NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
76513 Ultrasound scan of eye using water bath method CPT · Ultrasound imaging
Classification Imaging › Ultrasound › Ultrasound - Nonspecific (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 8,892 services ▼ 2.9% YoY · 7,832 beneficiaries (CY2024, Medicare FFS)
Medicare paid $654K · $73.53 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
60
Named-group FFS services
3,907
FFS of Medicare
49%
Services YoY
-2.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~8,176 services

3,907 observed fee-for-service (48%) · ~4,269 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 — 76513 (CY2024)
NY 4,302 CA 1,402 TX 831 MI 342 PA 307

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

Named-group submitted charges
$1.5M
Named-group allowed amount
$344K
Named-group Medicare payments
$258K
Avg charge / svc
$395
Avg allowed / svc
$88
Avg payment / svc
$66
Average charge per group
$32 60 groups · avg submitted charge / service $994
Market analyticsPlatform
a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 76513 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 284 $282,167 $994 6.6% —
2 SERRANO EYE CENTER MEDICAL GROUP LOS ANGELES CA OPHTHALMOLOGY 3 238 $47,600 $200 17.0% (213) 380-8800
3 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 223 $40,830 $183 100.0% (617) 523-7900
4 BROOK PLAZA OPTHALMOLOGY ASSOC PC BROOKLYN NY OPHTHALMOLOGY 4 181 $62,445 $345 4.2% (718) 968-8700
5 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 145 $104,727 $722 3.4% (212) 263-9700
6 MANHATTAN VISION ASSOCIATES NEW YORK NY OPTOMETRY 5 139 $41,700 $300 3.2% (212) 688-4277
7 MSKCC SURGERY GROUP NEW YORK NY PHYSICIAN ASSISTANT 373 139 $30,690 $221 3.2% (212) 639-2000
8 SHIELDS AND SHIELDS PC PHILADELPHIA PA OPHTHALMOLOGY 2 135 $67,500 $500 44.0% (215) 928-3105
9 A AND D MEDICAL, PC BROOKLYN NY OPTOMETRY 6 130 $44,191 $340 3.0% (718) 676-6464
10 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 121 $34,042 $281 35.4% (734) 763-5459
11 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 119 $109,480 $920 2.8% (212) 305-8559
12 BURMAN AND ZUCKERBROD OPHTHALMOLOGY ASSOCIATES, PC BLOOMFIELD HILLS MI OPHTHALMOLOGY 4 118 $35,400 $300 34.5% (248) 332-4544
13 ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND NEW ORLEANS NY INTERNAL MEDICINE 412 117 $17,743 $152 2.7% —
14 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 113 $92,000 $814 8.1% (323) 442-7122
15 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 85 $29,410 $346 10.2% (214) 633-5555
16 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 80 $29,600 $370 69.6% (919) 684-8111
17 BROOKLYN OPHTHALMOLOGY PLLC GREAT NECK NY OPTOMETRY 3 74 $27,052 $366 1.7% —
18 OPHTHALMOLOGY ASSOCIATES OF QUEENS PC ASTORIA NY OPHTHALMOLOGY 2 65 $16,250 $250 1.5% (201) 951-0496
19 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 61 $18,748 $307 38.1% (305) 689-5437
20 EYE PHYSICIANS OF ORANGE COUNTY PC GOSHEN NY OPHTHALMOLOGY 8 57 $13,167 $231 1.3% —
21 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 56 $22,288 $398 4.0% (650) 723-4000
22 JW EYE ASSOCIATES, PLLC DALLAS TX OPTOMETRY 35 54 $4,376 $81 6.5% (214) 754-0000
23 RIVERDALE OPHTHALMOLOGY PLLC BRONX NY OPHTHALMOLOGY 2 51 $15,300 $300 1.2% (425) 644-2020
24 CEI PHYSICIANS PSC, LLC BLUE ASH OH OPHTHALMOLOGY 157 50 $18,950 $379 39.7% 51398451333741
25 TEXAS RETINA ASSOCIATES DALLAS TX OPHTHALMOLOGY 18 49 $15,250 $311 5.9% (214) 692-6941
26 MERCY HEALTH SYSTEM CORPORATION JANESVILLE WI EMERGENCY MEDICINE 755 46 $1,469 $32 76.7% (608) 756-6000
