NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
67825 Removal of eyelashes CPT · Eye procedure
Classification Procedure › Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,921 services ▲ 14.3% YoY · 1,246 beneficiaries (CY2024, Medicare FFS)
Medicare paid $175K · $91.30 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

22

Named groups billing this code
Named-group FFS services

560

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+14.3%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~1,105 services

560 observed fee-for-service (51%) · ~545 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 — 67825 (CY2024)
CA 1,145 FL 270 NC 52 VA 49 IL 47

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

Billed → allowed → paid
Named-group submitted charges
$222K
Named-group allowed amount
$82K
Named-group Medicare payments
$61K
Avg charge / svc
$396
Avg allowed / svc
$146
Avg payment / svc
$109
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$169 22 groups · avg submitted charge / service $951
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 67825 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 VENTURA EYE INSTITUTE, INC CAMARILLO CA OPHTHALMOLOGY 2 99 $22,325 $226 8.6% (805) 388-1211
2 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 49 $17,226 $352 100.0% —
3 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 35 $19,720 $563 67.3% (919) 684-8111
4 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 33 $16,002 $485 2.9% (805) 681-7500
5 WHEATON EYE CLINIC LTD WHEATON IL OPHTHALMOLOGY 45 29 $5,361 $185 61.7% (630) 668-8250
6 BAPTIST EYE SURGEONS, PLLC KNOXVILLE TN OPHTHALMOLOGY 12 28 $11,676 $417 100.0% (865) 579-3920
7 WEST GEORGIA EYE CARE CENTER,P.A. COLUMBUS GA OPHTHALMOLOGY 16 25 $10,720 $429 59.5% (706) 323-3491
8 CENTRAL VALLEY EYE MEDICAL GROUP INC STOCKTON CA OPHTHALMOLOGY 10 24 $8,550 $356 2.1% (209) 952-3700
9 EYESTHETICA SANTA MONICA CA OPHTHALMOLOGY 6 21 $7,920 $377 1.8% (310) 299-8865
10 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 20 $11,511 $576 100.0% (843) 792-1414
11 UNMC PHYSICIANS OMAHA AZ PHYSICIAN ASSISTANT 1514 20 $9,045 $452 100.0% (402) 559-4000
12 VISIONARY OPHTHALMOLOGY LLC ROCKVILLE MD OPHTHALMOLOGY 17 20 $9,230 $461 100.0% (301) 896-0890
13 PAIGE STEPHENS OD LLC HIGHLANDS RANCH CO OPTOMETRY 2 18 $3,042 $169 100.0% (303) 346-8400
14 EYE SPECIALISTS OF ILLINOIS SC PARK RIDGE IL OPHTHALMOLOGY 5 18 $9,880 $549 38.3% —
15 NORTHWEST EYELID AND ORBITAL SPECIALISTS PS SPOKANE WA OPHTHALMOLOGY 2 17 $6,120 $360 56.7% (509) 279-2176
16 MARIETTA EYE CLINIC, PA MARIETTA GA OPHTHALMOLOGY 41 17 $6,511 $383 40.5% (770) 427-8111
17 EYE ASSOCIATES OF NEW MEXICO LTD ALBUQUERQUE NM OPTOMETRY 67 16 $4,250 $266 100.0% (505) 888-5757
18 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 16 $9,007 $563 1.4% (800) 926-8273
19 AESTHETIC EYE CARE SAN LUIS OBISPO CA OPHTHALMOLOGY 2 15 $3,643 $243 1.3% (312) 404-7237
20 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 14 $10,586 $756 1.2% (858) 455-9100
21 TIMOTHY F. MCDEVITT, M.D. INC HONOLULU TX OPHTHALMOLOGY 3 13 $7,243 $557 100.0% (808) 599-4755
22 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 13 $12,362 $951 4.8% (352) 265-8990

*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 →