NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
68840 Probing of nasal tear duct CPT · Eye procedure
Classification Procedure Eye (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 22,911 services ▼ 0.2% YoY · 19,300 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.9M · $126.36 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
242
Named-group FFS services
14,559
FFS of Medicare
49%
Services YoY
-0.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~29,951 services

14,559 observed fee-for-service (49%) · ~15,392 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 — 68840 (CY2024)

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

Named-group submitted charges
$7.0M
Named-group allowed amount
$2.4M
Named-group Medicare payments
$1.8M
Avg charge / svc
$481
Avg allowed / svc
$164
Avg payment / svc
$124
Average charge per group
$162 242 groups · avg submitted charge / service $1,785
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 68840 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 68840 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 FACIAL AND OCULOPLASTIC SURGERY CENTER OF TEXAS PLLC SAN ANTONIO TX OPHTHALMOLOGY 6 1,294 $877,821 $678 premium 57.6% (210) 495-2367
2 CSE MEDICAL GROUP INC. THOUSAND OAKS CA OPHTHALMOLOGY 5 829 $366,481 $442 premium 19.7% (805) 497-3744
3 EYE AND COSMETIC SURGERY LLC HENDERSON NV GENERAL SURGERY 2 649 $336,060 $518 premium 84.9% (702) 642-7711
4 SERRANO EYE CENTER MEDICAL GROUP LOS ANGELES CA OPHTHALMOLOGY 3 478 $149,600 $313 premium 11.4% (213) 380-8800
5 DELRAY EYE ASSOCIATES PA DELRAY BEACH FL OPHTHALMOLOGY 9 322 $84,012 $261 premium 17.2% (561) 498-8100
6 MARIA MCPHERSON MD JONATHAN FREILICH MD DAVID FREILICH MD PLLC HUDSON NJ OPHTHALMOLOGY 6 320 $94,013 $294 premium 19.9% (518) 828-3391
7 SIGHT MEDICAL DOCTORS PLLC SMITHTOWN NY OPHTHALMOLOGY 115 273 $131,440 $481 premium 15.8% (631) 265-8780
8 ALOHA VISION CONSULTANTS INC HONOLULU HI OPTOMETRY 5 254 $98,037 $386 premium 90.7% (808) 531-5993
9 ATLANTIC EYE PHYSICIANS, PA EATONTOWN NJ OPHTHALMOLOGY 12 250 $125,200 $501 premium 15.5% (732) 222-7373
10 WORLEY AND HARIRI OCULOPLASTIC SURGERY LLC NEW ORLEANS LA OPHTHALMOLOGY 2 198 $121,770 $615 premium 54.8% (504) 895-3223
11 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 166 $136,038 $820 premium 33.5%
12 TEXAS OCULOPLASTIC CONSULTANTS LLP AUSTIN TX OPHTHALMOLOGY 12 153 $68,687 $449 premium 6.8% (512) 457-2141
13 NORTHWEST EYELID AND ORBITAL SPECIALISTS PS SPOKANE WA OPHTHALMOLOGY 2 123 $44,497 $362 premium 24.6% (509) 279-2176
14 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 121 $60,450 $500 premium 17.3% (704) 295-3414
15 CONSULTANTS IN OPHTHALMIC AND FACIAL PLASTIC SURGERY SOUTHFIELD MI OPHTHALMOLOGY 9 120 $35,576 $296 premium 19.0% (248) 357-5100
16 BLACK HILLS REGIONAL EYE INSTITUTE LLP RAPID CITY SD OPHTHALMOLOGY 14 109 $58,725 $539 premium 74.1% (605) 341-2000
17 OCULOFACIAL PLASTIC SURGEONS OF GEORGIA, LLC SUWANEE GA OPHTHALMOLOGY 3 107 $32,100 $300 premium 17.8% (770) 604-4141
