NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
67911 Correction of widely-opened 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 1,454 services ▲ 12.8% YoY · 1,095 beneficiaries (CY2024, Medicare FFS)
Medicare paid $592K · $407.02 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
15
Named-group FFS services
296
FFS of Medicare
49%
Services YoY
+12.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~626 services

296 observed fee-for-service (47%) · ~330 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 — 67911 (CY2024)

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

Named-group submitted charges
$744K
Named-group allowed amount
$142K
Named-group Medicare payments
$112K
Avg charge / svc
$2,513
Avg allowed / svc
$478
Avg payment / svc
$379
Average charge per group
$888 15 groups · avg submitted charge / service $18,942
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: group size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 67911 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 67911 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 WORLEY AND HARIRI OCULOPLASTIC SURGERY LLC NEW ORLEANS LA OPHTHALMOLOGY 2 36 $96,287 $2,675 premium 62.1% (504) 895-3223
2 CONSULTANTS IN OPHTHALMIC AND FACIAL PLASTIC SURGERY SOUTHFIELD MI OPHTHALMOLOGY 9 29 $29,000 $1,000 premium 52.7% (248) 357-5100
3 METROLINA EYE ASSOCIATES PLLC INDIAN LAND NC OPHTHALMOLOGY 14 27 $37,800 $1,400 premium 24.8% (803) 547-3937
4 CHESAPEAKE EYE CARE AND LASER CENTER LLC ANNAPOLIS MD OPHTHALMOLOGY 78 25 $32,525 $1,301 premium 49.0% (410) 571-8733
5 WILLIAM MACK M D P A TAMPA FL OPHTHALMOLOGY 2 19 $16,864 $888 premium 5.8% (813) 875-5437
6 TEXAS OCULOPLASTIC CONSULTANTS LLP AUSTIN TX OPHTHALMOLOGY 12 18 $18,200 $1,011 premium 12.8% (512) 457-2141
7 LUXE AESTHETICS PLLC CARY NC OPHTHALMOLOGY 4 18 $43,254 $2,403 premium 16.5% 9194432557302
8 OCULOFACIAL PLASTIC SURGEONS OF GEORGIA, LLC SUWANEE GA OPHTHALMOLOGY 3 17 $25,500 $1,500 premium 100.0% (770) 604-4141
9 CENTRAL FLORIDA EYE SPECIALISTS PL DELAND FL OPHTHALMOLOGY 11 16 $20,900 $1,306 premium 4.9% (386) 734-2931
10 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 16 $33,781 $2,111 premium 9.3% (800) 926-8273
11 RONALD W PELTON MD PHD PC COLORADO SPRINGS CO PLASTIC AND RECONSTRUCTIVE SURGERY 2 14 $23,000 $1,643 premium 26.4% (719) 329-0040
12 NEIGEL CENTER, PA FLORHAM PARK NY OPHTHALMOLOGY 3 13 $38,250 $2,942 premium 13.8% (973) 410-1100
13 NEIGEL CENTER, PA FLORHAM PARK NJ OPHTHALMOLOGY 3 13 $45,000 $3,462 premium 16.5% (973) 410-1100
14 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 12 $32,272 $2,689 premium 100.0%
15 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 12 $227,310 $18,942 premium 7.0% (650) 723-4000
16 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 11 $24,000 $2,182 premium 11.7% (516) 766-2519

*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 →