NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
67950 Reconstruction of eyelid margin CPT · Eye procedure
Classification Procedure › Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 5,669 services ▼ 12.5% YoY · 4,784 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.2M · $388.52 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
61
Named-group FFS services
2,095
FFS of Medicare
49%
Services YoY
-12.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,262 services

2,095 observed fee-for-service (49%) · ~2,167 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 — 67950 (CY2024)
CA 1,788 FL 363 TN 314 IL 299 TX 270

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

Named-group submitted charges
$4.3M
Named-group allowed amount
$799K
Named-group Medicare payments
$631K
Avg charge / svc
$2,048
Avg allowed / svc
$381
Avg payment / svc
$301
Average charge per group
$470 61 groups · avg submitted charge / service $20,835
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  CY2021  CY2020 
# Physician group City St Specialty Providers 67950 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 EYESTHETICA SANTA MONICA CA OPHTHALMOLOGY 6 211 $446,325 $2,115 11.8% (310) 299-8865
2 EYE SPECIALISTS OF ILLINOIS SC PARK RIDGE IL OPHTHALMOLOGY 5 80 $238,576 $2,982 26.8% —
3 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 76 $291,388 $3,834 25.4% (217) 544-6464
4 PACIFIC EYE ASSOCIATES, A MEDICAL CORPORATION SAN FRANCISCO CA OPHTHALMOLOGY 13 71 $177,500 $2,500 4.0% (415) 923-3007
5 NORTHWEST EYELID AND ORBITAL SPECIALISTS PS SPOKANE WA OPHTHALMOLOGY 2 68 $91,045 $1,339 48.2% (509) 279-2176
6 OCULOPLASTIC SPECIALISTS OF TENNESSEE LLC NASHVILLE TN OPHTHALMOLOGY 2 65 $90,000 $1,385 20.7% —
7 EYE PHYSICIANS, LLC COLUMBUS OH OPHTHALMOLOGY 34 65 $88,695 $1,365 30.5% (614) 221-7464
8 TEXAS OCULOPLASTIC CONSULTANTS LLP AUSTIN TX OPHTHALMOLOGY 12 65 $59,100 $909 24.1% (512) 457-2141
9 THE MEDICAL EYE CENTER PC MANCHESTER NH OPHTHALMOLOGY 15 60 $85,200 $1,420 36.8% (603) 668-2020
10 PITTSBURGH OCULOPLASTIC ASSOCIATES, LTD PITTSBURGH PA OPHTHALMOLOGY 6 60 $147,630 $2,460 22.6% (412) 681-4220
11 WESLEY AND KLIPPENSTEIN PC NASHVILLE TN OPHTHALMOLOGY 5 53 $36,824 $695 16.9% (615) 329-3624
12 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 52 $144,147 $2,772 2.9% (800) 926-8273
13 WILLIAM MACK M D P A TAMPA FL OPHTHALMOLOGY 2 48 $44,395 $925 13.2% (813) 875-5437
14 MAINE EYE CARE ASSOCIATES WATERVILLE ME OPTOMETRY 8 47 $42,660 $908 41.2% (207) 873-2731
15 AESTHETIC EYE CARE SAN LUIS OBISPO CA OPHTHALMOLOGY 2 46 $42,615 $926 2.6% (312) 404-7237
16 DELRAY EYE ASSOCIATES PA DELRAY BEACH FL OPHTHALMOLOGY 9 46 $41,236 $896 12.7% (561) 498-8100
17 EYE SURGICAL ASSOCIATES LLC LINCOLN WI OPHTHALMOLOGY 11 45 $58,500 $1,300 100.0% (440) 248-4900
18 THOMAS EYE GROUP PC ROSWELL GA OPTOMETRY 56 43 $74,120 $1,724 39.1% (770) 475-5515
19 WORLEY AND HARIRI OCULOPLASTIC SURGERY LLC NEW ORLEANS LA OPHTHALMOLOGY 2 39 $103,329 $2,649 37.1% (504) 895-3223
20 MORGENSTERN CENTER FOR ORBITAL AND FACIAL PLASTIC SURGERY, INC WAYNE PA PHYSICIAN ASSISTANT 4 38 $58,897 $1,550 14.3% (610) 687-8771
21 VISION INNOVATION CENTERS OF PENNSYLVANIA LLC WEST PITTSTON PA OPTOMETRY 85 38 $40,964 $1,078 14.3% (570) 602-1010
22 OPHTHALMIC ASSOCIATES A PROFESSIONAL CORPORATION ANCHORAGE AK OPHTHALMOLOGY 8 36 $151,506 $4,208 48.6% (907) 276-1617
23 ANNESLEY FLANAGAN FISCHER STEFANYSZYN AND ASSOCIATES WYNNEWOOD PA OPHTHALMOLOGY 6 33 $41,612 $1,261 12.4% (610) 649-1970
24 CENTER FOR SIGHT PL VENICE FL OPTOMETRY 37 31 $33,772 $1,089 8.5% (941) 488-2020
25 ROBERT G. FANTE MD, PC DENVER CO OPHTHALMOLOGY 2 29 $105,600 $3,641 13.9% (303) 839-1616
26 METROLINA EYE ASSOCIATES PLLC INDIAN LAND NC OPHTHALMOLOGY 14 28 $40,000 $1,429 27.5% (803) 547-3937