18 STONY BROOK OPHTHALMOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY OPHTHALMOLOGY 16 107 $76,800 $718 premium 6.2% (631) 444-4090
19 LUXE AESTHETICS PLLC CARY NC OPHTHALMOLOGY 4 107 $37,878 $354 premium 15.3% 9194432557302
20 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 106 $92,332 $871 premium 6.1% (212) 746-5454
21 OPHTHALMOLOGY ASSOCIATES OF GLEN COVE, PC GLEN COVE NY OPHTHALMOLOGY 2 105 $69,300 $660 premium 6.1% (516) 676-4596
22 OPHTHALMIC PLASTIC SURGEONS OF TEXAS HOUSTON TX OPHTHALMOLOGY 3 99 $62,125 $628 premium 4.4% (713) 953-9932
23 OCULOPLASTIC CONSULTANTS OF ARIZONA PC GLENDALE LA OPHTHALMOLOGY 2 98 $41,040 $419 premium 27.1% (602) 993-9100
24 GENE S HAN M D INC Los Angeles CA DERMATOLOGY 2 97 $65,960 $680 premium 2.3%
25 PITTSBURGH OCULOPLASTIC ASSOCIATES, LTD PITTSBURGH PA OPHTHALMOLOGY 6 93 $43,900 $472 premium 21.7% (412) 681-4220
26 REJUVA DERMATOLOGY AND VEIN CENTER, PLLC VENICE FL DERMATOLOGY 3 92 $26,920 $293 premium 4.9% (941) 529-0070
27 RICHARD H HAVUNJIAN MD A PROFESSIONAL CORPORATION GLENDALE CA OPHTHALMOLOGY 2 89 $35,600 $400 premium 2.1% (818) 548-5858
28 RALEIGH OPHTHALMOLOGY PC RALEIGH NC OPHTHALMOLOGY 12 88 $38,174 $434 premium 12.6% (919) 782-5400
29 TOTAL VISION EYE CARE GROUP LLC DENVER TX OPTOMETRY 21 88 $25,000 $284 premium 3.9% (720) 524-1001
30 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 87 $62,725 $721 premium 2.1% (415) 600-1020
31 OAK PARK EYE CENTER S.C. ELMWOOD PARK IL OPHTHALMOLOGY 2 86 $30,100 $350 premium 9.4% (708) 452-4257
32 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 85 $73,624 $866 premium 9.3% (217) 544-6464
33 EYE SURGEONS OF RICHMOND INC RICHMOND VA OPHTHALMOLOGY 44 82 $40,166 $490 premium 19.1% (804) 287-4200
34 CENTRAL FLORIDA EYE SPECIALISTS PL DELAND FL OPHTHALMOLOGY 11 81 $31,850 $393 premium 4.3% (386) 734-2931
35 CLEMSON EYE PA EASLEY SC OPTOMETRY 51 80 $31,135 $389 premium 26.1% (864) 654-6706
36 RETINA CONSULTANTS OF NEVADA LLP LAS VEGAS NV OPHTHALMOLOGY 14 79 $35,686 $452 premium 10.3% (702) 369-0200
37 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 79 $46,970 $595 premium 4.2% (904) 396-1725
38 EYE PHYSICIANS, LLC COLUMBUS OH OPHTHALMOLOGY 34 78 $29,400 $377 premium 15.8% (614) 221-7464
39 JW EYE ASSOCIATES, PLLC DALLAS TX OPTOMETRY 35 77 $37,375 $485 premium 3.4% (214) 754-0000
40 EYEONE PLC STAUNTON VA OPHTHALMOLOGY 13 76 $15,990 $210 premium 17.7% (540) 213-7720
41 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 75 $57,500 $767 premium 39.9% (314) 747-3000
42 THOMAS EYE GROUP PC ROSWELL GA OPTOMETRY 56 75 $24,920 $332 premium 12.5% (770) 475-5515
43 CENTER FOR SIGHT PL VENICE FL OPTOMETRY 37 75 $25,681 $342 premium 4.0% (941) 488-2020
44 WILLIAM MACK M D P A TAMPA FL OPHTHALMOLOGY 2 73 $18,576 $254 premium 3.9% (813) 875-5437
45 OPHTHALMIC PLASTIC AND ORBITAL CONSULTANTS PC BETHESDA MD OPHTHALMOLOGY 2 71 $21,300 $300 premium 20.4% (301) 571-0000
