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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
67908 Removal of tissue, muscle, and membrane to correct eyelid 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 7,110 services ▲ 13.1% YoY · 5,367 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3.8M · $529.49 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
79
Named-group FFS services
2,093
FFS of Medicare
49%
Services YoY
+13.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,315 services

2,093 observed fee-for-service (49%) · ~2,222 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 — 67908 (CY2024)
CA 1,117 OH 761 FL 648 GA 456 NJ 371

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

Named-group submitted charges
$4.6M
Named-group allowed amount
$1.1M
Named-group Medicare payments
$866K
Avg charge / svc
$2,211
Avg allowed / svc
$526
Avg payment / svc
$414
Average charge per group
$575 79 groups · avg submitted charge / service $5,218
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 67908 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC SAVANNAH GA OPHTHALMOLOGY 20 96 $220,651 $2,298 21.1% (912) 629-5968
2 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 74 $265,854 $3,593 9.7% —
3 OPHTHALMOLOGY AND OCULOPLASTIC SURGERY INC CHARDON OH OPHTHALMOLOGY 5 65 $91,000 $1,400 8.5% (440) 285-2020
4 VISION INNOVATION CENTERS OF PENNSYLVANIA LLC WEST PITTSTON PA OPTOMETRY 85 65 $65,650 $1,010 19.0% (570) 602-1010
5 BOOZMAN-HOF REGIONAL EYE CLINIC PA ROGERS AR OPTOMETRY 11 59 $51,330 $870 18.3% (479) 246-1700
6 MIKE S. MCFARLAND MDPA LITTLE ROCK AR OPTOMETRY 14 56 $140,000 $2,500 17.3% (501) 830-2020
7 CEI PHYSICIANS PSC, LLC BLUE ASH OH OPHTHALMOLOGY 157 50 $137,339 $2,747 6.6% 51398451333741
8 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 48 $168,885 $3,518 26.7% —
9 MILAN EYE LLC JOHNS CREEK GA OPHTHALMOLOGY 20 48 $93,000 $1,937 10.5% (678) 381-2020
10 OPHTHALMIC PLASTIC SURGERY INC CARMEL IN OPHTHALMOLOGY 6 46 $33,724 $733 15.6% (317) 817-1976
11 RALEIGH OPHTHALMOLOGY PC RALEIGH NC OPHTHALMOLOGY 12 45 $97,439 $2,165 41.3% (919) 782-5400
12 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 44 $123,919 $2,816 18.3% (617) 421-1000
13 AESTHETICEYE OCULOPLASTIC SURGEONS LLC SPRINGBORO OH OPHTHALMOLOGY 3 42 $114,621 $2,729 5.5% (937) 907-9009
14 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 41 $153,985 $3,756 3.7% (858) 455-9100
15 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA OPHTHALMOLOGY 51 39 $102,290 $2,623 3.5% (714) 456-8068
16 CALIFORNIA RETINA ASSOCIATES, LP CHULA VISTA CA OPHTHALMOLOGY 19 38 $62,085 $1,634 3.4% 6194257755257755
17 SHORE EYE ASSOCIATES PA TOMS RIVER NJ OPHTHALMOLOGY 17 37 $92,500 $2,500 10.0% (732) 341-4733
18 VISIONARY OPHTHALMOLOGY LLC ROCKVILLE MD OPHTHALMOLOGY 17 37 $85,846 $2,320 17.3% (301) 896-0890
19 EYE SPECIALISTS OF MID FLORIDA PA HAINES CITY FL OPTOMETRY 17 36 $30,996 $861 5.6% (863) 421-4280
20 CENTRAL FLORIDA EYE SPECIALISTS PL DELAND FL OPHTHALMOLOGY 11 35 $52,800 $1,509 5.4% (386) 734-2931
