NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
92002 New patient problem focused exam of visual system CPT · E&M
Classification E&M › Ophthalmological Services › Ophthalmological E&M (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 78,491 services ▼ 12.1% YoY · 78,480 beneficiaries (CY2024, Medicare FFS)
Medicare paid $4.6M · $58.27 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
915
Named-group FFS services
52,715
FFS of Medicare
49%
Services YoY
-12.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~105,211 services

52,715 observed fee-for-service (50%) · ~52,496 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; 1 state without payer-mix data excluded. How we scale

Top states — 92002 (CY2024)
NY 15,224 CA 8,254 TX 7,770 FL 6,042 NJ 4,079

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

Named-group submitted charges
$9.1M
Named-group allowed amount
$4.5M
Named-group Medicare payments
$3.1M
Avg charge / svc
$172
Avg allowed / svc
$85
Avg payment / svc
$58
Average charge per group
$45 915 groups · avg submitted charge / service $575
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 92002 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SWIFT OPTOMETRY CARE PC SAINT JAMES NY OPTOMETRY 8 1,715 $425,320 $248 11.3% (718) 963-3495
2 SIGHTRITE MEDICAL MD LLC MIDDLE RIVER MD OPTOMETRY 6 1,116 $137,511 $123 43.4% (212) 764-0008
3 TEXAS OCULOPLASTIC CONSULTANTS LLP AUSTIN TX OPHTHALMOLOGY 12 1,012 $119,950 $119 13.0% (512) 457-2141
4 SIGHTRITE INC WEST BABYLON NY OPTOMETRY 6 827 $106,589 $129 5.4% (631) 422-4800
5 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 768 $357,251 $465 5.0% —
6 ADVANCED EYECARE PROFESSIONAL OPTOMETRIC GROUP GLENDALE CA OPTOMETRY 8 759 $102,925 $136 9.2% (818) 240-0890
7 JEFFREY L MORER OD PC FRAMINGHAM CT OPTOMETRY 57 668 $70,140 $105 32.6% (617) 964-6681
8 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 627 $72,105 $115 33.6% 75762222003020
9 SIGHT SERVICES PC PHILADELPHIA PA OPTOMETRY 8 598 $67,066 $112 16.7% (215) 877-1565
10 EYE MEDICIAL ASSOCIATES OF ABILENE ABILENE TX OPTOMETRY 6 585 $81,900 $140 7.5% (325) 428-1000
11 SIGHT MEDICAL DOCTORS PLLC SMITHTOWN NY OPHTHALMOLOGY 115 516 $94,895 $184 3.4% (631) 265-8780
12 SIGHT SERVICES PC PHILADELPHIA NY OPTOMETRY 8 488 $56,525 $116 3.2% (215) 877-1565
13 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 377 $135,720 $360 2.5% (212) 305-8559
14 JEFFREY L MORER OD PC FRAMINGHAM MA OPTOMETRY 57 358 $37,590 $105 16.4% (617) 964-6681
15 SHULKIN EYE ASSOCIATES DALLAS TX OPHTHALMOLOGY 2 345 $65,718 $190 4.4% (972) 566-7999
16 PHYSICIAN AFFILIATE GROUP OF NEW YORK PC BROOKLYN NY PHYSICIAN ASSISTANT 1231 326 $36,867 $113 2.1% (718) 616-5356
17 CAPE CORAL EYE CENTER PA CAPE CORAL FL OPTOMETRY 18 306 $33,146 $108 5.1% (239) 542-2020
18 GAILEY EYE CLINIC, LTD BLOOMINGTON IL OPHTHALMOLOGY 16 296 $48,248 $163 8.1% 30982953111066
19 MILWAUKEE AVENUE EYE CENTER, S.C. NILES IL OPHTHALMOLOGY 9 295 $44,304 $150 8.1% (773) 775-0811
20 RIDGE EYE CARE INC MARYSVILLE CA OPTOMETRY 19 292 $41,464 $142 3.5% (530) 743-1873
21 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 277 $65,372 $236 10.8% (410) 502-4340
22 EYE ASSOCIATES OF BOCA RATON, P.A. BOCA RATON FL OPHTHALMOLOGY 7 275 $28,875 $105 4.6% (561) 391-8300
23 MOBILE VISION DOCTORS LLC HOLLYWOOD FL OPTOMETRY 5 272 $67,456 $248 4.5% (305) 439-2015
24 SIGHT SERVICES PC PHILADELPHIA NJ OPTOMETRY 8 267 $32,232 $121 6.5% (215) 877-1565
25 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 257 $65,535 $255 61.8% (507) 284-2511
26 MAGIE MABREY EYE CLINIC P A CONWAY AR OPHTHALMOLOGY 5 253 $43,769 $173 26.5% (501) 327-4444
27 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 243 $79,218 $326 4.0% (904) 953-2000
28 MICHAEL JAY PAVELOFF MD INC SANTA BARBARA CA OPHTHALMOLOGY 3 241 $72,300 $300 2.9% (805) 682-4459
29 EYE CENTERS OF AMERICA LLC BLOOMFIELD NJ OPHTHALMOLOGY 123 235 $36,930 $157 5.8% (973) 707-5632