27 JOSEPH L LIN MD INC WEST COVINA CA OPHTHALMOLOGY 3 28 $51,088 $1,825 1.6% (626) 653-9444
28 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 26 $96,234 $3,701 68.4% (734) 763-5459
29 ASSOCIATED EYE PHYSICIANS AND SURGEONS INC QUINCY MA OPHTHALMOLOGY 2 24 $36,600 $1,525 100.0% (617) 770-0011
30 JERVEY EYE GROUP PA GREENVILLE SC OPHTHALMOLOGY 20 24 $39,785 $1,658 100.0% (864) 458-7956
31 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 23 $55,753 $2,424 1.3% (858) 455-9100
32 JENNIFER T SCRUGGS MD PA LITTLE ROCK AR OPHTHALMOLOGY 2 23 $17,800 $774 100.0% (501) 221-0123
33 TRI-STATE CENTERS FOR SIGHT INC CRESTVIEW HILLS KY OPHTHALMOLOGY 39 23 $32,600 $1,417 51.1% (859) 341-4525
34 OPHTHALMIC PLASTIC AND ORBITAL CONSULTANTS PC BETHESDA MD OPHTHALMOLOGY 2 22 $27,500 $1,250 100.0% (301) 571-0000
35 EYELID AND FACIAL PLASTIC SURGERY ASSOCIATES PLLC AUSTIN TX OPHTHALMOLOGY 2 22 $37,234 $1,692 8.1% (512) 501-1010
36 RONALD W PELTON MD PHD PC COLORADO SPRINGS CO PLASTIC AND RECONSTRUCTIVE SURGERY 2 21 $28,000 $1,333 10.0% (719) 329-0040
37 SIGHT MEDICAL DOCTORS PLLC SMITHTOWN NY OPHTHALMOLOGY 115 21 $52,500 $2,500 11.9% (631) 265-8780
38 ALABAMA OPHTHALMOLOGY ASSOCIATES, P.C. BIRMINGHAM AL OPHTHALMOLOGY 7 21 $33,600 $1,600 100.0% (205) 930-0700
39 GRAYSTONE OPHTHALMOLOGY ASSOCIATES, P.A. HICKORY NC OPHTHALMOLOGY 17 20 $35,110 $1,756 19.6% 82832220506843
40 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 19 $395,859 $20,835 1.1% (650) 723-4000
41 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 19 $102,492 $5,394 10.8% —
42 ROSTAMI OPHTHALMIC PLASTIC CONSULTANT LLC RESTON CA OPHTHALMOLOGY 2 18 $32,682 $1,816 1.0% 57120313004
43 OPHTHALMIC FACIAL PLASTIC SURGERY SPECIALISTS FORT MYERS FL OPHTHALMOLOGY 2 18 $36,790 $2,044 5.0% (239) 947-4042
44 HINSDALE EYE CENTER LLC HINSDALE IL OPHTHALMOLOGY 5 18 $35,000 $1,944 6.0% (630) 325-5200
45 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 17 $21,119 $1,242 33.3% (804) 828-9000
46 EYESIGHT OPHTHALMIC SERVICES PLLC PORTSMOUTH NH OPHTHALMOLOGY 17 17 $25,536 $1,502 10.4% (603) 436-1773
47 VANTAGE EYE CENTER A MEDICAL CORP MONTEREY CA OPHTHALMOLOGY 19 15 $27,375 $1,825 0.8% (831) 647-3900
48 COSMETIC AND DERMATOLOGIC SURGERY ASSOCIATES LLC HOLMDEL NJ DERMATOLOGY 3 15 $18,230 $1,215 36.6% (732) 739-3223
49 OCULOPLASTIC CONSULTANTS OF ARIZONA PC GLENDALE LA OPHTHALMOLOGY 2 15 $25,500 $1,700 14.3% (602) 993-9100
50 CEI PHYSICIANS PSC, LLC BLUE ASH OH OPHTHALMOLOGY 157 15 $38,813 $2,588 7.0% 51398451333741
51 TRIAD EYE INSTITUTE PLLC TULSA OK OPTOMETRY 36 14 $21,500 $1,536 13.2% (918) 252-2020
52 JERRY K POPHAM, MD PC DENVER CO OPHTHALMOLOGY 2 14 $27,066 $1,933 6.7% (303) 468-8844
53 AZUL COSMETIC SURGERY AND MEDICAL SPA PA FORT MYERS FL OPHTHALMOLOGY 3 13 $14,250 $1,096 3.6% (239) 415-7576
54 FACIAL AND OCULOPLASTIC SURGERY CENTER OF TEXAS PLLC SAN ANTONIO TX OPHTHALMOLOGY 6 13 $16,297 $1,254 4.8% (210) 495-2367
55 OCULOFACIAL PLASTIC SURGEONS OF GEORGIA, LLC SUWANEE GA OPHTHALMOLOGY 3 13 $19,500 $1,500 11.8% (770) 604-4141
56 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 13 $33,100 $2,546 0.7% —
57 VISTAR EYE CENTER, INC ROANOKE VA OPHTHALMOLOGY 29 13 $6,110 $470 25.5% (540) 855-5100
58 LAWRENCE HANDLER MD PC CLINTON TOWNSHIP MI OPHTHALMOLOGY 3 12 $16,250 $1,354 31.6% (586) 286-3400
59 MONONGALIA COUNTY GENERAL HOSPITAL COMPANY MORGANTOWN WV PHYSICIAN ASSISTANT 254 11 $11,544 $1,049 100.0% (304) 598-1200
60 RALEIGH OPHTHALMOLOGY PC RALEIGH NC OPHTHALMOLOGY 12 11 $21,486 $1,953 10.8% (919) 782-5400
61 TIMOTHY F. MCDEVITT, M.D. INC HONOLULU TX OPHTHALMOLOGY 3 11 $25,293 $2,299 4.1% (808) 599-4755

*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 →