NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
67904 Repair of tendon of upper eyelid CPT · Eye procedure
Classification Procedure › Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 47,350 services ▼ 3.1% YoY · 34,595 beneficiaries (CY2024, Medicare FFS)
Medicare paid $28.3M · $597.91 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
292
Named-group FFS services
13,171
FFS of Medicare
49%
Services YoY
-3.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~27,293 services

13,171 observed fee-for-service (48%) · ~14,122 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 — 67904 (CY2024)
TX 4,014 FL 3,352 CA 3,223 NY 2,588 PA 2,322

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

Named-group submitted charges
$40.6M
Named-group allowed amount
$10.6M
Named-group Medicare payments
$8.3M
Avg charge / svc
$3,081
Avg allowed / svc
$801
Avg payment / svc
$631
Average charge per group
$819 292 groups · avg submitted charge / service $13,239
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 67904 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 OCULOFACIAL PLASTIC SURGEONS OF GEORGIA, LLC SUWANEE GA OPHTHALMOLOGY 3 410 $574,000 $1,400 19.7% (770) 604-4141
2 WILMINGTON EYE, P.A. WILMINGTON NC OPHTHALMOLOGY 29 360 $1,200,600 $3,335 16.9% (910) 763-3601
3 OPHTHALMIC PLASTIC SURGERY INC CARMEL IN OPHTHALMOLOGY 6 272 $370,828 $1,363 26.4% (317) 817-1976
4 VANTAGE EYE CENTER A MEDICAL CORP MONTEREY CA OPHTHALMOLOGY 19 271 $834,728 $3,080 8.4% (831) 647-3900
5 FACIAL AND OCULOPLASTIC SURGERY CENTER OF TEXAS PLLC SAN ANTONIO TX OPHTHALMOLOGY 6 247 $639,250 $2,588 6.2% (210) 495-2367
6 CHARLES L. HEATON, M.D. P.A. TYLER TX OPHTHALMOLOGY 18 235 $724,140 $3,081 5.9% 90352604442111
7 EYE PHYSICIANS, LLC COLUMBUS OH OPHTHALMOLOGY 34 232 $465,008 $2,004 13.7% (614) 221-7464
8 CONSULTANTS IN OPHTHALMIC AND FACIAL PLASTIC SURGERY SOUTHFIELD MI OPHTHALMOLOGY 9 214 $364,800 $1,705 12.8% (248) 357-5100
9 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 186 $710,960 $3,822 13.4% 75762222003020
10 PITTSBURGH OCULOPLASTIC ASSOCIATES, LTD PITTSBURGH PA OPHTHALMOLOGY 6 183 $1,015,375 $5,548 7.9% (412) 681-4220
11 CAROLINA EYECARE PHYSICIANS LLC CHARLESTON SC OPHTHALMOLOGY 28 171 $866,594 $5,068 11.6% (888) 856-1878
12 NORTHWEST EYELID AND ORBITAL SPECIALISTS PS SPOKANE WA OPHTHALMOLOGY 2 169 $284,765 $1,685 12.6% (509) 279-2176
13 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 161 $586,000 $3,640 6.2% (516) 766-2519
14 OCULOPLASTIC ASSOCIATES OF TEXAS PLLC DALLAS TX OPHTHALMOLOGY 4 142 $394,500 $2,778 3.5% (214) 369-0555
15 EYE HEALTH NORTHWEST PC PORTLAND OR OPHTHALMOLOGY 69 128 $436,487 $3,410 14.9% (503) 255-2291
16 OPHTHALMIC FACIAL PLASTIC SURGERY SPECIALISTS FORT MYERS FL OPHTHALMOLOGY 2 121 $363,000 $3,000 3.6% (239) 947-4042
