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Market snapshot

68815 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

68815 — Probing of nasal tear duct with insertion of tube or stent

Billing groups
73
Named-group FFS services
1,846
FFS of Medicare
49%
Services YoY
+11.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,787 services

1,846 observed fee-for-service (49%) · ~1,941 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 — 68815 (CY2024)
FL 458 CA 422 NY 421 TX 385 WA 309

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

Named-group submitted charges
$2.0M
Named-group allowed amount
$276K
Named-group Medicare payments
$218K
Avg charge / svc
$1,072
Avg allowed / svc
$150
Avg payment / svc
$118
Average charge per group
$222 73 groups · avg submitted charge / service $2,819
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 68815 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 125 $139,500 $1,116 29.7% (516) 766-2519
2 OPHTHALMIC PLASTIC SURGERY INC CARMEL IN OPHTHALMOLOGY 6 93 $61,020 $656 40.8% (317) 817-1976
3 FACIAL AND OCULOPLASTIC SURGERY CENTER OF TEXAS PLLC SAN ANTONIO TX OPHTHALMOLOGY 6 61 $48,315 $792 15.8% (210) 495-2367
4 THE AESTHETIC SURGERY CENTRE PLLC TACOMA WA OPHTHALMOLOGY 5 59 $71,280 $1,208 19.1% —
5 ALABAMA OPHTHALMOLOGY ASSOCIATES, P.C. BIRMINGHAM AL OPHTHALMOLOGY 7 55 $61,350 $1,115 64.7% (205) 930-0700
6 MORGENSTERN CENTER FOR ORBITAL AND FACIAL PLASTIC SURGERY, INC WAYNE PA PHYSICIAN ASSISTANT 4 50 $39,196 $784 21.6% (610) 687-8771
7 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA OPHTHALMOLOGY 51 47 $59,708 $1,270 11.1% (714) 456-8068
8 WILLIAM MACK M D P A TAMPA FL OPHTHALMOLOGY 2 46 $20,397 $443 10.0% (813) 875-5437
9 EYE SPECIALISTS OF ILLINOIS SC PARK RIDGE IL OPHTHALMOLOGY 5 43 $71,690 $1,667 24.0% —
10 NORTHWEST EYELID AND ORBITAL SPECIALISTS PS SPOKANE WA OPHTHALMOLOGY 2 40 $29,000 $725 12.9% (509) 279-2176
11 UTAH VALLEY EYE CENTER INC PROVO UT OPTOMETRY 11 40 $84,150 $2,104 37.0% (801) 357-7373
12 GRENE VISION GROUP LLC WICHITA KS OPHTHALMOLOGY 9 37 $49,265 $1,331 32.2% (316) 722-8883
13 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 33 $72,744 $2,204 18.4% (217) 544-6464
14 CONESTOGA EYE PC HERSHEY PA OPTOMETRY 7 32 $57,000 $1,781 13.8% (717) 541-9700
15 RETINA CONSULTANTS OF NEVADA LLP LAS VEGAS NV OPHTHALMOLOGY 14 30 $23,436 $781 29.1% (702) 369-0200
16 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 30 $28,512 $950 6.6% (904) 396-1725
17 EYESTHETICA SANTA MONICA CA OPHTHALMOLOGY 6 30 $23,598 $787 7.1% (310) 299-8865
18 OPHTHALMIC PLASTIC SURGERY SPECIALISTS PLLC JACKSON MS OPHTHALMOLOGY 2 29 $28,400 $979 29.9% (601) 355-9537
19 OCULOPLASTIC ASSOCIATES OF TEXAS PLLC DALLAS TX OPHTHALMOLOGY 4 29 $17,600 $607 7.5% (214) 369-0555
20 OCULOFACIAL PLASTIC SURGEONS OF GEORGIA, LLC SUWANEE GA OPHTHALMOLOGY 3 28 $33,600 $1,200 26.2% (770) 604-4141
21 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 28 $35,588 $1,271 19.0% —
22 DL PROFESSIONAL SERVICES LLC MESA AZ DERMATOLOGY 4 27 $26,600 $985 14.2% (480) 574-3295
23 DELRAY EYE ASSOCIATES PA DELRAY BEACH FL OPHTHALMOLOGY 9 27 $19,465 $721 5.9% (561) 498-8100
24 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 27 $21,558 $798 18.4% (419) 291-2003
25 OPHTHALMIC PLASTIC SURGEONS OF TEXAS HOUSTON TX OPHTHALMOLOGY 3 25 $33,750 $1,350 6.5% (713) 953-9932
26 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 24 $42,000 $1,750 35.3% (314) 747-3000
27 UNION SQUARE EYE CENTER LLC NEW YORK NY OPHTHALMOLOGY 15 24 $24,369 $1,015 5.7% (212) 844-2020
28 TRI-STATE CENTERS FOR SIGHT INC CRESTVIEW HILLS KY OPHTHALMOLOGY 39 24 $18,900 $788 24.2% (859) 341-4525
29 THOMAS EYE GROUP PC ROSWELL GA OPTOMETRY 56 24 $27,303 $1,138 22.4% (770) 475-5515
30 VISTAR EYE CENTER, INC ROANOKE VA OPHTHALMOLOGY 29 24 $5,328 $222 32.0% (540) 855-5100
31 TEXAS OCULOPLASTIC CONSULTANTS LLP AUSTIN TX OPHTHALMOLOGY 12 23 $25,463 $1,107 6.0% (512) 457-2141
32 CENTRAL FLORIDA EYE SPECIALISTS PL DELAND FL OPHTHALMOLOGY 11 22 $18,400 $836 4.8% (386) 734-2931
33 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 21 $28,808 $1,372 5.0% (415) 600-1020
34 REMAGIN LLC WINDERMERE FL OPHTHALMOLOGY 3 21 $9,692 $462 4.6% (407) 704-3937
35 OCULOPLASTIC CONSULTANTS OF ARIZONA PC GLENDALE LA OPHTHALMOLOGY 2 20 $24,000 $1,200 31.7% (602) 993-9100
36 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 19 $36,009 $1,895 16.5% (913) 588-1227
37 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 19 $38,266 $2,014 4.5% (800) 926-8273
38 RONALD W PELTON MD PHD PC COLORADO SPRINGS CO PLASTIC AND RECONSTRUCTIVE SURGERY 2 18 $11,400 $633 21.4% (719) 329-0040
39 UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION BIRMINGHAM AL OPHTHALMOLOGY 24 17 $19,472 $1,145 20.0% (205) 325-8620
40 CHATTANOOGA EYE INSTITUTE,P.C. CHATTANOOGA TN OPHTHALMOLOGY 3 17 $9,000 $529 6.3% (423) 892-3937
41 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY CO PHYSICIAN ASSISTANT 1783 17 $16,258 $956 20.2% (801) 581-2121
42 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 16 $25,871 $1,617 3.8% (858) 455-9100
43 MIKE S. MCFARLAND MDPA LITTLE ROCK AR OPTOMETRY 14 16 $19,575 $1,223 21.9% (501) 830-2020
44 JOHN H HUNTS MD PHD LLC EUGENE OR OPHTHALMOLOGY 2 16 $18,190 $1,137 51.6% (541) 434-0922
45 IDAHO EYELID AND FACIAL PLASTIC SURGERY PLLC BOISE ID OPHTHALMOLOGY 2 16 $19,098 $1,194 44.4% (208) 344-3220
46 WOLFE CLINIC INC MARSHALLTOWN IA OPHTHALMOLOGY 36 15 $15,981 $1,065 41.7% (641) 754-6200
47 JENNIFER T SCRUGGS MD PA LITTLE ROCK AR OPHTHALMOLOGY 2 15 $5,250 $350 20.5% (501) 221-0123
