NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
67924 Extensive repair of turning-inward eyelid defect CPT · Eye procedure
Classification Procedure › Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 5,491 services ▲ 2.0% YoY · 4,681 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.7M · $494.00 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
94
Named-group FFS services
1,709
FFS of Medicare
49%
Services YoY
+2.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,457 services

1,709 observed fee-for-service (49%) · ~1,748 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 — 67924 (CY2024)
CA 1,054 FL 359 TX 296 NY 268 IL 232

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

Named-group submitted charges
$3.0M
Named-group allowed amount
$756K
Named-group Medicare payments
$594K
Avg charge / svc
$1,750
Avg allowed / svc
$443
Avg payment / svc
$348
Average charge per group
$478 94 groups · avg submitted charge / service $7,099
Market analyticsPlatform
a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 67924 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 OPHTHALMIC PLASTIC SURGERY INC CARMEL IN OPHTHALMOLOGY 6 73 $60,844 $833 37.6% (317) 817-1976
2 NORTHWEST EYELID AND ORBITAL SPECIALISTS PS SPOKANE WA OPHTHALMOLOGY 2 47 $59,690 $1,270 23.7% (509) 279-2176
3 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 47 $76,500 $1,628 17.5% (516) 766-2519
4 CENTRAL FLORIDA EYE SPECIALISTS PL DELAND FL OPHTHALMOLOGY 11 44 $60,000 $1,364 12.3% (386) 734-2931
5 CHARLES L. HEATON, M.D. P.A. TYLER TX OPHTHALMOLOGY 18 39 $55,000 $1,410 13.2% 90352604442111
6 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 37 $117,000 $3,162 50.0% (314) 747-3000
7 OCULOFACIAL PLASTIC SURGEONS OF GEORGIA, LLC SUWANEE GA OPHTHALMOLOGY 3 35 $43,575 $1,245 26.9% (770) 604-4141
8 OPHTHALMIC PLASTIC AND COSMETIC SURGERY INC DES PERES WA PLASTIC AND RECONSTRUCTIVE SURGERY 4 33 $53,200 $1,612 16.7% (314) 567-3567
9 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 32 $40,390 $1,262 10.8% (817) 920-0484
10 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 31 $48,240 $1,556 17.9% 75762222003020
11 CONSULTANTS IN OPHTHALMIC AND FACIAL PLASTIC SURGERY SOUTHFIELD MI OPHTHALMOLOGY 9 31 $22,371 $722 24.4% (248) 357-5100
12 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 29 $131,520 $4,535 12.5% (217) 544-6464
13 OPHTHALMOLOGY AND OCULOPLASTIC SURGERY INC CHARDON OH OPHTHALMOLOGY 5 25 $31,800 $1,272 15.0% (440) 285-2020
14 CAROLINA EYE ASSOCIATES INC SOUTHERN PINES NC OPHTHALMOLOGY 37 25 $25,860 $1,034 16.6% (910) 295-2100
15 RETINA CONSULTANTS OF NEVADA LLP LAS VEGAS NV OPHTHALMOLOGY 14 24 $37,380 $1,558 32.0% (702) 369-0200
16 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 22 $156,175 $7,099 25.0% (608) 260-2900
17 CALIFORNIA RETINA ASSOCIATES, LP CHULA VISTA CA OPHTHALMOLOGY 19 22 $39,504 $1,796 2.1% 6194257755257755
18 CLEMSON EYE PA EASLEY SC OPTOMETRY 51 22 $35,206 $1,600 23.9% (864) 654-6706
19 ALABAMA OPHTHALMOLOGY ASSOCIATES, P.C. BIRMINGHAM AL OPHTHALMOLOGY 7 21 $51,900 $2,471 31.8% (205) 930-0700
20 OCALA EYE PA OCALA FL OPHTHALMOLOGY 24 21 $12,430 $592 5.8% (352) 622-5183
21 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 21 $37,638 $1,792 5.8% (904) 396-1725
22 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 21 $42,341 $2,016 12.1% —
23 JENNIFER T SCRUGGS MD PA LITTLE ROCK AR OPHTHALMOLOGY 2 20 $31,500 $1,575 13.8% (501) 221-0123
24 OPHTHALMIC PLASTIC SURGERY PLLC SLINGERLANDS NY OPHTHALMOLOGY 5 20 $43,400 $2,170 7.5% (518) 533-6540
25 MIKE S. MCFARLAND MDPA LITTLE ROCK AR OPTOMETRY 14 20 $25,520 $1,276 13.8% (501) 830-2020
26 OPHTHALMIC FACIAL PLASTIC SURGERY SPECIALISTS FORT MYERS FL OPHTHALMOLOGY 2 20 $52,500 $2,625 5.6% (239) 947-4042
27 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 20 $19,380 $969 12.0% (419) 291-2003
28 VISION INNOVATION CENTERS OF PENNSYLVANIA LLC WEST PITTSTON PA OPTOMETRY 85 20 $21,220 $1,061 14.1% (570) 602-1010
29 EYE ASSOCIATES OF NEW MEXICO LTD ALBUQUERQUE NM OPTOMETRY 67 19 $30,500 $1,605 100.0% (505) 888-5757
30 BOOZMAN-HOF REGIONAL EYE CLINIC PA ROGERS AR OPTOMETRY 11 18 $19,980 $1,110 12.4% (479) 246-1700
31 VISIONARY OPHTHALMOLOGY LLC ROCKVILLE MD OPHTHALMOLOGY 17 18 $35,328 $1,963 11.6% (301) 896-0890
32 BLACK HILLS REGIONAL EYE INSTITUTE LLP RAPID CITY SD OPHTHALMOLOGY 14 18 $31,337 $1,741 32.1% (605) 341-2000
33 LUXE AESTHETICS PLLC CARY NC OPHTHALMOLOGY 4 18 $38,700 $2,150 11.9% 9194432557302
34 THE EYE INSTITUTE INC TULSA OK OPHTHALMOLOGY 19 17 $28,750 $1,691 15.0% (918) 747-3937
35 WHEATON EYE CLINIC LTD WHEATON IL OPHTHALMOLOGY 45 17 $12,786 $752 7.3% (630) 668-8250
36 EYE SPECIALISTS OF ILLINOIS SC PARK RIDGE IL OPHTHALMOLOGY 5 17 $41,118 $2,419 7.3% —
37 EYE PHYSICIANS OF ORANGE COUNTY PC GOSHEN NY OPHTHALMOLOGY 8 16 $20,360 $1,272 6.0% —
38 STONY BROOK OPHTHALMOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY OPHTHALMOLOGY 16 16 $47,100 $2,944 6.0% (631) 444-4090
39 SAMUEL A GALLO MD DUBLIN OH OPHTHALMOLOGY 2 16 $24,000 $1,500 9.6% (614) 766-5438
40 VANCE THOMPSON VISION CLINIC PROF LLC SIOUX FALLS TX OPTOMETRY 44 16 $37,570 $2,348 5.4% (605) 371-7100
41 OCULOPLASTIC CONSULTANTS OF ARIZONA PC GLENDALE LA OPHTHALMOLOGY 2 16 $30,600 $1,912 24.6% (602) 993-9100
42 VISTAR EYE CENTER, INC ROANOKE VA OPHTHALMOLOGY 29 16 $7,656 $478 9.2% (540) 855-5100
43 OMNI EYE SURGERY OF NEW YORK PC NEW YORK NY OPHTHALMOLOGY 5 15 $36,000 $2,400 5.6% (212) 358-0030
44 ST LUKES CATARACT AND LASER INSTITUTE TARPON SPRINGS FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 48 15 $10,365 $691 4.2% (727) 943-3111
45 FRY EYE ASSOCIATES PA GARDEN CITY KS OPHTHALMOLOGY 4 15 $15,264 $1,018 46.9% (620) 275-7248
46 EYE PHYSICIANS, LLC COLUMBUS OH OPHTHALMOLOGY 34 15 $16,490 $1,099 9.0% (614) 221-7464
47 JOSEPH L LIN MD INC WEST COVINA CA OPHTHALMOLOGY 3 15 $27,615 $1,841 1.4% (626) 653-9444
48 COLUMBIA EYE CLINIC PA COLUMBIA SC OPHTHALMOLOGY 19 14 $15,249 $1,089 15.2% (803) 779-3070
49 VANTAGE EYE CENTER A MEDICAL CORP MONTEREY CA OPHTHALMOLOGY 19 14 $24,075 $1,720 1.3% (831) 647-3900
50 EYE CENTER OF NORTHERN COLORADO PC FORT COLLINS CO OPHTHALMOLOGY 68 14 $15,900 $1,136 15.7% (970) 221-2222
51 OPHTHALMIC CONSULTANTS OF VERMONT PC S BURLINGTON VT OPHTHALMOLOGY 5 14 $21,852 $1,561 31.1% (802) 864-2010
52 REFOCUS EYE HEALTH OF RI, LLC PROVIDENCE RI OPHTHALMOLOGY 17 14 $17,392 $1,242 100.0% (401) 272-2020
53 JOHN H HUNTS MD PHD LLC EUGENE OR OPHTHALMOLOGY 2 14 $28,500 $2,036 31.1% (541) 434-0922
54 SOUTHWESTERN EYE CENTER LTD SCOTTSDALE AZ CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 118 14 $25,170 $1,798 9.1% (602) 787-9100
55 CONESTOGA EYE PC HERSHEY PA OPTOMETRY 7 14 $24,000 $1,714 9.9% (717) 541-9700
56 WOLFE CLINIC INC MARSHALLTOWN IA OPHTHALMOLOGY 36 13 $21,450 $1,650 20.0% (641) 754-6200
57 MORGANTON EYE PHYSICIANS PA MORGANTON NC OPHTHALMOLOGY 22 13 $13,975 $1,075 8.6% (828) 433-1000
58 UNMC PHYSICIANS OMAHA AZ PHYSICIAN ASSISTANT 1514 13 $27,285 $2,099 8.4% (402) 559-4000
59 AESTHETIC EYE CARE SAN LUIS OBISPO CA OPHTHALMOLOGY 2 13 $9,953 $766 1.2% (312) 404-7237
60 BAPTIST EYE SURGEONS, PLLC KNOXVILLE TN OPHTHALMOLOGY 12 13 $26,247 $2,019 16.9% (865) 579-3920
61 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 13 $44,254 $3,404 1.2% (415) 600-1020
62 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 13 $35,601 $2,739 1.2% (800) 926-8273
63 TEXAS OCULOPLASTIC CONSULTANTS LLP AUSTIN TX OPHTHALMOLOGY 12 13 $9,600 $738 4.4% (512) 457-2141
64 CEI PHYSICIANS PSC, LLC BLUE ASH OH OPHTHALMOLOGY 157 13 $38,130 $2,933 7.8% 51398451333741
65 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 13 $24,000 $1,846 8.6% (704) 295-3414
66 VISION CARE CENTER A MEDICAL GROUP INC FRESNO CA OPHTHALMOLOGY 19 12 $21,392 $1,783 1.1% (559) 486-2000
67 JONATHAN WOOLFSON MD PC ATLANTA GA OPHTHALMOLOGY 32 12 $24,050 $2,004 9.2% (770) 804-1684
