NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis CPT · Eye procedure
Classification Procedure › Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 6,883 services ▲ 15.6% YoY · 5,407 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3.7M · $531.61 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
79
Named-group FFS services
2,418
FFS of Medicare
49%
Services YoY
+15.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,855 services

2,418 observed fee-for-service (50%) · ~2,437 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 — 67903 (CY2024)
CA 1,230 TX 1,095 FL 555 CO 509 IL 256

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

Named-group submitted charges
$7.0M
Named-group allowed amount
$1.4M
Named-group Medicare payments
$1.1M
Avg charge / svc
$2,879
Avg allowed / svc
$595
Avg payment / svc
$470
Average charge per group
$849 79 groups · avg submitted charge / service $10,876
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 67903 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS OCULOPLASTIC CONSULTANTS LLP AUSTIN TX OPHTHALMOLOGY 12 178 $279,600 $1,571 16.3% (512) 457-2141
2 EYESTHETICA SANTA MONICA CA OPHTHALMOLOGY 6 95 $256,726 $2,702 7.7% (310) 299-8865
3 DELRAY EYE ASSOCIATES PA DELRAY BEACH FL OPHTHALMOLOGY 9 93 $346,900 $3,730 16.8% (561) 498-8100
4 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 79 $149,863 $1,897 6.4% (805) 681-7500
5 JERRY K POPHAM, MD PC DENVER CO OPHTHALMOLOGY 2 75 $179,936 $2,399 14.7% (303) 468-8844
6 AESTHETIC EYE CARE SAN LUIS OBISPO CA OPHTHALMOLOGY 2 69 $58,573 $849 5.6% (312) 404-7237
7 EYE SPECIALISTS OF ILLINOIS SC PARK RIDGE IL OPHTHALMOLOGY 5 66 $497,670 $7,540 25.8% —
8 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 60 $249,664 $4,161 4.9% (800) 926-8273
9 EYE PHYSICIANS OF FLORIDA LLP PLANTATION FL OPHTHALMOLOGY 42 60 $120,000 $2,000 10.8% (954) 741-5555
10 VANCE THOMPSON VISION CLINIC PROF LLC SIOUX FALLS TX OPTOMETRY 44 56 $206,316 $3,684 5.1% (605) 371-7100
11 JERVEY EYE GROUP PA GREENVILLE SC OPHTHALMOLOGY 20 55 $87,200 $1,585 29.7% (864) 458-7956
12 SHULKIN EYE ASSOCIATES DALLAS TX OPHTHALMOLOGY 2 55 $81,351 $1,479 5.0% (972) 566-7999
13 CENTRAL VALLEY EYE MEDICAL GROUP INC STOCKTON CA OPHTHALMOLOGY 10 53 $122,250 $2,307 4.3% (209) 952-3700
14 THE MEDICAL EYE CENTER PC MANCHESTER NH OPHTHALMOLOGY 15 44 $134,900 $3,066 27.7% (603) 668-2020
15 OPHTHALMIC PLASTIC AND COSMETIC SURGERY INC DES PERES WA PLASTIC AND RECONSTRUCTIVE SURGERY 4 43 $109,800 $2,553 16.9% (314) 567-3567
16 CALIFORNIA RETINA ASSOCIATES, LP CHULA VISTA CA OPHTHALMOLOGY 19 40 $115,810 $2,895 3.3% 6194257755257755
17 KHAN EYELID AND FACIAL PLASTIC SURGERY LLC OVERLAND PARK KS OPHTHALMOLOGY 2 38 $101,500 $2,671 16.7% (913) 696-1154
18 OPHTHALMIC CONSULTANTS OF VERMONT PC S BURLINGTON VT OPHTHALMOLOGY 5 37 $101,557 $2,745 38.1% (802) 864-2010
19 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA OPHTHALMOLOGY 51 36 $146,395 $4,067 2.9% (714) 456-8068
20 TUCSON EYE CARE PC TUCSON AZ OPHTHALMOLOGY 8 36 $49,657 $1,379 28.8% (520) 731-5500
21 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 32 $348,040 $10,876 17.3% (843) 792-1414
