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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
67961 Removal of up to 1/4 of eyelid margin and repair of eyelid CPT · Eye procedure
Classification Procedure Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 2,432 services ▲ 3.0% YoY · 2,076 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.1M · $442.07 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
29
Named-group FFS services
829
FFS of Medicare
49%
Services YoY
+3.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,708 services

829 observed fee-for-service (49%) · ~879 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 — 67961 (CY2024)

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

Named-group submitted charges
$1.4M
Named-group allowed amount
$344K
Named-group Medicare payments
$268K
Avg charge / svc
$1,732
Avg allowed / svc
$416
Avg payment / svc
$324
Average charge per group
$560 29 groups · avg submitted charge / service $4,992
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 67961 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 67961 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 VENTURA EYE INSTITUTE, INC CAMARILLO CA OPHTHALMOLOGY 2 117 $87,750 $750 premium 11.7% (805) 388-1211
2 TIMOTHY F. MCDEVITT, M.D. INC HONOLULU TX OPHTHALMOLOGY 3 81 $187,630 $2,316 premium 63.8% (808) 599-4755
3 DELRAY EYE ASSOCIATES PA DELRAY BEACH FL OPHTHALMOLOGY 9 75 $135,222 $1,803 premium 33.2% (561) 498-8100
4 THE AESTHETIC SURGERY CENTRE PLLC TACOMA WA OPHTHALMOLOGY 5 66 $101,250 $1,534 premium 44.9%
5 AESTHETIC EYE CARE SAN LUIS OBISPO CA OPHTHALMOLOGY 2 47 $47,664 $1,014 premium 4.7% (312) 404-7237
6 LUXE AESTHETICS PLLC CARY NC OPHTHALMOLOGY 4 43 $103,329 $2,403 premium 65.2% 9194432557302
7 PACIFIC EYE ASSOCIATES, A MEDICAL CORPORATION SAN FRANCISCO CA OPHTHALMOLOGY 13 39 $89,700 $2,300 premium 3.9% (415) 923-3007
8 OCEAN EYE INSTITUTE PA TOMS RIVER NJ OPHTHALMOLOGY 10 26 $61,932 $2,382 premium 20.2%
9 WATERLOO EYE ASSOCIATES CEDAR PARK TX OPHTHALMOLOGY 4 25 $30,008 $1,200 premium 19.7% (512) 528-1144
10 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 23 $51,521 $2,240 premium 47.9% (612) 863-6960
11 PACIFIC CENTER FOR OCULOFACIAL AND AESTHETIC PLASTIC SURGERY PC FOSTER CITY CA OPHTHALMOLOGY 3 22 $51,200 $2,327 premium 2.2% (650) 525-9030
12 OPHTHALMIC ASSOCIATES A PROFESSIONAL CORPORATION ANCHORAGE AK OPHTHALMOLOGY 8 20 $99,850 $4,992 premium 44.4% (907) 276-1617
13 ANNESLEY FLANAGAN FISCHER STEFANYSZYN AND ASSOCIATES WYNNEWOOD PA OPHTHALMOLOGY 6 20 $29,165 $1,458 premium 12.2% (610) 649-1970
14 NORTHEAST EYE SPECIALISTS PC HAZLE TOWNSHIP PA OPHTHALMOLOGY 4 19 $19,950 $1,050 premium 11.6% (570) 459-9927
15 OPHTHALMIC PLASTIC SURGERY INC CARMEL IN OPHTHALMOLOGY 6 18 $10,080 $560 premium 15.8% (317) 817-1976
16 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 18 $39,859 $2,214 premium 8.0% (305) 689-5437
17 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 16 $30,706 $1,919 premium 100.0% (503) 494-8311
18 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 15 $30,000 $2,000 premium 24.6% (516) 766-2519
19 LAWRENCE HANDLER MD PC CLINTON TOWNSHIP MI OPHTHALMOLOGY 3 15 $14,625 $975 premium 100.0% (586) 286-3400
20 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY CO PHYSICIAN ASSISTANT 1783 15 $24,544 $1,636 premium 100.0% (801) 581-2121
21 MORGENSTERN CENTER FOR ORBITAL AND FACIAL PLASTIC SURGERY, INC WAYNE PA PHYSICIAN ASSISTANT 4 14 $19,628 $1,402 premium 8.5% (610) 687-8771
22 OPHTHALMIC PLASTIC SURGERY SPECIALISTS PLLC JACKSON MS OPHTHALMOLOGY 2 14 $21,700 $1,550 premium 48.3% (601) 355-9537
23 ASSOCIATED OPHTHALMOLOGISTS LTD SCOTTSDALE AZ OPHTHALMOLOGY 19 13 $14,712 $1,132 premium 54.2% (602) 991-5012
24 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 12 $27,752 $2,313 premium 1.2% (858) 455-9100
25 KANSAL EYE PHYSICIANS AND SURGEONS CHARTERED SALINA KS OPHTHALMOLOGY 2 12 $18,000 $1,500 premium 100.0% (785) 825-2003
26 CALIFORNIA EYE CLINIC ANTIOCH CA OPTOMETRY 9 11 $26,000 $2,364 premium 1.1% (925) 754-2300
27 CENTRAL FLORIDA EYE SPECIALISTS PL DELAND FL OPHTHALMOLOGY 11 11 $12,100 $1,100 premium 4.9% (386) 734-2931
28 ARIZONA CENTER FOR HEMATOLOGY AND ONCOLOGY PLC PHOENIX AZ UROLOGY 61 11 $32,010 $2,910 premium 45.8% (480) 278-8300
29 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 11 $17,776 $1,616 premium 28.2%

*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 →