21 OPHTHALMIC PLASTIC SURGEONS OF TEXAS HOUSTON TX OPHTHALMOLOGY 3 33 $69,960 $2,120 11.9% (713) 953-9932
22 WILLIAM MACK M D P A TAMPA FL OPHTHALMOLOGY 2 31 $31,000 $1,000 4.8% (813) 875-5437
23 EUGENE B GABIANELLI MD AND ASSOC LLC ATLANTA FL OPHTHALMOLOGY 29 30 $117,798 $3,927 4.6% (404) 531-9988
24 OCEAN EYE INSTITUTE PA TOMS RIVER NJ OPHTHALMOLOGY 10 30 $43,020 $1,434 8.1% —
25 SHARON RICHENS MD EYE PHYSICIAN AND SURGEON PC SAINT GEORGE WA OPHTHALMOLOGY 8 29 $50,446 $1,740 46.0% (435) 652-4040
26 EYE CLINIC A PROFESSIONAL MEDICAL CORP LAKE CHARLES LA OPHTHALMOLOGY 14 29 $91,200 $3,145 28.2% (337) 478-3810
27 WHEATON EYE CLINIC LTD WHEATON IL OPHTHALMOLOGY 45 28 $16,098 $575 15.6% (630) 668-8250
28 MORGENSTERN CENTER FOR ORBITAL AND FACIAL PLASTIC SURGERY, INC WAYNE PA PHYSICIAN ASSISTANT 4 27 $48,181 $1,784 7.9% (610) 687-8771
29 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 27 $115,230 $4,268 2.4% (323) 442-7122
30 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 26 $86,207 $3,316 2.3% (415) 600-1020
31 TRI-STATE CENTERS FOR SIGHT INC CRESTVIEW HILLS KY OPHTHALMOLOGY 39 25 $31,050 $1,242 56.8% (859) 341-4525
32 CHATTANOOGA EYE INSTITUTE,P.C. CHATTANOOGA TN OPHTHALMOLOGY 3 25 $28,900 $1,156 12.1% (423) 892-3937
33 CENTER FOR EXCELLENCE IN EYECARE PA MIAMI FL OPHTHALMOLOGY 17 25 $61,936 $2,477 3.9% (305) 598-2020
34 BAKERSFIELD EYE INSTITUTE INC BAKERSFIELD CA OPHTHALMOLOGY 6 24 $64,000 $2,667 2.1% (661) 589-9400
35 EMILIO MARTIN JUSTO MD PC PHOENIX AZ OPHTHALMOLOGY 14 22 $57,000 $2,591 16.1% (602) 840-3501
36 REFOCUS EYE HEALTH OF RI, LLC PROVIDENCE RI OPHTHALMOLOGY 17 22 $32,521 $1,478 100.0% (401) 272-2020
37 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 21 $66,581 $3,171 7.4% (612) 863-6960
38 BLACK HILLS REGIONAL EYE INSTITUTE LLP RAPID CITY SD OPHTHALMOLOGY 14 21 $50,368 $2,398 33.3% (605) 341-2000
39 MOYES EYE CENTER, P.C. KANSAS CITY MO OPHTHALMOLOGY 11 20 $71,400 $3,570 21.1% (816) 746-9800
40 RGB EYE ASSOCIATES,PA SHERMAN TX OPHTHALMOLOGY 8 20 $34,230 $1,712 7.2% (903) 892-3282
41 EYE CONSULTANTS OF PENNSYLVANIA PC WYOMISSING PA OPHTHALMOLOGY 25 19 $56,000 $2,947 5.6% (610) 378-1344
42 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 19 $86,935 $4,576 6.7% (507) 284-2511
43 WAYNESBOROUGH OPHTHALMOLOGY, P.A. GOLDSBORO NC PHYSICIAN ASSISTANT 8 18 $27,900 $1,550 16.5% (919) 734-8440
44 INSTITUTE OF DERMATOLOGY AND OCULOPLASTIC SURGERY PLLC SARASOTA FL DERMATOLOGY 3 18 $25,290 $1,405 2.8% (941) 499-0199
45 GAINESVILLE EYE ASSOCIATES LLC GAINESVILLE GA OPHTHALMOLOGY 20 18 $33,480 $1,860 3.9% (770) 532-4444
46 MEDICAL EYE ASSOCIATES SC WAUKESHA MN OPHTHALMOLOGY 8 18 $56,600 $3,144 6.4% (262) 547-3352
47 SIGHT MEDICAL DOCTORS PLLC SMITHTOWN NY OPHTHALMOLOGY 115 17 $42,000 $2,471 9.9% (631) 265-8780
48 ALAMEDA HEALTH SYSTEM OAKLAND CA INTERNAL MEDICINE 601 17 $35,278 $2,075 1.5% (510) 437-4800
49 MIDWEST EYE CONSULTANTS OHIO, INC MAUMEE OH OPTOMETRY 22 17 $11,250 $662 2.2% (419) 865-3866
50 BOSTON LASER EYE INSTITUTE PC BROOKLINE MA OPHTHALMOLOGY 23 16 $25,280 $1,580 6.6% (617) 202-2020
