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Market snapshot

67966 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

67966 — Removal of over 1/4 of eyelid margin and repair of eyelid

Billing groups
56
Named-group FFS services
1,426
FFS of Medicare
49%
Services YoY
-6.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,842 services

1,426 observed fee-for-service (50%) · ~1,416 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 — 67966 (CY2024)
NY 490 TX 483 FL 475 CA 235 VA 228

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

Named-group submitted charges
$2.9M
Named-group allowed amount
$838K
Named-group Medicare payments
$661K
Avg charge / svc
$2,010
Avg allowed / svc
$587
Avg payment / svc
$464
Average charge per group
$878 56 groups · avg submitted charge / service $4,651
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 67966 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FACIAL AND OCULOPLASTIC SURGERY CENTER OF TEXAS PLLC SAN ANTONIO TX OPHTHALMOLOGY 6 127 $281,356 $2,215 26.3% (210) 495-2367
2 OPHTHALMIC PLASTIC SURGERY SPECIALISTS PLLC JACKSON MS OPHTHALMOLOGY 2 83 $124,600 $1,501 36.9% (601) 355-9537
3 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 70 $110,025 $1,572 30.7% (804) 828-9000
4 OPHTHALMIC FACIAL PLASTIC SURGERY SPECIALISTS FORT MYERS FL OPHTHALMOLOGY 2 70 $134,050 $1,915 14.7% (239) 947-4042
5 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 65 $134,000 $2,062 13.3% (516) 766-2519
6 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 53 $174,900 $3,300 39.8% —
7 EYE SURGEONS OF RICHMOND INC RICHMOND VA OPHTHALMOLOGY 44 41 $73,021 $1,781 18.0% (804) 287-4200
8 WESLEY AND KLIPPENSTEIN PC NASHVILLE TN OPHTHALMOLOGY 5 39 $37,442 $960 23.9% (615) 329-3624
9 EAST BAY OPHTHALMOLOGY PINOLE CA OPHTHALMOLOGY 3 34 $34,501 $1,015 14.5% (510) 724-1768
10 PACIFIC CENTER FOR OCULOFACIAL AND AESTHETIC PLASTIC SURGERY PC FOSTER CITY CA OPHTHALMOLOGY 3 33 $81,675 $2,475 14.0% (650) 525-9030
11 STONY BROOK OPHTHALMOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY OPHTHALMOLOGY 16 32 $96,800 $3,025 6.5% (631) 444-4090
12 UTAH VALLEY EYE CENTER INC PROVO UT OPTOMETRY 11 32 $99,826 $3,120 68.1% (801) 357-7373
13 MIKE S. MCFARLAND MDPA LITTLE ROCK AR OPTOMETRY 14 32 $46,860 $1,464 36.0% (501) 830-2020
14 OCULOPLASTIC ASSOCIATES OF TEXAS PLLC DALLAS TX OPHTHALMOLOGY 4 31 $46,293 $1,493 6.4% (214) 369-0555
15 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 28 $57,771 $2,063 65.1% (402) 559-4000
16 D'AMBROSIO EYE CARE INC LANCASTER MA OPTOMETRY 12 28 $80,155 $2,863 32.9% (978) 537-3900
17 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 27 $70,235 $2,601 100.0% (503) 494-8311
18 KANSAL EYE PHYSICIANS AND SURGEONS CHARTERED SALINA KS OPHTHALMOLOGY 2 24 $60,000 $2,500 38.7% (785) 825-2003
19 OPHTHALMIC PLASTIC SURGERY INC CARMEL IN OPHTHALMOLOGY 6 23 $20,196 $878 15.0% (317) 817-1976
20 ATLANTIC EYE PHYSICIANS, PA EATONTOWN NJ OPHTHALMOLOGY 12 23 $41,400 $1,800 11.6% (732) 222-7373
21 AESTHETIC EYE CARE SAN LUIS OBISPO CA OPHTHALMOLOGY 2 23 $25,915 $1,127 9.8% (312) 404-7237
22 NORTHWEST EYELID AND ORBITAL SPECIALISTS PS SPOKANE WA OPHTHALMOLOGY 2 22 $41,850 $1,902 39.3% (509) 279-2176
23 OCULOPLASTIC CONSULTANTS OF ARIZONA PC GLENDALE AZ OPHTHALMOLOGY 2 21 $44,000 $2,095 15.2% (602) 993-9100