17 WATERLOO EYE ASSOCIATES CEDAR PARK TX OPHTHALMOLOGY 4 120 $270,219 $2,252 3.0% (512) 528-1144
18 OPHTHALMIC PLASTIC SURGERY SPECIALISTS PLLC JACKSON MS OPHTHALMOLOGY 2 119 $315,875 $2,654 10.3% (601) 355-9537
19 THRIVE HEALTH IV CLINIC PC BEVERLY HILLS AZ OPHTHALMOLOGY 7 114 $342,000 $3,000 7.2% (310) 363-8757
20 EYE ASSOCIATES OF NEW MEXICO LTD ALBUQUERQUE NM OPTOMETRY 67 112 $303,260 $2,708 49.3% (505) 888-5757
21 THE AESTHETIC SURGERY CENTRE PLLC TACOMA WA OPHTHALMOLOGY 5 109 $223,200 $2,048 8.2% —
22 ALABAMA OPHTHALMOLOGY ASSOCIATES, P.C. BIRMINGHAM AL OPHTHALMOLOGY 7 108 $428,800 $3,970 27.6% (205) 930-0700
23 UTAH OCULOPLASTIC CONSULTANTS PC SALT LAKE CITY UT OPHTHALMOLOGY 2 100 $209,000 $2,090 17.1% (801) 264-4420
24 EYE SURGEONS OF RICHMOND INC RICHMOND VA OPHTHALMOLOGY 44 100 $306,360 $3,064 7.2% (804) 287-4200
25 CAROLINA EYE ASSOCIATES INC SOUTHERN PINES NC OPHTHALMOLOGY 37 100 $181,120 $1,811 4.7% (910) 295-2100
26 BAPTIST EYE SURGEONS, PLLC KNOXVILLE TN OPHTHALMOLOGY 12 99 $226,611 $2,289 5.0% (865) 579-3920
27 LAWRENCE HANDLER MD PC CLINTON TOWNSHIP MI OPHTHALMOLOGY 3 97 $248,450 $2,561 5.8% (586) 286-3400
28 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 96 $141,504 $1,474 6.9% (804) 828-9000
29 JONATHAN WOOLFSON MD PC ATLANTA GA OPHTHALMOLOGY 32 94 $376,500 $4,005 4.5% (770) 804-1684
30 OMNI EYE SPECIALISTS P A ISELIN NJ OPHTHALMOLOGY 46 93 $420,000 $4,516 7.1% (732) 750-0400
31 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 90 $724,410 $8,049 10.2% (217) 544-6464
32 GREGORY L HENDERSON MD FACS INC BRANDON FL OPHTHALMOLOGY 32 89 $138,600 $1,557 2.7% —
33 WESLEY AND KLIPPENSTEIN PC NASHVILLE TN OPHTHALMOLOGY 5 86 $95,200 $1,107 4.3% (615) 329-3624
34 JENNIFER T SCRUGGS MD PA LITTLE ROCK AR OPHTHALMOLOGY 2 85 $182,800 $2,151 12.4% (501) 221-0123
35 SAMUEL A GALLO MD DUBLIN OH OPHTHALMOLOGY 2 83 $235,500 $2,837 4.9% (614) 766-5438
36 EYE CENTER OF NORTHERN COLORADO PC FORT COLLINS CO OPHTHALMOLOGY 68 83 $170,430 $2,053 12.2% (970) 221-2222
37 MIKE S. MCFARLAND MDPA LITTLE ROCK AR OPTOMETRY 14 83 $215,800 $2,600 12.1% (501) 830-2020
38 OCULOPLASTIC SURGEONS OF OKLAHOMA PLLC EDMOND OK OPHTHALMOLOGY 4 82 $163,000 $1,988 7.7% (405) 521-0041
39 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 79 $182,434 $2,309 12.4% (502) 629-2398
40 RETINA CONSULTANTS OF NEVADA LLP LAS VEGAS NV OPHTHALMOLOGY 14 78 $217,750 $2,792 17.1% (702) 369-0200
41 EYE SURGICAL ASSOCIATES LLC LINCOLN WI OPHTHALMOLOGY 11 77 $294,249 $3,821 13.1% (440) 248-4900
42 EYE CONSULTANTS OF ATLANTA, PC ATLANTA GA OPHTHALMOLOGY 30 76 $319,756 $4,207 3.6% (404) 351-2220
43 OKLAHOMA MEDICAL EYE GROUP HENRYETTA OK OPTOMETRY 10 76 $76,374 $1,005 7.1% (918) 747-2020
44 JOHN H HUNTS MD PHD LLC EUGENE OR OPHTHALMOLOGY 2 76 $315,315 $4,149 8.8% (541) 434-0922