22 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 30 $149,460 $4,982 32.6% (919) 684-8111
23 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 30 $105,621 $3,521 2.7% (817) 920-0484
24 JONES EYE CENTER PC SIOUX CITY IA OPHTHALMOLOGY 3 29 $103,200 $3,559 37.7% (712) 239-3937
25 RONALD W PELTON MD PHD PC COLORADO SPRINGS CO PLASTIC AND RECONSTRUCTIVE SURGERY 2 28 $54,000 $1,929 5.5% (719) 329-0040
26 OCULOFACIAL PLASTIC SURGERY OF HAWAII INC HONOLULU HI PHYSICIAN ASSISTANT 3 28 $69,110 $2,468 100.0% (808) 888-9981
27 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 28 $72,759 $2,599 5.0% (305) 689-5437
28 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 28 $78,832 $2,815 5.0% (904) 396-1725
29 TIMOTHY D MCGARITY MD PC COLUMBIA MO OPHTHALMOLOGY 4 28 $40,236 $1,437 19.4% (573) 441-7070
30 MANN EYE CENTER, PA HOUSTON TX OPTOMETRY 48 27 $63,900 $2,367 2.5% (713) 580-2550
31 CHATTANOOGA EYE INSTITUTE,P.C. CHATTANOOGA TN OPHTHALMOLOGY 3 26 $48,000 $1,846 20.0% (423) 892-3937
32 NEIGEL CENTER, PA FLORHAM PARK NJ OPHTHALMOLOGY 3 26 $72,000 $2,769 15.7% (973) 410-1100
33 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 25 $52,336 $2,093 55.6% (402) 559-4000
34 BROOKS EYE ASSOCIATES PLLC PLANO TX OPHTHALMOLOGY 10 23 $102,500 $4,457 2.1% (972) 403-1110
35 METROLINA EYE ASSOCIATES PLLC INDIAN LAND NC OPHTHALMOLOGY 14 23 $42,230 $1,836 25.0% (803) 547-3937
36 TRIAD EYE INSTITUTE PLLC TULSA OK OPTOMETRY 36 23 $41,625 $1,810 27.4% (918) 252-2020
37 OPHTHALMIC PLASTIC SURGERY PLLC SLINGERLANDS RI OPHTHALMOLOGY 5 22 $63,000 $2,864 100.0% (518) 533-6540
38 OCULOPLASTIC ASSOCIATES OF TEXAS PLLC DALLAS TX OPHTHALMOLOGY 4 22 $51,000 $2,318 2.0% (214) 369-0555
39 EYELID AND FACIAL PLASTIC SURGERY ASSOCIATES PLLC AUSTIN TX OPHTHALMOLOGY 2 21 $42,888 $2,042 1.9% (512) 501-1010
40 OPHTHALMIC PLASTIC SURGERY PLLC SLINGERLANDS NY OPHTHALMOLOGY 5 21 $50,400 $2,400 11.8% (518) 533-6540
41 PACIFIC EYE ASSOCIATES, A MEDICAL CORPORATION SAN FRANCISCO CA OPHTHALMOLOGY 13 21 $42,000 $2,000 1.7% (415) 923-3007
42 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 20 $43,590 $2,180 13.3% (410) 502-4340
43 WORCESTER OPHTHALMOLOGY ASSOCIATES INC WORCESTER MA OPHTHALMOLOGY 6 20 $40,000 $2,000 15.5% (508) 831-9555
44 OPHTHALMIC PLASTIC AND ORBITAL CONSULTANTS PC BETHESDA MD OPHTHALMOLOGY 2 20 $55,700 $2,785 13.3% (301) 571-0000
45 MARC ELLMAN MD PA EL PASO TX OPHTHALMOLOGY 16 20 $53,896 $2,695 1.8% (915) 595-4375
46 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY CO PHYSICIAN ASSISTANT 1783 20 $44,544 $2,227 3.9% (801) 581-2121
47 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 19 $65,718 $3,459 45.2% 75762222003020
48 REFRACTIVE SURGERY AND DIAGNOSTIC CENTER PLLC SAN ANTONIO TX OPHTHALMOLOGY 12 19 $38,000 $2,000 1.7% (210) 615-9358
49 AZUL COSMETIC SURGERY AND MEDICAL SPA PA FORT MYERS FL OPHTHALMOLOGY 3 18 $33,852 $1,881 3.2% (239) 415-7576
50 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 18 $40,773 $2,265 7.9% (913) 588-1227
51 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 18 $101,660 $5,648 3.5% (720) 777-1234
52 ERIC A COLE MD PS SILVERDALE WA OPHTHALMOLOGY 3 18 $37,233 $2,068 7.1% (360) 613-2600
53 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 17 $50,600 $2,976 11.8% (314) 747-3000
54 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 17 $94,352 $5,550 1.4% (323) 442-7122
55 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 17 $106,148 $6,244 9.6% —
56 NEIGEL CENTER, PA FLORHAM PARK NY OPHTHALMOLOGY 3 17 $54,000 $3,176 9.6% (973) 410-1100
57 KANSAS CITY EYE CLINIC, P.A. OVERLAND PARK KS OPHTHALMOLOGY 9 17 $31,200 $1,835 7.5% (913) 341-3100
58 MARIETTA EYE CLINIC, PA MARIETTA GA OPHTHALMOLOGY 41 16 $31,274 $1,955 24.2% (770) 427-8111
59 AUSTIN EYE CLINIC ASSOCIATION AUSTIN TX OPHTHALMOLOGY 7 15 $37,828 $2,522 1.4% (512) 250-2020
60 NH EYE ASSOCIATES PLLC LONDONDERRY NH OPHTHALMOLOGY 11 15 $33,885 $2,259 9.4% (603) 669-3925
61 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 15 $97,860 $6,524 46.9% (734) 763-5459
62 SOUTHEAST EYE SPECIALISTS PLLC CHATTANOOGA TN OPHTHALMOLOGY 36 14 $32,810 $2,344 10.8% 4235087337205
63 PREMIER HEALTH MANAGEMENT INC MOBILE AL OTOLARYNGOLOGY 55 14 $14,520 $1,037 11.5% (251) 473-1900
64 OCULOPLASTIC CONSULTANTS OF ARIZONA PC GLENDALE LA OPHTHALMOLOGY 2 14 $52,500 $3,750 53.8% (602) 993-9100
65 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 13 $33,314 $2,563 50.0% (503) 494-8311
66 OPHTHALMIC ASSOCIATES A PROFESSIONAL CORPORATION ANCHORAGE AK OPHTHALMOLOGY 8 13 $101,442 $7,803 37.1% (907) 276-1617
67 BERKELEY EYE INSTITUTE, PLLC HOUSTON TX OPTOMETRY 62 13 $17,250 $1,327 1.2% (281) 333-8600
68 EYE CONSULTANTS OF PENNSYLVANIA PC WYOMISSING PA OPHTHALMOLOGY 25 12 $44,000 $3,667 16.9% (610) 378-1344
69 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 12 $48,486 $4,040 30.0% (952) 993-3123
70 DAVID SAVAR, MD, A MEDICAL CORPORATION BEVERLY HILLS CA OPHTHALMOLOGY 2 12 $45,376 $3,781 1.0% (310) 276-9800
71 WORLEY AND HARIRI OCULOPLASTIC SURGERY LLC NEW ORLEANS LA OPHTHALMOLOGY 2 12 $34,400 $2,867 46.2% (504) 895-3223
72 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 12 $14,210 $1,184 28.6% —
73 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 12 $33,138 $2,762 9.3% (617) 421-1000
74 THOMAS EYE GROUP PC ROSWELL GA OPTOMETRY 56 12 $22,402 $1,867 18.2% (770) 475-5515
75 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 11 $47,288 $4,299 0.9% (858) 455-9100
76 EYEONE PLC STAUNTON VA OPHTHALMOLOGY 13 11 $12,056 $1,096 26.2% (540) 213-7720
77 EYE PHYSICIANS, LLC COLUMBUS OH OPHTHALMOLOGY 34 11 $18,750 $1,705 9.8% (614) 221-7464
78 OPHTHALMIC PLASTIC AND COSMETIC SURGERY INC DES PERES TN PLASTIC AND RECONSTRUCTIVE SURGERY 4 11 $36,000 $3,273 8.5% (314) 567-3567
79 BAYCARE CLINIC LLP GREEN BAY WI PHYSICIAN ASSISTANT 199 11 $100,909 $9,174 100.0% —
80 SOUTHWESTERN EYE CENTER LTD SCOTTSDALE AZ CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 118 11 $18,829 $1,712 8.8% (602) 787-9100
81 OMNI EYE SPECIALISTS P A ISELIN NJ OPHTHALMOLOGY 46 11 $40,000 $3,636 6.6% (732) 750-0400
82 MAINE EYE CENTER PA PORTLAND ME OPHTHALMOLOGY 18 11 $13,200 $1,200 47.8% (207) 774-8277

*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 →