27 ROBERT ROTHSTEIN MD PC FOREST HILLS NY OPTOMETRY 3 42 $8,400 $200 1.0% (718) 261-2727
28 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 40 $15,184 $380 4.8% (713) 592-5433
29 HEA CLINIC PA HOUSTON TX OPHTHALMOLOGY 42 39 $23,010 $590 4.7% (713) 467-6474
30 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 37 $16,132 $436 72.5% (404) 778-7525
31 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 36 $6,294 $175 100.0% (319) 678-8201
32 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 36 $18,943 $526 46.2% (507) 284-2511
33 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 36 $5,184 $144 73.5% (720) 777-1234
34 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 35 $29,185 $834 2.5% (800) 926-8273
35 MURRAY OCULAR ONCOLOGY AND RETINA INC SOUTH MIAMI FL OPHTHALMOLOGY 2 34 $3,928 $116 21.2% (305) 487-7470
36 TOTAL EYE CARE CENTERS PC LAWRENCEVILLE PA OPHTHALMOLOGY 14 34 $17,280 $508 11.1% (609) 882-8828
37 UNGER EYE CARE PC TROY IL OPTOMETRY 2 33 $6,600 $200 26.4% (618) 667-2020
38 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 32 $8,160 $255 25.4% —
39 THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS CHICAGO IL NURSE PRACTITIONER 1170 31 $7,056 $228 24.8% —
40 RETINA CONSULTANTS PC MANCHESTER CT OPHTHALMOLOGY 7 30 $11,100 $370 100.0% (860) 646-7704
41 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 30 $20,161 $672 18.8% (904) 953-2000
42 A AND D MEDICAL, PC BROOKLYN NM OPTOMETRY 6 30 $10,198 $340 100.0% (718) 676-6464
43 AUSTIN RETINA ASSOCIATES PLLC AUSTIN TX OPHTHALMOLOGY 19 30 $7,350 $245 3.6% (512) 451-0103
44 TOTAL EYE CARE CENTERS PC LAWRENCEVILLE NJ OPHTHALMOLOGY 14 30 $9,000 $300 16.5% (609) 882-8828
45 ARTHUR M. COTLIAR, MD PLLC NEW YORK NY OPHTHALMOLOGY 9 27 $13,500 $500 0.6% (212) 568-2600
46 R MOSTAFAVI MD OPHTHAMOLOGIST PC STATEN ISLAND NY OPHTHALMOLOGY 5 27 $12,750 $472 0.6% (718) 370-2222
47 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 27 $14,812 $549 21.6% —
48 UT MEDICAL GROUP INC MEMPHIS TN NEPHROLOGY 95 26 $6,968 $268 100.0% (901) 866-8810
49 OSU EYE PHYSICIANS AND SURGEONS, LLC COLUMBUS OH OPHTHALMOLOGY 49 25 $3,250 $130 19.8% (614) 293-8116
50 VITREO-RETINAL MEDICAL GROUP, INC. YUBA CITY CA OPHTHALMOLOGY 21 24 $6,720 $280 1.7% (530) 273-8358
51 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 24 $2,364 $98 100.0% (206) 364-0500
52 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 23 $2,093 $91 19.5% (503) 494-8311
53 GLAUCOMA SPECIALISTS OF SOUTH FLORIDA PA DELRAY BEACH FL OPHTHALMOLOGY 5 21 $5,431 $259 13.1% (561) 479-3884
54 EYE CENTERS OF AMERICA LLC BLOOMFIELD NJ OPHTHALMOLOGY 123 18 $3,240 $180 9.9% (973) 707-5632
55 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 17 $5,100 $300 100.0% (314) 747-3000
56 COCKRELL EYECARE CENTER PLLC STILLWATER OK OPTOMETRY 5 17 $2,380 $140 22.4% (405) 372-1715
57 ATLANTIC EYE PHYSICIANS, PA EATONTOWN NJ OPHTHALMOLOGY 12 17 $2,600 $153 9.3% (732) 222-7373
58 NORTH MEMORIAL HEALTH CARE ROBBINSDALE MN PHYSICIAN ASSISTANT 501 16 $4,000 $250 20.5% (763) 581-5400
59 RETINA ASSOCIATES OF FLORIDA, P.A. TAMPA FL OPHTHALMOLOGY 3 14 $2,660 $190 8.8% (813) 875-6373
60 EID VISION INC PEACHTREE CORNERS GA OPTOMETRY 2 14 $4,200 $300 27.5% (770) 441-1211
61 COLORADO RETINA ASSOCIATES, PLLC ENGLEWOOD CO OPHTHALMOLOGY 14 13 $2,639 $203 26.5% (303) 261-1600
62 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 12 $2,520 $210 0.9% (877) 827-7463

*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 →