24 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 20 $31,276 $1,564 32.3% (913) 588-1227
25 IDAHO EYELID AND FACIAL PLASTIC SURGERY PLLC BOISE ID OPHTHALMOLOGY 2 20 $50,713 $2,536 41.7% (208) 344-3220
26 WILMINGTON EYE, P.A. WILMINGTON NC OPHTHALMOLOGY 29 19 $36,000 $1,895 21.1% (910) 763-3601
27 BERKELEY EYE INSTITUTE, PLLC HOUSTON TX OPTOMETRY 62 19 $19,500 $1,026 3.9% (281) 333-8600
28 MILAN EYE LLC JOHNS CREEK GA OPHTHALMOLOGY 20 18 $25,233 $1,402 58.1% (678) 381-2020
29 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 17 $52,500 $3,088 30.9% (314) 747-3000
30 BOOZMAN-HOF REGIONAL EYE CLINIC PA ROGERS AR OPTOMETRY 11 17 $23,035 $1,355 19.1% (479) 246-1700
31 CENTRAL FLORIDA EYE SPECIALISTS PL DELAND FL OPHTHALMOLOGY 11 16 $22,100 $1,381 3.4% (386) 734-2931
32 WATERLOO EYE ASSOCIATES CEDAR PARK TX OPHTHALMOLOGY 4 16 $27,439 $1,715 3.3% (512) 528-1144
33 OPHTHALMIC ASSOCIATES A PROFESSIONAL CORPORATION ANCHORAGE AK OPHTHALMOLOGY 8 16 $74,416 $4,651 45.7% (907) 276-1617
34 UT MEDICAL GROUP INC MEMPHIS TN NEPHROLOGY 95 16 $39,520 $2,470 9.8% (901) 866-8810
35 TRIAD EYE INSTITUTE PLLC TULSA OK OPTOMETRY 36 15 $22,875 $1,525 53.6% (918) 252-2020
36 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY CO PHYSICIAN ASSISTANT 1783 15 $30,006 $2,000 28.8% (801) 581-2121
37 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 14 $19,152 $1,368 10.5% (419) 291-2003
38 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 14 $37,552 $2,682 53.8% —
39 EYECARE MEDICAL GROUP PORTLAND ME OPHTHALMOLOGY 10 13 $19,498 $1,500 100.0% (207) 828-2020
40 SAMUEL A GALLO MD DUBLIN OH OPHTHALMOLOGY 2 13 $26,000 $2,000 9.8% (614) 766-5438
41 SIGHT MEDICAL DOCTORS PLLC SMITHTOWN NY OPHTHALMOLOGY 115 13 $19,500 $1,500 2.7% (631) 265-8780
42 JOHNSON CITY EYE CLINIC PC JOHNSON CITY TN OPHTHALMOLOGY 11 13 $32,286 $2,484 8.0% (423) 929-2111
43 CENTER FOR SIGHT PL VENICE FL OPTOMETRY 37 13 $18,031 $1,387 2.7% (941) 488-2020
44 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA OPHTHALMOLOGY 51 12 $35,592 $2,966 5.1% (714) 456-8068
45 WISCONSIN EYE CONSULTANTS S. C. MENASHA WI OPTOMETRY 4 12 $39,893 $3,324 52.2% (920) 806-3005
46 MAGRUDER EYE INSTITUTE, PLLC ORLANDO FL OPHTHALMOLOGY 24 12 $13,800 $1,150 2.5% (407) 893-8200
47 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 12 $24,504 $2,042 2.5% (904) 396-1725
48 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 12 $34,374 $2,864 100.0% (612) 863-6960
49 MONONGALIA COUNTY GENERAL HOSPITAL COMPANY MORGANTOWN WV PHYSICIAN ASSISTANT 254 11 $17,338 $1,576 100.0% (304) 598-1200
50 EYE CENTER OF NORTHERN COLORADO PC FORT COLLINS CO OPHTHALMOLOGY 68 11 $14,300 $1,300 21.2% (970) 221-2222
51 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTON MA OPHTHALMOLOGY 70 11 $24,794 $2,254 12.9% (617) 367-4800
52 EYE SURGICAL ASSOCIATES LLC LINCOLN WI OPHTHALMOLOGY 11 11 $24,101 $2,191 47.8% (440) 248-4900
53 JERVEY EYE GROUP PA GREENVILLE SC OPHTHALMOLOGY 20 11 $15,064 $1,369 32.4% (864) 458-7956
54 EYESTHETICA SANTA MONICA CA OPHTHALMOLOGY 6 11 $23,650 $2,150 4.7% (310) 299-8865
55 CHARLES L. HEATON, M.D. P.A. TYLER TX OPHTHALMOLOGY 18 11 $20,900 $1,900 2.3% 90352604442111
56 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 11 $34,671 $3,152 13.6% (313) 916-2600

*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 →