NEVVI Medicare utilization intelligence
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Market snapshot

67850 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

67850 — Destruction of growth of eyelid margin, 1.0 cm or less

Billing groups
38
Named-group FFS services
4,967
FFS of Medicare
49%
Services YoY
+4.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,590 services

4,967 observed fee-for-service (65%) · ~2,623 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 — 67850 (CY2024)

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

Named-group submitted charges
$4.1M
Named-group allowed amount
$1.0M
Named-group Medicare payments
$812K
Avg charge / svc
$835
Avg allowed / svc
$210
Avg payment / svc
$164
Average charge per group
$159 38 groups · avg submitted charge / service $3,455
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 67850 services, CY2024
#Physician group City St Specialty Providers 67850 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SANJIV K SAINI MD LLC EDGEWATER MD DERMATOLOGY 4 3,380 $3,313,733 $980 premium 99.1% 4109567777124
2 T JOSEPH RAOOF MD INC ENCINO CA INTERNAL MEDICINE 2 197 $68,950 $350 premium 25.4% (818) 788-5060
3 SANFORD MEDICAL CENTER SIOUX FALLS SD NURSE PRACTITIONER 831 181 $28,716 $159 premium 91.9% (605) 332-2883
4 EVOLUTIONARY EYE CARE SUGAR LAND TX OPTOMETRY 2 141 $70,500 $500 premium 36.3% (281) 545-4901
5 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 126 $103,463 $821 premium 16.3% (310) 423-0674
6 WILLIAM J WICKWIRE M D INC A PROFESSIONAL CORPORATION REDONDO BEACH CA PHYSICIAN ASSISTANT 10 102 $25,770 $253 premium 13.2%
7 ANGELA YEN MOORE MD PA ARLINGTON TX NURSE PRACTITIONER 4 102 $22,477 $220 premium 26.3% 8177957546320
8 MICHAEL PALTIEL MD PC FOREST HILLS NY DERMATOLOGY 3 68 $34,000 $500 premium 8.2% 71889633763
9 SHIELDS AND SHIELDS PC PHILADELPHIA PA OPHTHALMOLOGY 2 51 $176,225 $3,455 premium 53.7% (215) 928-3105
10 GARDEN CITY DERMATOLOGY, P.C. GARDEN CITY NY DERMATOLOGY 4 40 $35,443 $886 premium 4.8% (516) 227-3377
11 GATEWAY DERMATOLOGY, P.C. GLENS FALLS NY PHYSICIAN ASSISTANT 6 38 $16,530 $435 premium 4.6% (518) 745-5280
12 EYEONE PLC STAUNTON VA OPHTHALMOLOGY 13 36 $8,930 $248 premium 69.2% (540) 213-7720
13 DR WW DERMATOLOGY PLLC ELMHURST NY DERMATOLOGY 3 36 $11,520 $320 premium 4.3% (718) 457-0002
14 WILMINGTON EYE, P.A. WILMINGTON NC OPHTHALMOLOGY 29 35 $16,590 $474 premium 53.8% (910) 763-3601
15 ST GEORGE EYE CENTER LLC ST GEORGE UT OPHTHALMOLOGY 8 34 $8,960 $264 premium 100.0% (435) 628-4507
16 MARYLAND SKIN CARE CENTERS LLC ELKTON MD PHYSICIAN ASSISTANT 3 30 $9,900 $330 premium 0.9% (443) 485-6614
17 OPHTHALMIC FACIAL PLASTIC SURGERY SPECIALISTS FORT MYERS FL OPHTHALMOLOGY 2 27 $16,058 $595 premium 6.2% (239) 947-4042
18 DAVID W TYBOR OD PC AUSTIN TX OPTOMETRY 4 26 $8,505 $327 premium 6.7% 51228804441
19 WILLIAM F RESH MD SKIN AND SKIN CANCER MEDICAL GROUP OF SAN DIEGO INC NATIONAL CITY CA DERMATOLOGY 16 24 $11,880 $495 premium 3.1% (619) 267-8303
20 SCHWEIGER DERMATOLOGY PLLC NEW YORK NY PHYSICIAN ASSISTANT 238 23 $16,912 $735 premium 2.8% (212) 283-3000
21 ALPESH D. DESAI, DO, PA HOUSTON TX PHYSICIAN ASSISTANT 26 19 $6,204 $327 premium 4.9% (713) 864-2659
22 CSE MEDICAL GROUP INC. THOUSAND OAKS CA OPHTHALMOLOGY 5 18 $8,719 $484 premium 2.3% (805) 497-3744
23 CATSKILL DERMATOLOGY, PC MONTICELLO NY DERMATOLOGY 4 18 $6,744 $375 premium 2.2% (845) 794-3030
24 BRANDON T ARMSTRONG OD PC GREENWOOD IN OPTOMETRY 2 18 $8,100 $450 premium 56.2% (317) 887-2800
25 VENTURA EYE INSTITUTE, INC CAMARILLO CA OPHTHALMOLOGY 2 17 $3,704 $218 premium 2.2% (805) 388-1211
26 HAWKEYE CLINIC OF SOUTH DAKOTA PLLC DAKOTA DUNES SD OPTOMETRY 2 16 $8,282 $518 premium 8.1% (605) 232-6900
27 SPECIALTY MD INC SOUTH PLAINFIELD NJ OPHTHALMOLOGY 4 16 $5,600 $350 premium 100.0% (908) 222-8700
28 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 16 $16,723 $1,045 premium 30.8% 75762222003020
29 CLARK DERMATOLOGY LLC CLARK NY PHYSICIAN ASSISTANT 45 16 $8,257 $516 premium 1.9% (732) 574-1399
30 SIGHT MEDICAL DOCTORS PLLC SMITHTOWN NY OPHTHALMOLOGY 115 15 $22,500 $1,500 premium 1.8% (631) 265-8780
31 DELRAY EYE ASSOCIATES PA DELRAY BEACH FL OPHTHALMOLOGY 9 14 $5,740 $410 premium 3.2% (561) 498-8100
32 RANDALL DERMATOLOGY, PC WEST LAFAYETTE IN NURSE PRACTITIONER 10 14 $10,304 $736 premium 43.8% (765) 463-6722
33 VISION INNOVATION CENTERS OF PENNSYLVANIA LLC WEST PITTSTON PA OPTOMETRY 85 14 $7,574 $541 premium 14.7% (570) 602-1010
34 OMAHA EYE AND LASER INSTITUTE, INC. OMAHA NE OPHTHALMOLOGY 14 13 $6,500 $500 premium 100.0% (402) 898-3818
35 CALIFORNIA EYE MEDICAL CENTER INC LOS ANGELES CA OPHTHALMOLOGY 2 12 $5,888 $491 premium 1.5% (310) 275-6179
36 CENTER FOR EXCELLENCE IN EYECARE PA MIAMI FL OPHTHALMOLOGY 17 12 $4,667 $389 premium 2.8% (305) 598-2020
37 WOODLAND EYE CLINIC PC WEST UNION IA OPTOMETRY 5 11 $2,475 $225 premium 100.0% (563) 422-6085
38 HERTZOG EYE ASSOCIATES A MEDICAL CORPORATION LONG BEACH CA OPHTHALMOLOGY 2 11 $4,200 $382 premium 1.4% (562) 597-3100

*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 →