45 DRS RAVIN BIRNDORF AND RAVIN INC TOLEDO MI OPHTHALMOLOGY 7 76 $153,600 $2,021 4.6% (800) 832-2015
46 OCALA EYE PA OCALA FL OPHTHALMOLOGY 24 73 $66,038 $905 2.2% (352) 622-5183
47 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 67 $545,898 $8,148 8.5% (507) 284-2511
48 CLEMSON EYE PA EASLEY SC OPTOMETRY 51 67 $224,270 $3,347 4.5% (864) 654-6706
49 OCEAN EYE INSTITUTE PA TOMS RIVER NJ OPHTHALMOLOGY 10 67 $132,057 $1,971 5.1% —
50 LUXE AESTHETICS PLLC CARY NC OPHTHALMOLOGY 4 67 $211,787 $3,161 3.1% 9194432557302
51 RAYNER EYE CLINIC, LLC OXFORD MS OPHTHALMOLOGY 11 64 $217,800 $3,403 5.5% (662) 234-6551
52 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTON MA OPHTHALMOLOGY 70 64 $192,000 $3,000 10.1% (617) 367-4800
53 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 63 $587,848 $9,331 10.7% (608) 287-2050
54 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 62 $820,832 $13,239 10.6% (608) 260-2900
55 OPHTHALMOLOGY LTD SIOUX FALLS SD OPHTHALMOLOGY 14 60 $83,499 $1,392 23.6% (605) 336-6294
56 TIMOTHY F. MCDEVITT, M.D. INC HONOLULU TX OPHTHALMOLOGY 3 59 $182,056 $3,086 1.5% (808) 599-4755
57 DELRAY EYE ASSOCIATES PA DELRAY BEACH FL OPHTHALMOLOGY 9 59 $240,562 $4,077 1.8% (561) 498-8100
58 UTAH VALLEY EYE CENTER INC PROVO UT OPTOMETRY 11 58 $391,997 $6,759 9.9% (801) 357-7373
59 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 58 $273,648 $4,718 1.8% (800) 926-8273
60 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 57 $102,833 $1,804 3.9% —
61 FISHMAN AND SHERIDAN MD PA LEESBURG FL OPHTHALMOLOGY 4 57 $216,000 $3,789 1.7% (352) 360-2301
62 CHESAPEAKE EYE CARE AND LASER CENTER LLC ANNAPOLIS MD OPHTHALMOLOGY 78 55 $76,120 $1,384 8.0% (410) 571-8733
63 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 55 $141,180 $2,567 2.6% (704) 295-3414
64 EYE CLINIC OF WISCONSIN, S.C. WAUSAU WI OPHTHALMOLOGY 22 54 $656,625 $12,160 9.2% (715) 261-8500
65 OCULOPLASTIC ASSOCIATES OF WEST MICHIGAN PLC GRAND RAPIDS MI OPHTHALMOLOGY 2 54 $182,000 $3,370 3.2% (616) 888-2948
66 MILWAUKEE AVENUE EYE CENTER, S.C. NILES IL OPHTHALMOLOGY 9 54 $321,973 $5,962 6.1% (773) 775-0811
67 OCULOPLASTIC CONSULTANTS OF ARIZONA PC GLENDALE AZ OPHTHALMOLOGY 2 53 $174,300 $3,289 3.3% (602) 993-9100
68 MONONGALIA COUNTY GENERAL HOSPITAL COMPANY MORGANTOWN WV PHYSICIAN ASSISTANT 254 52 $71,857 $1,382 71.2% (304) 598-1200
69 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 52 $135,602 $2,608 1.3% (817) 920-0484
70 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 51 $254,116 $4,983 6.5% (612) 863-6960
71 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 50 $282,000 $5,640 8.0% (314) 747-3000
72 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 50 $318,606 $6,372 2.2% (570) 271-6144
