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Market snapshot

68440 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

68440 — Snip incision of tear duct at inner corner of eye

Billing groups
40
Named-group FFS services
1,039
FFS of Medicare
49%
Services YoY
+5.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,053 services

1,039 observed fee-for-service (51%) · ~1,014 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 — 68440 (CY2024)

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

Named-group submitted charges
$494K
Named-group allowed amount
$88K
Named-group Medicare payments
$68K
Avg charge / svc
$476
Avg allowed / svc
$85
Avg payment / svc
$65
Average charge per group
$181 40 groups · avg submitted charge / service $996
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 68440 services, CY2024
#Physician group City St Specialty Providers 68440 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 112 $73,300 $654 premium 33.5% (516) 766-2519
2 CSE MEDICAL GROUP INC. THOUSAND OAKS CA OPHTHALMOLOGY 5 62 $18,072 $291 premium 16.9% (805) 497-3744
3 VANTAGE EYE CENTER A MEDICAL CORP MONTEREY CA OPHTHALMOLOGY 19 54 $20,001 $370 premium 14.8% (831) 647-3900
4 OPHTHALMIC PLASTIC SURGERY INC CARMEL IN OPHTHALMOLOGY 6 48 $9,332 $194 premium 48.5% (317) 817-1976
5 OCULOFACIAL PLASTIC SURGEONS OF GEORGIA, LLC SUWANEE GA OPHTHALMOLOGY 3 43 $12,900 $300 premium 38.4% (770) 604-4141
6 WILMINGTON EYE, P.A. WILMINGTON NC OPHTHALMOLOGY 29 41 $22,750 $555 premium 29.3% (910) 763-3601
7 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 40 $39,844 $996 premium 54.1% 75762222003020
8 BLACK HILLS REGIONAL EYE INSTITUTE LLP RAPID CITY SD OPHTHALMOLOGY 14 39 $23,829 $611 premium 30.7% (605) 341-2000
9 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 34 $7,072 $208 premium 45.9% (804) 828-9000
10 WAYNESBOROUGH OPHTHALMOLOGY, P.A. GOLDSBORO NC PHYSICIAN ASSISTANT 8 33 $11,720 $355 premium 23.6% (919) 734-8440
11 CONESTOGA EYE PC HERSHEY PA OPTOMETRY 7 32 $13,750 $430 premium 36.0% (717) 541-9700
12 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 28 $13,463 $481 premium 70.0% (541) 382-2811
13 MIKE S. MCFARLAND MDPA LITTLE ROCK AR OPTOMETRY 14 26 $19,740 $759 premium 45.6% (501) 830-2020
14 THE MEDICAL EYE CENTER PC MANCHESTER NH OPHTHALMOLOGY 15 25 $15,200 $608 premium 36.8% (603) 668-2020
15 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 22 $8,250 $375 premium 6.0% (805) 681-7500
16 VANCE THOMPSON VISION CLINIC PROF LLC SIOUX FALLS TX OPTOMETRY 44 22 $16,728 $760 premium 26.2% (605) 371-7100
17 RONALD W PELTON MD PHD PC COLORADO SPRINGS CO PLASTIC AND RECONSTRUCTIVE SURGERY 2 21 $7,680 $366 premium 38.9% (719) 329-0040
18 ANDREW S JUSKO MD PC SPRINGFIELD MA OPHTHALMOLOGY 5 21 $8,416 $401 premium 45.7% (413) 736-1833
19 EYE ASSOCIATES OF MANATEE, LLP BRADENTON FL OPTOMETRY 63 21 $7,560 $360 premium 12.3% (941) 792-2020
20 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 20 $11,788 $589 premium 5.5% (858) 455-9100
21 ERIC A COLE MD PS SILVERDALE WA OPHTHALMOLOGY 3 20 $7,409 $370 premium 23.5% (360) 613-2600
22 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 20 $17,801 $890 premium 100.0% (217) 544-6464
23 ROCKY MOUNTAIN EYE CENTER PC MISSOULA MT OPHTHALMOLOGY 15 19 $9,100 $479 premium 36.5% (406) 541-3937
24 OPHTHALMIC FACIAL PLASTIC SURGERY SPECIALISTS FORT MYERS FL OPHTHALMOLOGY 2 19 $7,196 $379 premium 11.1% (239) 947-4042
25 NEWSOM EYE AND LASER CENTER INC TAMPA FL OPHTHALMOLOGY 16 19 $4,000 $211 premium 11.1% (813) 908-2020
26 EYE CLINIC A PROFESSIONAL MEDICAL CORP LAKE CHARLES LA OPHTHALMOLOGY 14 17 $8,400 $494 premium 40.5% (337) 478-3810
27 SOUTHWESTERN EYE CENTER LTD SCOTTSDALE AZ CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 118 16 $5,280 $330 premium 29.6% (602) 787-9100
28 MIDDLE TENNESSEE EYE ASSOCIATES OF COOKEVILLE PLLC COOKEVILLE TN OPTOMETRY 5 15 $3,493 $233 premium 37.5% (931) 372-1994
29 MAINE EYE CENTER PA PORTLAND ME OPHTHALMOLOGY 18 15 $5,700 $380 premium 46.9% (207) 774-8277
30 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 14 $7,788 $556 premium 16.7%
31 VISIONARY OPHTHALMOLOGY LLC ROCKVILLE MD OPHTHALMOLOGY 17 14 $5,237 $374 premium 100.0% (301) 896-0890
32 DAKOTA EYE INSTITUTE PC BISMARCK ND OPTOMETRY 15 14 $9,310 $665 premium 36.8% (701) 222-3937
33 DELRAY EYE ASSOCIATES PA DELRAY BEACH FL OPHTHALMOLOGY 9 13 $2,350 $181 premium 7.6% (561) 498-8100
34 EYE CARE PHYSICIANS AND SURGEONS INC SALEM OR OPHTHALMOLOGY 11 12 $3,924 $327 premium 30.0% (503) 585-2022
35 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 12 $3,200 $267 premium 48.0% (502) 629-2398
36 BELLEVUE EYE MEDICAL CENTER INC BERKELEY CA OPHTHALMOLOGY 2 12 $2,868 $239 premium 3.3% (510) 488-6767
37 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTON MA OPHTHALMOLOGY 70 11 $5,225 $475 premium 23.9% (617) 367-4800
38 OPHTHALMIC ASSOCIATES A PROFESSIONAL CORPORATION ANCHORAGE AK OPHTHALMOLOGY 8 11 $9,977 $907 premium 47.8% (907) 276-1617
39 CHARLES L. HEATON, M.D. P.A. TYLER TX OPHTHALMOLOGY 18 11 $5,440 $495 premium 13.1% 90352604442111
40 NEIGEL CENTER, PA FLORHAM PARK NY OPHTHALMOLOGY 3 11 $9,000 $818 premium 3.3% (973) 410-1100

*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 →