGY AND VEIN CENTER, PLLC VENICE FL DERMATOLOGY 3 31 $12,836 $414 3.2% (941) 529-0070
11 RANDALL K TOZER MD PC SCOTTSDALE AZ OPTOMETRY 6 29 $19,927 $687 44.6% (480) 947-4493
12 S DANIEL SALAMA MD PA BOCA RATON FL OPHTHALMOLOGY 4 29 $12,305 $424 3.0% (561) 395-7616
13 EYE SURGEONS OF RICHMOND INC RICHMOND VA OPHTHALMOLOGY 44 27 $18,252 $676 65.9% (804) 287-4200
14 FAGADAU AND HAWK, M.D LLP DALLAS TX OPHTHALMOLOGY 5 26 $16,425 $632 25.7% (214) 987-2020
15 EASTSIDE EYE PHYSICIANS PC SAINT CLAIR SHORES MI OPHTHALMOLOGY 6 26 $12,350 $475 66.7% (586) 774-2020
16 CALIFORNIA EYE MEDICAL CENTER INC LOS ANGELES CA OPHTHALMOLOGY 2 26 $17,030 $655 1.5% (310) 275-6179
17 MOSAIC EYE SPECIALISTS PC SAN DIEGO CA OPHTHALMOLOGY 2 25 $10,000 $400 1.5% (619) 226-1877
18 EYE CENTERS OF AMERICA LLC BLOOMFIELD NJ OPHTHALMOLOGY 123 23 $12,970 $564 16.8% (973) 707-5632
19 PACIFIC EYE SURGEONS A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION PASO ROBLES CA OPHTHALMOLOGY 20 22 $10,241 $465 1.3% (805) 545-8100
20 ADULT AND PEDIATRIC DERMATOLOGY SPECIALISTS, P.C. TRUMBULL CT PHYSICIAN ASSISTANT 11 20 $12,500 $625 54.1% (203) 377-0639
21 FACIAL AND OCULOPLASTIC SURGERY CENTER OF TEXAS PLLC SAN ANTONIO TX OPHTHALMOLOGY 6 19 $17,594 $926 18.8% (210) 495-2367
22 RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR PASADENA CA OPHTHALMOLOGY 82 18 $11,644 $647 1.1% (800) 898-2020
23 HUDSON VALLEY EYE SURGEONS FISHKILL CT OPHTHALMOLOGY 8 17 $5,184 $305 45.9% (845) 896-9280
24 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 17 $7,404 $436 58.6% —
25 DAVID A SCHLESSINGER, M.D.,P.C. WOODBURY NY OPHTHALMOLOGY 2 17 $18,261 $1,074 1.2% (516) 496-2122
26 ISLAND EYE PHYSICIANS AND SURGEONS ANACORTES WA OPHTHALMOLOGY 2 16 $9,775 $611 50.0% (360) 293-2020
27 BLACK HILLS REGIONAL EYE INSTITUTE LLP RAPID CITY SD OPHTHALMOLOGY 14 15 $11,950 $797 100.0% (605) 341-2000
28 WASHINGTON EYE PHYSICIANS AND SURGEONS PC CHEVY CHASE MD OPHTHALMOLOGY 9 14 $9,149 $654 23.0% (301) 657-5700
29 HOPPING EYE ASSOCIATES LLP HOUSTON TX OPTOMETRY 6 14 $4,480 $320 13.9% (281) 488-2020
30 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 14 $8,008 $572 34.1% (804) 828-9000
31 MIDDLE TENNESSEE EYE ASSOCIATES OF COOKEVILLE PLLC COOKEVILLE TN OPTOMETRY 5 14 $8,456 $604 56.0% (931) 372-1994
32 M. HANIF PERACHA , M.D. , P.C. MONROE MI OPHTHALMOLOGY 5 13 $7,930 $610 33.3% (734) 242-2727
33 REFOCUS EYE HEALTH OF RI, LLC PROVIDENCE RI OPHTHALMOLOGY 17 13 $9,817 $755 100.0% (401) 272-2020
34 PLANO EYE ASSOCIATES PC PLANO TX OPTOMETRY 7 13 $3,835 $295 12.9% (972) 985-1412
35 GARY R TYLOCK MD PA IRVING TX OPTOMETRY 4 13 $3,835 $295 12.9% (972) 258-6400
36 WAYNESBOROUGH OPHTHALMOLOGY, P.A. GOLDSBORO NC PHYSICIAN ASSISTANT 8 12 $6,000 $500 100.0% (919) 734-8440
37 JEFFREY F ZWERLING MD PC ROCKAWAY PARK NY OPHTHALMOLOGY 2 12 $4,500 $375 0.8% (718) 634-5808
38 WOODCLIFF LAKE OPHTHALMOLOGY, LLP. WOODCLIFF LAKE NJ OPHTHALMOLOGY 4 12 $3,930 $328 8.8% (201) 782-1700
39 MOSCOW FAMILY EYE CARE INC MOSCOW ID OPHTHALMOLOGY 4 11 $7,073 $643 100.0% (208) 882-3434
40 DENNIS C MATZKIN MD PC CHATTANOOGA TN OPHTHALMOLOGY 2 11 $4,422 $402 44.0% (423) 855-8522
41 WYMAN SICHER EYE ASSOCIATES SC PEORIA IL OPHTHALMOLOGY 21 11 $7,425 $675 26.8% (309) 243-2400
42 WILLIAM J OKTAVEC MD PA ST AUGUSTINE FL OPHTHALMOLOGY 2 11 $5,850 $532 1.2% (904) 826-3937

*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 →