46 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 71 $54,729 $771 premium 13.6% (617) 523-7900
47 OPHTHALMIC PLASTIC SURGERY INC CARMEL IN OPHTHALMOLOGY 6 70 $13,875 $198 premium 30.8% (317) 817-1976
48 VISIONARY OPHTHALMOLOGY LLC ROCKVILLE MD OPHTHALMOLOGY 17 69 $37,056 $537 premium 19.8% (301) 896-0890
49 PACIFIC CENTER FOR OCULOFACIAL AND AESTHETIC PLASTIC SURGERY PC FOSTER CITY CA OPHTHALMOLOGY 3 67 $33,500 $500 premium 1.6% (650) 525-9030
50 WOLFE CLINIC INC MARSHALLTOWN IA OPHTHALMOLOGY 36 64 $27,804 $434 premium 82.1% (641) 754-6200
51 EYE CONSULTANTS OF ATLANTA, PC ATLANTA GA OPHTHALMOLOGY 30 64 $27,103 $423 premium 10.6% (404) 351-2220
52 THE AESTHETIC SURGERY CENTRE PLLC TACOMA WA OPHTHALMOLOGY 5 64 $21,000 $328 premium 12.8%
53 WHEATON EYE CLINIC LTD WHEATON IL OPHTHALMOLOGY 45 64 $11,459 $179 premium 7.0% (630) 668-8250
54 EYE SPECIALISTS OF ILLINOIS SC PARK RIDGE IL OPHTHALMOLOGY 5 64 $37,132 $580 premium 7.0%
55 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 63 $22,438 $356 premium 2.8% (817) 920-0484
56 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 61 $35,854 $588 premium 23.6% (541) 382-2811
57 OPHTHALMOLOGY AND OCULOPLASTIC SURGERY INC CHARDON OH OPHTHALMOLOGY 5 61 $18,125 $297 premium 12.3% (440) 285-2020
58 GRENE VISION GROUP LLC WICHITA KS OPHTHALMOLOGY 9 61 $28,890 $474 premium 23.7% (316) 722-8883
59 NEIGEL CENTER, PA FLORHAM PARK NY OPHTHALMOLOGY 3 61 $34,125 $559 premium 3.5% (973) 410-1100
60 EYE CARE PHYSICIANS AND SURGEONS INC SALEM OR OPHTHALMOLOGY 11 59 $30,225 $512 premium 22.8% (503) 585-2022
61 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 58 $33,521 $578 premium 16.7% (410) 502-4340
62 SPECIALTY EYE CARE MEDICAL CENTER , INC GLENDALE CA OPHTHALMOLOGY 4 58 $14,500 $250 premium 1.4% (818) 265-7777
63 TRI-STATE CENTERS FOR SIGHT INC CRESTVIEW HILLS KY OPHTHALMOLOGY 39 57 $19,055 $334 premium 58.2% (859) 341-4525
64 GAINESVILLE EYE ASSOCIATES LLC GAINESVILLE GA OPHTHALMOLOGY 20 57 $25,404 $446 premium 9.5% (770) 532-4444
65 EYESTHETICA SANTA MONICA CA OPHTHALMOLOGY 6 57 $41,040 $720 premium 1.4% (310) 299-8865
66 LAWRENCE HANDLER MD PC CLINTON TOWNSHIP MI OPHTHALMOLOGY 3 57 $19,725 $346 premium 9.0% (586) 286-3400
67 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 56 $24,153 $431 premium 11.2% (206) 223-6600
68 OCULOPLASTIC ASSOCIATES OF TEXAS PLLC DALLAS TX OPHTHALMOLOGY 4 56 $18,549 $331 premium 2.5% (214) 369-0555
69 EYE HEALTH NORTHWEST PC PORTLAND OR OPHTHALMOLOGY 69 55 $35,442 $644 premium 21.2% (503) 255-2291
70 SHORE EYE ASSOCIATES PA TOMS RIVER NJ OPHTHALMOLOGY 17 55 $16,500 $300 premium 3.4% (732) 341-4733
71 JONATHAN WOOLFSON MD PC ATLANTA GA OPHTHALMOLOGY 32 55 $33,375 $607 premium 9.2% (770) 804-1684
72 OPHTHALMIC PLASTIC SURGERY SPECIALISTS PLLC JACKSON MS OPHTHALMOLOGY 2 55 $14,130 $257 premium 59.1% (601) 355-9537
73 OPHTHALMIC CONSULTANTS OF VERMONT PC S BURLINGTON VT OPHTHALMOLOGY 5 55 $14,905 $271 premium 100.0% (802) 864-2010
74 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NJ OPHTHALMOLOGY 115 55 $31,652 $575 premium 3.4% (201) 837-7300
75 OPHTHALMIC FACIAL PLASTIC SURGERY SPECIALISTS FORT MYERS FL OPHTHALMOLOGY 2 53 $20,538 $388 premium 2.8% (239) 947-4042
76 OPHTHALMOLOGY ASSOCIATES OF THE VALLEY MEDICAL GROUP ENCINO CA OPHTHALMOLOGY 8 52 $20,790 $400 premium 1.2% (818) 990-3623
77 ROCK HILL EYE CLINIC PA ROCK HILL SC OPHTHALMOLOGY 6 52 $23,359 $449 premium 16.9% (803) 328-0168
78 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 52 $47,143 $907 premium 1.2% (323) 442-7122
79 EUGENE B GABIANELLI MD AND ASSOC LLC ATLANTA GA OPHTHALMOLOGY 29 52 $29,390 $565 premium 8.7% (404) 531-9988
80 MILAN EYE LLC JOHNS CREEK GA OPHTHALMOLOGY 20 50 $23,000 $460 premium 8.3% (678) 381-2020
81 REFOCUS EYE HEALTH OF PA PC PHILADELPHIA PA OPHTHALMOLOGY 15 49 $32,340 $660 premium 11.4% (215) 335-3088
82 JERVEY EYE GROUP PA GREENVILLE SC OPHTHALMOLOGY 20 49 $15,677 $320 premium 16.0% (864) 458-7956
83 KAHANA OCULOPLASTIC SURGERY PLLC ANN ARBOR MI OPHTHALMOLOGY 3 47 $42,830 $911 premium 7.4% (734) 478-2288
84 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 47 $22,528 $479 premium 11.0% (615) 322-5000
85 YOUR EYE ASSOCIATES LLC HARLEYSVILLE PA OPTOMETRY 6 47 $15,040 $320 premium 11.0% (215) 256-6735
86 EYE PHYSICIANS OF FLORIDA LLP PLANTATION FL OPHTHALMOLOGY 42 47 $21,150 $450 premium 2.5% (954) 741-5555
87 JENNIFER T SCRUGGS MD PA LITTLE ROCK AR OPHTHALMOLOGY 2 46 $17,728 $385 premium 38.0% (501) 221-0123
88 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 46 $43,136 $938 premium 70.8% (608) 287-2050
89 E JOSEPH NADJI MD A MEDICAL CORPORATION SANTA MONICA CA OPHTHALMOLOGY 2 46 $14,846 $323 premium 1.1% (310) 453-0551
90 OCULOPLASTIC ASSOCIATES OF WEST MICHIGAN PLC GRAND RAPIDS MI OPHTHALMOLOGY 2 46 $30,295 $659 premium 7.3% (616) 888-2948
91 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 46 $22,149 $482 premium 7.3% (734) 763-5459
92 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 45 $24,623 $547 premium 17.5% (913) 588-1227
93 D'AMBROSIO EYE CARE INC LANCASTER MA OPTOMETRY 12 45 $21,945 $488 premium 8.6% (978) 537-3900
94 OCULOPLASTIC ASSOCIATES OF TEXAS PLLC DALLAS MO OPHTHALMOLOGY 4 45 $14,198 $316 premium 23.9% (214) 369-0555
95 TRIAD OCULAR AND FACIAL PLASTIC SURGERY PLLC CLEMMONS NC OPHTHALMOLOGY 2 45 $19,988 $444 premium 6.4% (336) 448-3060
96 NEIGEL CENTER, PA FLORHAM PARK NJ OPHTHALMOLOGY 3 45 $24,375 $542 premium 2.8% (973) 410-1100
97 PACIFIC EYE INSTITUTE A MEDICAL GROUP INC UPLAND CA OPHTHALMOLOGY 47 44 $77,625 $1,764 premium 1.0% (909) 982-8846
98 BARRY J. EDISON D.O. P.C. EATONTOWN NJ OPHTHALMOLOGY 4 44 $17,520 $398 premium 2.7% (732) 201-3993
99 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 43 $44,548 $1,036 premium 14.2% (720) 777-1234
100 REMAGIN LLC WINDERMERE FL OPHTHALMOLOGY 3 43 $12,846 $299 premium 2.3% (407) 704-3937

Showing the top 100 of 242 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →