NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
68760 Repair tear duct opening by heat, tying, or laser surgery CPT · Eye procedure
Classification Procedure Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 2,913 services ▼ 10.2% YoY · 1,903 beneficiaries (CY2024, Medicare FFS)
Medicare paid $497K · $170.69 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
33
Named-group FFS services
1,431
FFS of Medicare
49%
Services YoY
-10.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,831 services

1,431 observed fee-for-service (51%) · ~1,400 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 — 68760 (CY2024)

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

Named-group submitted charges
$869K
Named-group allowed amount
$298K
Named-group Medicare payments
$232K
Avg charge / svc
$607
Avg allowed / svc
$208
Avg payment / svc
$162
Average charge per group
$272 33 groups · avg submitted charge / service $1,577
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 68760 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 68760 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 JEFFREY L ZIMM MD PA NAPLES FL OPHTHALMOLOGY 6 235 $102,354 $436 premium 57.2% (239) 592-5511
2 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 190 $79,664 $419 premium 83.0%
3 CRAIG HELM M D A PROFESSIONAL CORPORATION VALENCIA CA OPHTHALMOLOGY 9 100 $85,050 $850 premium 12.2% (661) 259-3937
4 GURPREET SINGH MD PA SHENANDOAH TX OPHTHALMOLOGY 6 81 $51,876 $640 premium 49.7% (281) 363-2777
5 SHAHLA ABEDI M D A PROFESSIONAL CORPORATION ALISO VIEJO CA OPHTHALMOLOGY 2 68 $51,000 $750 premium 8.3% (949) 831-4144
6 BLACK HILLS REGIONAL EYE INSTITUTE LLP RAPID CITY SD OPHTHALMOLOGY 14 62 $59,458 $959 premium 33.2% (605) 341-2000
7 SHARRON ACOSTA MD PA SAN ANTONIO TX OPHTHALMOLOGY 10 46 $50,600 $1,100 premium 28.2% (210) 342-2020
8 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 44 $22,000 $500 premium 8.4% (516) 766-2519
9 MINNESOTA EYE CONSULTANTS, PA BLOOMINGTON MN OPTOMETRY 33 44 $21,780 $495 premium 47.3% (952) 888-5800
10 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 42 $30,275 $721 premium 5.1%
11 HOLLINGSHEAD EYE CENTER PC BOISE ID OPHTHALMOLOGY 6 37 $14,916 $403 premium 49.3% (208) 336-8700
12 GENE S HAN M D INC Los Angeles CA DERMATOLOGY 2 33 $22,172 $672 premium 4.0%
13 DAVID B KAYE MD INC FRESNO CA OPHTHALMOLOGY 6 31 $26,900 $868 premium 3.8% (559) 432-1000
14 MERCY EYE CARE MEDICAL GROUP INC MONTEBELLO CA OPHTHALMOLOGY 5 31 $13,950 $450 premium 3.8% (562) 866-1803
15 MEDICAL EYE ASSOCIATES INC KISSIMMEE FL OPHTHALMOLOGY 2 29 $15,812 $545 premium 7.1% (407) 933-7800
16 EYE CARE CENTER OF NAPA VALLEY A MEDICAL CORPORATION NAPA CA OPHTHALMOLOGY 7 28 $10,821 $386 premium 3.4% (707) 252-2020
17 GLACIER EYE CLINIC PC KALISPELL MT OPHTHALMOLOGY 11 28 $12,675 $453 premium 41.2% (406) 257-2020
18 BEAUFORT EYE CENTER P A PORT ROYAL SC OPHTHALMOLOGY 6 26 $8,183 $315 premium 100.0% (843) 522-8466
19 WILLIAM J. MALLON, MD VERO BEACH FL OPHTHALMOLOGY 10 24 $10,574 $441 premium 5.8% (772) 299-1404
20 EAST-WEST EYE INSTITUTE A MEDICAL CORPORATION TORRANCE CA OPHTHALMOLOGY 17 24 $22,500 $938 premium 2.9% (310) 373-6708
21 CAVANAUGH EYE CENTER PA TOPEKA KS OPHTHALMOLOGY 2 23 $6,916 $301 premium 34.3% (913) 897-9200
22 MID AMERICA EYE CENTER PA PRAIRIE VILLAGE KS OPHTHALMOLOGY 2 23 $12,972 $564 premium 34.3% (913) 384-1441
23 EYE SURGEONS OF RICHMOND INC RICHMOND VA OPHTHALMOLOGY 44 23 $11,661 $507 premium 10.0% (804) 287-4200
24 OCALA EYE PA OCALA FL OPHTHALMOLOGY 24 23 $6,256 $272 premium 5.6% (352) 622-5183
25 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 22 $14,100 $641 premium 13.5% (713) 592-5433
26 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 20 $21,560 $1,078 premium 58.8% (800) 603-0558
27 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 16 $25,230 $1,577 premium 7.0% 75762222003020
28 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 15 $15,276 $1,018 premium 57.7% (617) 523-7900
29 EACTX PLLC ROUND ROCK TX OPHTHALMOLOGY 6 14 $9,750 $696 premium 8.6% (512) 244-1991
30 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 13 $9,348 $719 premium 18.8%
31 MIDDLE TENNESSEE EYE ASSOCIATES OF COOKEVILLE PLLC COOKEVILLE TN OPTOMETRY 5 13 $5,902 $454 premium 100.0% (931) 372-1994
32 ROCKY MOUNTAIN EYE CENTER PC MISSOULA MT OPHTHALMOLOGY 15 12 $8,550 $712 premium 17.6% (406) 541-3937
33 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 11 $8,649 $786 premium 42.3%

*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 →