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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
68200 Injection into conjunctiva CPT · Eye procedure
Classification Procedure Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,285 services ▼ 28.9% YoY · 793 beneficiaries (CY2024, Medicare FFS)
Medicare paid $33K · $25.37 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
29
Named-group FFS services
873
FFS of Medicare
49%
Services YoY
-28.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,655 services

873 observed fee-for-service (53%) · ~782 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 — 68200 (CY2024)

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

Named-group submitted charges
$161K
Named-group allowed amount
$27K
Named-group Medicare payments
$21K
Avg charge / svc
$184
Avg allowed / svc
$31
Avg payment / svc
$24
Average charge per group
$44 29 groups · avg submitted charge / service $425
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 68200 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 68200 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 VIRGINIA RETINA CONSULTANTS, PLC CHARLOTTESVILLE VA OPHTHALMOLOGY 3 105 $32,550 $310 premium 80.2% (434) 978-2040
2 EYE PHYSICIANS AND SURGEONS OF ARIZONA, PC GLENDALE AZ OPHTHALMOLOGY 5 73 $9,102 $125 premium 100.0% (623) 878-3939
3 JERVEY EYE GROUP PA GREENVILLE SC OPHTHALMOLOGY 20 47 $4,238 $90 premium 100.0% (864) 458-7956
4 GARY B WEINER MD CHARTERED SALINA KS OPHTHALMOLOGY 3 44 $5,563 $126 premium 50.6% (785) 825-7271
5 EYE CARE LLC LEAWOOD KS OPTOMETRY 49 43 $3,325 $77 premium 49.4% (816) 478-1230
6 THE MEDICAL EYE CENTER PC MANCHESTER NH OPHTHALMOLOGY 15 39 $5,617 $144 premium 100.0% (603) 668-2020
7 GLAUCOMA CENTER OF MICHIGAN PC SOUTHFIELD MI OPHTHALMOLOGY 5 36 $5,400 $150 premium 67.9% (248) 356-0098
8 RETINA INSTITUTE OF ILLINOIS PC NILES IL OPHTHALMOLOGY 10 34 $12,750 $375 premium 29.1% (847) 297-8900
9 GLAUCOMA INSTITUTE OF NORTHERN NEW JERSEY LLC ROCHELLE PARK NJ OPHTHALMOLOGY 3 33 $4,950 $150 premium 100.0% (201) 343-3499
10 AURORA EYE CLINIC LTD AURORA IL OPHTHALMOLOGY 7 31 $2,550 $82 premium 26.5% (630) 897-5104
11 ST LUKES CATARACT AND LASER INSTITUTE TARPON SPRINGS FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 48 30 $1,590 $53 premium 21.1% (727) 943-3111
12 HIGHLAND OPHTHALMOLOGY ASSOCIATES LLC NEW WINDSOR NY OPTOMETRY 5 30 $7,500 $250 premium 37.0% (845) 562-0138
13 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 26 $4,446 $171 premium 19.8% 75762222003020
14 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 26 $11,049 $425 premium 22.2% (217) 544-6464
15 EYE SPECIALISTS OF ILLINOIS SC PARK RIDGE IL OPHTHALMOLOGY 5 26 $6,399 $246 premium 22.2%
16 EYE CENTERS OF SOUTHEAST TEXAS LLP BEAUMONT TX OPHTHALMOLOGY 17 25 $5,375 $215 premium 34.2% (409) 833-0444
17 EVERETT AND HURITE OPHTHALMIC ASSOCIATION PITTSBURGH PA OPHTHALMOLOGY 16 24 $1,170 $49 premium 100.0% (412) 288-0885
18 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 24 $3,096 $129 premium 100.0% (503) 494-8311
19 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 23 $8,073 $351 premium 59.0% (859) 257-1412
20 GRAYSTONE OPHTHALMOLOGY ASSOCIATES, P.A. HICKORY NC OPHTHALMOLOGY 17 22 $6,600 $300 premium 100.0% 82832220506843
21 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 17 $1,853 $109 premium 32.1% (313) 916-2600
22 LOS ANGELES VISION CENTER INC CULVER CITY CA OPHTHALMOLOGY 4 16 $3,600 $225 premium 13.0% (310) 838-0202
23 EYE CENTERS OF LOUISVILLE,PSC LOUISVILLE KY OPTOMETRY 28 16 $2,622 $164 premium 41.0% (502) 895-0040
24 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 15 $1,799 $120 premium 12.2% (415) 600-1020
25 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 15 $1,920 $128 premium 10.6% (904) 396-1725
26 MIDWEST EYE CARE PC OMAHA NE OPHTHALMOLOGY 24 14 $1,078 $77 premium 100.0% (402) 552-2020
27 LUSK EYE SPECIALISTS, LLC SHREVEPORT LA OPHTHALMOLOGY 7 14 $613 $44 premium 100.0% (318) 222-5555
28 DAVID B KAYE MD INC FRESNO CA OPHTHALMOLOGY 6 14 $4,620 $330 premium 11.4% (559) 432-1000
29 MARSHALL B KETCHUM UNIVERSITY ANAHEIM CA OPTOMETRY 58 11 $1,100 $100 premium 8.9% (714) 463-7505

*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 →