48 THE EYE INSTITUTE INC TULSA OK OPHTHALMOLOGY 19 15 $13,600 $907 16.9% (918) 747-3937
49 THE MEDICAL EYE CENTER PC MANCHESTER NH OPHTHALMOLOGY 15 15 $15,725 $1,048 45.5% (603) 668-2020
50 WORLEY AND HARIRI OCULOPLASTIC SURGERY LLC NEW ORLEANS LA OPHTHALMOLOGY 2 15 $31,050 $2,070 23.8% (504) 895-3223
51 BAPTIST EYE SURGEONS, PLLC KNOXVILLE TN OPHTHALMOLOGY 12 15 $17,610 $1,174 5.6% (865) 579-3920
52 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 15 $16,384 $1,092 15.2% (502) 629-2398
53 CAROLINA EYE ASSOCIATES INC SOUTHERN PINES NC OPHTHALMOLOGY 37 15 $8,565 $571 12.7% (910) 295-2100
54 TIMOTHY F. MCDEVITT, M.D. INC HONOLULU TX OPHTHALMOLOGY 3 14 $25,787 $1,842 3.6% (808) 599-4755
55 OPHTHALMIC FACIAL PLASTIC SURGERY SPECIALISTS FORT MYERS FL OPHTHALMOLOGY 2 14 $15,120 $1,080 3.1% (239) 947-4042
56 BLACK HILLS REGIONAL EYE INSTITUTE LLP RAPID CITY SD OPHTHALMOLOGY 14 14 $14,648 $1,046 24.1% (605) 341-2000
57 WILMINGTON EYE, P.A. WILMINGTON NC OPHTHALMOLOGY 29 13 $8,450 $650 11.0% (910) 763-3601
58 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 13 $14,328 $1,102 5.6% (717) 531-5638
59 CATALINA EYE CARE PC TUCSON AZ OPHTHALMOLOGY 5 13 $5,175 $398 6.8% (520) 576-5110
60 CHARLES L. HEATON, M.D. P.A. TYLER TX OPHTHALMOLOGY 18 13 $12,800 $985 3.4% 90352604442111
61 OPHTHALMOLOGY LTD SIOUX FALLS SD OPHTHALMOLOGY 14 13 $6,172 $475 22.4% (605) 336-6294
62 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 12 $23,953 $1,996 8.3% (410) 502-4340
63 EYE PHYSICIANS, LLC COLUMBUS OH OPHTHALMOLOGY 34 12 $7,208 $601 8.2% (614) 221-7464
64 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 12 $12,900 $1,075 2.8% (805) 681-7500
65 UT MEDICAL GROUP INC MEMPHIS TN NEPHROLOGY 95 12 $16,530 $1,378 4.4% (901) 866-8810
66 GAINESVILLE EYE ASSOCIATES LLC GAINESVILLE GA OPHTHALMOLOGY 20 12 $11,992 $999 11.2% (770) 532-4444
67 TRIAD OCULAR AND FACIAL PLASTIC SURGERY PLLC CLEMMONS NC OPHTHALMOLOGY 2 12 $7,931 $661 10.2% (336) 448-3060
68 VISION INNOVATION CENTERS OF PENNSYLVANIA LLC WEST PITTSTON PA OPTOMETRY 85 12 $6,228 $519 5.2% (570) 602-1010
69 METROLINA EYE ASSOCIATES PLLC INDIAN LAND NC OPHTHALMOLOGY 14 11 $7,095 $645 9.3% (803) 547-3937
70 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 11 $31,005 $2,819 2.6% (212) 746-5454
71 SIGHT MEDICAL DOCTORS PLLC SMITHTOWN NY OPHTHALMOLOGY 115 11 $16,500 $1,500 2.6% (631) 265-8780
72 OCULOPLASTIC ASSOCIATES OF TEXAS PLLC DALLAS MO OPHTHALMOLOGY 4 11 $6,600 $600 16.2% (214) 369-0555
73 MARIA MCPHERSON MD JONATHAN FREILICH MD DAVID FREILICH MD PLLC HUDSON NJ OPHTHALMOLOGY 6 11 $5,873 $534 10.7% (518) 828-3391
74 WESLEY AND KLIPPENSTEIN PC NASHVILLE TN OPHTHALMOLOGY 5 11 $3,552 $323 4.1% (615) 329-3624

*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 →