51 UTAH OCULOPLASTIC CONSULTANTS PC SALT LAKE CITY UT OPHTHALMOLOGY 2 16 $24,676 $1,542 43.2% (801) 264-4420
52 UNMC PHYSICIANS OMAHA AZ PHYSICIAN ASSISTANT 1514 16 $32,125 $2,008 11.7% (402) 559-4000
53 BRUCE LEWIS GORDON MD PC ARMONK NY OPHTHALMOLOGY 2 16 $40,000 $2,500 9.4% (914) 820-0000
54 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 16 $33,556 $2,097 100.0% (503) 494-8311
55 DES MOINES EYE SURGEONS, LLP WEST DES MOINES IA OPHTHALMOLOGY 6 16 $13,113 $820 33.3% (515) 225-3546
56 AMELIA ANN FONG MD LLC HONOLULU HI OPHTHALMOLOGY 2 15 $40,838 $2,723 40.5% (808) 373-4522
57 ST PAUL EYE CLINIC PA WOODBURY MN OPHTHALMOLOGY 20 15 $26,796 $1,786 5.3% (651) 578-6949
58 KENNETH R GROSSMAN MD INC MERCED CA OPHTHALMOLOGY 2 15 $11,055 $737 1.3% (209) 383-0989
59 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 15 $24,045 $1,603 15.8% (573) 882-2667
60 EYE PHYSICIANS OF LONG BEACH A MEDICAL GROUP INC LONG BEACH CA OPHTHALMOLOGY 8 14 $38,688 $2,763 1.3% (562) 799-2020
61 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY CO PHYSICIAN ASSISTANT 1783 14 $24,127 $1,723 100.0% (801) 581-2121
62 STOKES REGIONAL EYE CENTERS SUMTER SC OPHTHALMOLOGY 7 14 $31,175 $2,227 100.0% 8436694156312
63 JOHNS HOPKINS UNIVERSITY BALTIMORE WA NURSE PRACTITIONER 2900 13 $29,439 $2,265 20.6% (410) 502-4340
64 FRY EYE ASSOCIATES PA GARDEN CITY KS OPHTHALMOLOGY 4 13 $30,408 $2,339 35.1% (620) 275-7248
65 D'AMBROSIO EYE CARE INC LANCASTER MA OPTOMETRY 12 13 $29,210 $2,247 5.4% (978) 537-3900
66 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTON MA OPHTHALMOLOGY 70 13 $24,011 $1,847 5.4% (617) 367-4800
67 CSE MEDICAL GROUP INC. THOUSAND OAKS CA OPHTHALMOLOGY 5 13 $12,181 $937 1.2% (805) 497-3744
68 SWEENEY EYE ASSOCIATES, PLLC SUNNYVALE TX OPHTHALMOLOGY 10 13 $27,300 $2,100 4.7% (972) 285-8966
69 EYE SPECIALISTS AND SURGEONS OF NORTHERN VIRGINIA LLC FAIRFAX VA OPHTHALMOLOGY 11 13 $27,000 $2,077 13.7% (571) 349-2191
70 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 13 $21,330 $1,641 1.2% —
71 LANSING OPHTHALMOLOGY, PC EAST LANSING MI OPTOMETRY 25 12 $31,500 $2,625 29.3% (517) 337-1668
72 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 12 $46,650 $3,888 7.0% (212) 746-5454
73 THE EYE PHYSICIANS OF PINELLAS, PA LARGO FL OPHTHALMOLOGY 39 12 $43,344 $3,612 1.9% (727) 581-8706
74 OCALA EYE PA OCALA FL OPHTHALMOLOGY 24 12 $10,564 $880 1.9% (352) 622-5183
75 STONY BROOK OPHTHALMOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY OPHTHALMOLOGY 16 11 $57,400 $5,218 6.4% (631) 444-4090
76 EUGENE B GABIANELLI MD AND ASSOC LLC ATLANTA GA OPHTHALMOLOGY 29 11 $45,959 $4,178 2.4% (404) 531-9988
77 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 11 $24,939 $2,267 3.4% (501) 686-8000
78 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 11 $21,266 $1,933 6.1% —
79 NORTHERN EYE CENTER PA BRAINERD MN OPTOMETRY 3 11 $15,983 $1,453 3.9% (218) 829-2020
80 CONESTOGA EYE PC HERSHEY PA OPTOMETRY 7 11 $38,000 $3,455 3.2% (717) 541-9700

*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 →