73 GUNDERSEN LUTHERAN MEDICAL CENTER INC LA CROSSE WI PHYSICIAN ASSISTANT 901 50 $495,050 $9,901 8.5% (608) 783-7300
74 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 49 $185,106 $3,778 7.7% —
75 JACKSON EYE ASSOCIATES PLLC MADISON MS OPHTHALMOLOGY 13 49 $178,310 $3,639 4.2% (601) 353-2020
76 BLACK HILLS REGIONAL EYE INSTITUTE LLP RAPID CITY SD OPHTHALMOLOGY 14 49 $153,801 $3,139 19.3% (605) 341-2000
77 REMAGIN LLC WINDERMERE FL OPHTHALMOLOGY 3 48 $80,469 $1,676 1.4% (407) 704-3937
78 RICHARD H HAVUNJIAN MD A PROFESSIONAL CORPORATION GLENDALE CA OPHTHALMOLOGY 2 47 $56,400 $1,200 1.5% (818) 548-5858
79 UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION BIRMINGHAM AL OPHTHALMOLOGY 24 46 $112,650 $2,449 11.8% (205) 325-8620
80 COLUMBIA EYE CLINIC PA COLUMBIA SC OPHTHALMOLOGY 19 45 $101,762 $2,261 3.0% (803) 779-3070
81 SIGHT MEDICAL DOCTORS PLLC SMITHTOWN NY OPHTHALMOLOGY 115 45 $135,000 $3,000 1.7% (631) 265-8780
82 THE EYE INSTITUTE INC TULSA OK OPHTHALMOLOGY 19 44 $158,000 $3,591 4.1% (918) 747-3937
83 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 44 $186,941 $4,249 12.2% (319) 678-8201
84 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 44 $167,580 $3,809 7.0% —
85 MINNESOTA EYE CONSULTANTS, PA BLOOMINGTON MN OPTOMETRY 33 44 $131,061 $2,979 5.6% (952) 888-5800
86 TEXAS OCULOPLASTIC CONSULTANTS LLP AUSTIN TX OPHTHALMOLOGY 12 44 $61,900 $1,407 1.1% (512) 457-2141
87 VISTAR EYE CENTER, INC ROANOKE VA OPHTHALMOLOGY 29 44 $37,269 $847 3.2% (540) 855-5100
88 WEST GEORGIA EYE CARE CENTER,P.A. COLUMBUS GA OPHTHALMOLOGY 16 40 $128,360 $3,209 1.9% (706) 323-3491
89 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 40 $258,370 $6,459 5.9% (720) 777-1234
90 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 40 $127,624 $3,191 1.2% (305) 689-5437
91 EAST BAY OPHTHALMOLOGY PINOLE CA OPHTHALMOLOGY 3 40 $39,971 $999 1.2% (510) 724-1768
92 ERIC A COLE MD PS SILVERDALE WA OPHTHALMOLOGY 3 40 $128,060 $3,202 3.0% (360) 613-2600
93 PEKO LLC TOLEDO OH OPHTHALMOLOGY 2 39 $81,681 $2,094 2.3% (567) 408-7356
94 PROFFER SURGICAL ASSOCIATES, LLP AMARILLO TX DERMATOLOGY 5 39 $99,015 $2,539 1.0% —
95 MARION EYE CENTERS LTD MARION IL OPTOMETRY 39 39 $86,040 $2,206 4.4% (618) 993-5686
96 GLEASON-JANKY EYE PHYSICIANS PC GRAND ISLAND NE OPHTHALMOLOGY 2 39 $103,500 $2,654 13.2% (308) 381-4733
97 DL PROFESSIONAL SERVICES LLC MESA AZ DERMATOLOGY 4 38 $90,000 $2,368 2.4% (480) 574-3295
98 COUNTRY HILLS EYE CENTER OGDEN UT OPHTHALMOLOGY 6 38 $109,520 $2,882 6.5% (801) 399-1149
99 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 38 $92,529 $2,435 2.3% (419) 291-2003
100 CENTRAL FLORIDA EYE SPECIALISTS PL DELAND FL OPHTHALMOLOGY 11 37 $94,500 $2,554 1.1% (386) 734-2931

Showing the top 100 of 292 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →