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Market snapshot

67921 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

67921 — Suture repair of turning-inward eyelid defect

Billing groups
20
Named-group FFS services
360
FFS of Medicare
49%
Services YoY
-3.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~735 services

360 observed fee-for-service (49%) · ~375 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 — 67921 (CY2024)

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

Named-group submitted charges
$435K
Named-group allowed amount
$123K
Named-group Medicare payments
$96K
Avg charge / svc
$1,209
Avg allowed / svc
$342
Avg payment / svc
$266
Average charge per group
$424 20 groups · avg submitted charge / service $2,288
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 67921 services, CY2024
#Physician group City St Specialty Providers 67921 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 PACIFIC EYE ASSOCIATES, A MEDICAL CORPORATION SAN FRANCISCO CA OPHTHALMOLOGY 13 49 $63,700 $1,300 premium 67.1% (415) 923-3007
2 MILWAUKEE AVENUE EYE CENTER, S.C. NILES IL OPHTHALMOLOGY 9 27 $61,764 $2,288 premium 100.0% (773) 775-0811
3 CENTER FOR SIGHT PL VENICE FL OPTOMETRY 37 24 $23,664 $986 premium 33.3% (941) 488-2020
4 FACIAL AND OCULOPLASTIC SURGERY CENTER OF TEXAS PLLC SAN ANTONIO TX OPHTHALMOLOGY 6 23 $24,580 $1,069 premium 34.3% (210) 495-2367
5 METROLINA EYE ASSOCIATES PLLC INDIAN LAND NC OPHTHALMOLOGY 14 19 $28,880 $1,520 premium 41.3% (803) 547-3937
6 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 19 $18,202 $958 premium 55.9% (804) 828-9000
7 WESLEY AND KLIPPENSTEIN PC NASHVILLE TN OPHTHALMOLOGY 5 18 $7,641 $424 premium 23.1% (615) 329-3624
8 OCULOPLASTIC SPECIALISTS OF TENNESSEE LLC NASHVILLE TN OPHTHALMOLOGY 2 16 $11,400 $712 premium 20.5%
9 CAROLINA EYECARE PHYSICIANS LLC CHARLESTON SC OPHTHALMOLOGY 28 16 $29,447 $1,840 premium 100.0% (888) 856-1878
10 OHIO VALLEY EYE PHYSICIANS AND SURGEONS PLLC PARKERSBURG WV OPHTHALMOLOGY 5 16 $12,835 $802 premium 100.0% (304) 428-3500
11 EYELID PLASTIC SURGERY AND RECONSTRUCTIVE CENTER, LLC COVINGTON LA OPHTHALMOLOGY 3 15 $12,000 $800 premium 100.0% (985) 898-2001
12 THOMAS EYE GROUP PC ROSWELL GA OPTOMETRY 56 15 $15,312 $1,021 premium 42.9% (770) 475-5515
13 THE MEDICAL EYE CENTER PC MANCHESTER NH OPHTHALMOLOGY 15 14 $16,500 $1,179 premium 48.3% (603) 668-2020
14 OCULOPLASTIC ASSOCIATES OF TEXAS PLLC DALLAS TX OPHTHALMOLOGY 4 14 $14,895 $1,064 premium 20.9% (214) 369-0555
15 ST PAUL EYE CLINIC PA WOODBURY MN OPHTHALMOLOGY 20 13 $23,475 $1,806 premium 100.0% (651) 578-6949
16 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTON MA OPHTHALMOLOGY 70 13 $19,500 $1,500 premium 50.0% (617) 367-4800
17 OPHTHALMIC FACIAL PLASTIC SURGERY SPECIALISTS FORT MYERS FL OPHTHALMOLOGY 2 13 $15,538 $1,195 premium 18.1% (239) 947-4042
18 MIRAMAR EYE SPECIALISTS MEDICAL GROUP INC VENTURA CA OPHTHALMOLOGY 25 12 $12,840 $1,070 premium 16.4% (805) 648-3085
19 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 12 $16,704 $1,392 premium 16.4% (805) 681-7500
20 LUXE AESTHETICS PLLC CARY NC OPHTHALMOLOGY 4 12 $6,300 $525 premium 26.1% 9194432557302

*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 →