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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
67875 Temporary closure of eyelids by suture CPT · Eye procedure
Classification Procedure Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 3,066 services ▼ 7.0% YoY · 2,783 beneficiaries (CY2024, Medicare FFS)
Medicare paid $313K · $102.10 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
43
Named-group FFS services
1,303
FFS of Medicare
49%
Services YoY
-7.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,656 services

1,303 observed fee-for-service (49%) · ~1,353 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 — 67875 (CY2024)

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

Named-group submitted charges
$1.0M
Named-group allowed amount
$68K
Named-group Medicare payments
$54K
Avg charge / svc
$793
Avg allowed / svc
$52
Avg payment / svc
$41
Average charge per group
$130 43 groups · avg submitted charge / service $4,000
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 67875 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 67875 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 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 156 $153,972 $987 premium 55.7% (217) 544-6464
2 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 81 $74,600 $921 premium 40.7% (516) 766-2519
3 UTAH VALLEY EYE CENTER INC PROVO UT OPTOMETRY 11 75 $70,840 $945 premium 45.7% (801) 357-7373
4 FACIAL AND OCULOPLASTIC SURGERY CENTER OF TEXAS PLLC SAN ANTONIO TX OPHTHALMOLOGY 6 61 $19,638 $322 premium 23.6% (210) 495-2367
5 OCALA EYE PA OCALA FL OPHTHALMOLOGY 24 55 $14,994 $273 premium 9.5% (352) 622-5183
6 MONONGALIA COUNTY GENERAL HOSPITAL COMPANY MORGANTOWN WV PHYSICIAN ASSISTANT 254 47 $12,725 $271 premium 66.2% (304) 598-1200
7 MINNESOTA EYE CONSULTANTS, PA BLOOMINGTON MN OPTOMETRY 33 46 $19,228 $418 premium 37.4% (952) 888-5800
8 GREGORY L HENDERSON MD FACS INC BRANDON FL OPHTHALMOLOGY 32 44 $17,875 $406 premium 7.6%
9 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 42 $28,581 $680 premium 100.0% (913) 588-1227
10 SHIELDS AND SHIELDS PC PHILADELPHIA PA OPHTHALMOLOGY 2 42 $168,000 $4,000 premium 39.3% (215) 928-3105
11 NORTHWEST EYELID AND ORBITAL SPECIALISTS PS SPOKANE WA OPHTHALMOLOGY 2 41 $19,475 $475 premium 33.3% (509) 279-2176
12 PANHANDLE EYE GROUP, LLP AMARILLO TX OPHTHALMOLOGY 11 36 $28,800 $800 premium 14.0% (806) 351-1870
13 WESLEY AND KLIPPENSTEIN PC NASHVILLE TN OPHTHALMOLOGY 5 35 $4,550 $130 premium 26.1% (615) 329-3624
14 UT MEDICAL GROUP INC MEMPHIS TN NEPHROLOGY 95 32 $26,895 $840 premium 23.9% (901) 866-8810
15 OPHTHALMIC PLASTIC SURGERY SPECIALISTS PLLC JACKSON MS OPHTHALMOLOGY 2 30 $9,000 $300 premium 43.5% (601) 355-9537
16 OMNI EYE SURGERY OF NEW YORK PC NEW YORK NY OPHTHALMOLOGY 5 27 $24,000 $889 premium 13.6% (212) 358-0030
17 GLACIER EYE CLINIC PC KALISPELL MT OPHTHALMOLOGY 11 27 $9,877 $366 premium 50.9% (406) 257-2020
18 DELRAY EYE ASSOCIATES PA DELRAY BEACH FL OPHTHALMOLOGY 9 26 $20,760 $798 premium 4.5% (561) 498-8100
19 AZUL COSMETIC SURGERY AND MEDICAL SPA PA FORT MYERS FL OPHTHALMOLOGY 3 24 $14,175 $591 premium 4.1% (239) 415-7576
20 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA OPHTHALMOLOGY 51 22 $10,833 $492 premium 12.6% (714) 456-8068
21 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 21 $11,970 $570 premium 21.2% (434) 924-5959
22 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 21 $8,127 $387 premium 3.6% (904) 396-1725
23 WILMINGTON EYE, P.A. WILMINGTON NC OPHTHALMOLOGY 29 20 $9,700 $485 premium 28.6% (910) 763-3601
24 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 20 $50,016 $2,501 premium 11.5% (650) 723-4000
25 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 19 $9,460 $498 premium 3.3% (305) 689-5437
26 CENTRAL FLORIDA EYE SPECIALISTS PL DELAND FL OPHTHALMOLOGY 11 18 $11,700 $650 premium 3.1% (386) 734-2931
27 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 17 $14,127 $831 premium 100.0% (402) 559-4000
28 OCULOPLASTIC CONSULTANTS OF ARIZONA PC GLENDALE LA OPHTHALMOLOGY 2 17 $9,350 $550 premium 100.0% (602) 993-9100
29 THE EYE PHYSICIANS OF PINELLAS, PA LARGO FL OPHTHALMOLOGY 39 16 $9,994 $625 premium 2.8% (727) 581-8706
30 OCULOFACIAL PLASTIC SURGEONS OF GEORGIA, LLC SUWANEE GA OPHTHALMOLOGY 3 15 $15,000 $1,000 premium 100.0% (770) 604-4141
31 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 15 $15,653 $1,044 premium 5.8% (713) 592-5433
32 PANZER DERMATOLOGY ASSOCIATES NEWARK DE PHYSICIAN ASSISTANT 25 15 $4,538 $302 premium 100.0% 3026337550229
33 REGENERATIVE INSTITUTE PLLC PHOENIX AZ PLASTIC AND RECONSTRUCTIVE SURGERY 2 14 $28,120 $2,009 premium 53.8% (602) 331-7811
34 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 14 $8,029 $574 premium 11.4% (507) 284-2511
35 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 14 $16,450 $1,175 premium 8.0% (323) 442-7122
36 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 14 $9,506 $679 premium 46.7% (734) 763-5459
37 METROLINA EYE ASSOCIATES PLLC INDIAN LAND NC OPHTHALMOLOGY 14 13 $4,095 $315 premium 18.6% (803) 547-3937
38 WILLS EYE OPHTHALMOLOGY CLINIC, INC PHILADELPHIA PA OPHTHALMOLOGY 143 12 $18,000 $1,500 premium 11.2% (215) 928-3041
39 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 12 $9,075 $756 premium 52.2% (319) 678-8201
40 BOOZMAN-HOF REGIONAL EYE CLINIC PA ROGERS AR OPTOMETRY 11 12 $3,600 $300 premium 52.2% (479) 246-1700
41 CALIFORNIA RETINA ASSOCIATES, LP CHULA VISTA CA OPHTHALMOLOGY 19 12 $6,030 $502 premium 6.9% 6194257755257755
42 THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS CHICAGO IL NURSE PRACTITIONER 1170 12 $6,480 $540 premium 4.3%
43 CHARLES L. HEATON, M.D. P.A. TYLER TX OPHTHALMOLOGY 18 11 $5,500 $500 premium 4.3% 90352604442111

*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 →