68 EYE PARTNERS PC DOTHAN AL OPTOMETRY 31 12 $24,000 $2,000 18.2% (334) 793-2211
69 ROCKY MOUNTAIN EYE CENTER PC MISSOULA MT OPHTHALMOLOGY 15 12 $20,650 $1,721 41.4% (406) 541-3937
70 GUTHRIE MEDICAL GROUP PC SAYRE PA PHYSICIAN ASSISTANT 804 12 $26,064 $2,172 8.5% (570) 888-5858
71 EYE SURGEONS ASSOCIATES PC BETTENDORF IA OPHTHALMOLOGY 19 12 $17,552 $1,463 18.5% (563) 323-2020
72 EYESIGHT OPHTHALMIC SERVICES PLLC PORTSMOUTH NH OPHTHALMOLOGY 17 12 $16,392 $1,366 100.0% (603) 436-1773
73 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 12 $8,538 $712 26.7% (802) 847-0000
74 GAINESVILLE EYE ASSOCIATES LLC GAINESVILLE GA OPHTHALMOLOGY 20 12 $26,875 $2,240 9.2% (770) 532-4444
75 JACKSON EYE ASSOCIATES PLLC MADISON MS OPHTHALMOLOGY 13 12 $24,480 $2,040 16.9% (601) 353-2020
76 OCEAN EYE INSTITUTE PA TOMS RIVER NJ OPHTHALMOLOGY 10 12 $18,144 $1,512 15.6% —
77 GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC SAVANNAH GA OPHTHALMOLOGY 20 12 $19,513 $1,626 9.2% (912) 629-5968
78 MARIETTA EYE CLINIC, PA MARIETTA GA OPHTHALMOLOGY 41 12 $17,030 $1,419 9.2% (770) 427-8111
79 UNION SQUARE EYE CENTER LLC NEW YORK NY OPHTHALMOLOGY 15 11 $20,200 $1,836 4.1% (212) 844-2020
80 JOHNS HOPKINS UNIVERSITY BALTIMORE WA NURSE PRACTITIONER 2900 11 $19,992 $1,817 5.6% (410) 502-4340
81 ENID EYE INC. ENID OK OPHTHALMOLOGY 5 11 $14,812 $1,347 9.7% (580) 233-4711
82 INTEG HEALTH SYSTEM PC BLOOMINGTON IN OPHTHALMOLOGY 8 11 $11,025 $1,002 5.7% (812) 334-1213
83 WILMINGTON EYE, P.A. WILMINGTON NC OPHTHALMOLOGY 29 11 $24,000 $2,182 7.3% (910) 763-3601
84 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 11 $12,386 $1,126 12.0% —
85 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 11 $28,375 $2,580 3.7% —
86 EYEONE PLC STAUNTON VA OPHTHALMOLOGY 13 11 $8,616 $783 6.4% (540) 213-7720
87 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 11 $37,020 $3,365 4.1% (212) 746-5454
88 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTON MA OPHTHALMOLOGY 70 11 $22,000 $2,000 6.3% (617) 367-4800
89 BAYCARE CLINIC LLP GREEN BAY WI PHYSICIAN ASSISTANT 199 11 $57,528 $5,230 12.5% —
90 OCULOPLASTIC ASSOCIATES OF TEXAS PLLC DALLAS TX OPHTHALMOLOGY 4 11 $12,600 $1,145 3.7% (214) 369-0555
91 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NJ OPHTHALMOLOGY 115 11 $24,841 $2,258 14.3% (201) 837-7300
92 GAILEY EYE CLINIC, LTD BLOOMINGTON IL OPHTHALMOLOGY 16 11 $18,882 $1,717 4.7% 30982953111066
93 THRIVE HEALTH IV CLINIC PC BEVERLY HILLS AZ OPHTHALMOLOGY 7 11 $19,745 $1,795 7.1% (310) 363-8757
94 MEDICAL EYE ASSOCIATES SC WAUKESHA MN OPHTHALMOLOGY 8 11 $27,269 $2,479 45.8% (262) 547-3352

*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 →