30 PACIFIC EYE INSTITUTE A MEDICAL GROUP INC UPLAND CA OPHTHALMOLOGY 47 229 $29,541 $129 2.8% (909) 982-8846
31 NORTH IDAHO EYE INSTITUTE P A COEUR D ALENE ID OPHTHALMOLOGY 11 222 $38,032 $171 55.2% (208) 667-2531
32 SWIFT OPTOMETRY CARE PC SAINT JAMES PA OPTOMETRY 8 215 $53,320 $248 6.0% (718) 963-3495
33 SUNIL GUPTA MD LLC PENSACOLA FL OPHTHALMOLOGY 10 211 $31,975 $152 3.5% (850) 476-6759
34 DR NEELOFAR GHAZNAWI MD PC ELMHURST NY OPHTHALMOLOGY 2 197 $33,884 $172 1.3% (718) 458-0086
35 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NJ OPHTHALMOLOGY 115 197 $40,989 $208 4.8% (201) 837-7300
36 SWIFT OPTOMETRY CARE PC SAINT JAMES NJ OPTOMETRY 8 193 $47,864 $248 4.7% (718) 963-3495
37 ZLATIN OPTOMETRIST, PC SCARSDALE NY OPTOMETRY 3 193 $57,900 $300 1.3% (914) 472-5932
38 JACOB C SHAFRAN OPTOMETRY PLLC BROOKLYN NY OPTOMETRY 4 190 $33,142 $174 1.2% (212) 739-1799
39 BAY EYES CATARACT AND LASER CENTER INC FAIRHOPE FL OPHTHALMOLOGY 19 187 $36,102 $193 3.1% (251) 990-3937
40 CHARLES S OVITSKY PC CHICAGO IL OPTOMETRY 13 182 $20,020 $110 5.0% (773) 588-3090
41 EYE SPECIALISTS ASSOCIATED, PA HAYS KS OPHTHALMOLOGY 2 179 $40,234 $225 13.8% (785) 628-8218
42 MICHAEL W. GEIGER, OD PC ALTUS OK OPTOMETRY 5 178 $16,020 $90 21.3% (580) 482-1756
43 RETINA SPECIALISTS OF MISSISSIPPI, PLLC HATTIESBURG MS OPHTHALMOLOGY 7 175 $30,625 $175 18.4% (601) 255-0736
44 ASSOCIATED OPHTHALMOLOGISTS LTD SCOTTSDALE AZ OPHTHALMOLOGY 19 174 $28,600 $164 16.4% (602) 991-5012
45 NORTHEAST GEORGIA VISION CARE LLC CORNELIA GA OPTOMETRY 4 172 $16,410 $95 15.6% (706) 776-6311
46 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 170 $34,466 $203 20.5% —
47 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 170 $61,881 $364 2.1% (916) 983-7476
48 ENGSTROM EYE CENTER LLC ROSWELL NM OPHTHALMOLOGY 2 167 $16,676 $100 27.6% (575) 625-0123
49 EYE CENTER OF TEXAS LLP BELLAIRE TX OPHTHALMOLOGY 19 163 $42,380 $260 2.1% (713) 797-1010
50 SOUTH SHORE EYE CARE LLP WANTAGH NY OPHTHALMOLOGY 9 163 $34,230 $210 1.1% (516) 785-3900
51 STONY BROOK OPHTHALMOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY OPHTHALMOLOGY 16 156 $37,980 $243 1.0% (631) 444-4090
52 RONALD W. INGRAM, MD PA MIDLAND TX OPHTHALMOLOGY 4 153 $14,766 $97 2.0% (432) 694-0999
53 VITREO-RETINAL MEDICAL GROUP, INC. YUBA CITY CA OPHTHALMOLOGY 21 152 $47,120 $310 1.8% (530) 273-8358
54 JEFFREY L MORER OD PC FRAMINGHAM IN OPTOMETRY 57 150 $13,350 $89 24.2% (617) 964-6681
55 SPECTRUM EYECARE OPTOMETRY INC SAN DIMAS CA OPTOMETRY 8 150 $22,500 $150 1.8% (909) 394-0462
56 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 149 $47,680 $320 1.0% (212) 241-4812
57 EYE CLINIC A PROFESSIONAL MEDICAL CORP LAKE CHARLES LA OPHTHALMOLOGY 14 149 $24,585 $165 14.1% (337) 478-3810
58 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 147 $83,790 $570 1.8% (323) 442-7122
59 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 147 $71,589 $487 1.0% (212) 263-9700
60 TEXARKANA VISION GROUP PLLC TEXARKANA TX OPTOMETRY 3 144 $15,686 $109 1.9% (903) 794-3711
61 JEFFREY L. MORER, OD, PA FORT WORTH TX OPTOMETRY 12 144 $14,832 $103 1.9% (888) 964-6681
62 PHILLIPS VISION LLC TEXARKANA TX OPTOMETRY 5 143 $14,295 $100 1.8% (903) 329-5051
63 CONSULTING OPHTHALMOLOGISTS, P.C. FARMINGTON CT OPHTHALMOLOGY 12 143 $28,600 $200 7.0% (860) 678-0202
64 VANCE THOMPSON VISION CLINIC PROF LLC SIOUX FALLS IA OPTOMETRY 44 143 $36,209 $253 19.2% (605) 371-7100
65 HEA CLINIC PA HOUSTON TX OPHTHALMOLOGY 42 141 $37,118 $263 1.8% (713) 467-6474
66 MICHAEL J. COLLINS, JR, MD, PA FORT MYERS FL OPTOMETRY 9 140 $15,985 $114 2.3% (239) 936-4706
67 SENIOR EYE ASSOCIATES SC SCHAUMBURG IL OPTOMETRY 2 139 $17,375 $125 3.8% (773) 792-1011
68 SIGHTRITE MEDICAL FL PLLC JUPITER FL OPTOMETRY 7 138 $15,431 $112 2.3% (561) 746-2998
69 SOUTHERN WESTCHESTER OPHTHALMOLOGY PC NEW ROCHELLE NY OPHTHALMOLOGY 2 137 $13,589 $99 0.9% (914) 633-7214
70 COASTAL EYE ASSOCIATES PLLC WEBSTER TX OPHTHALMOLOGY 15 136 $14,552 $107 1.8% (281) 488-7213
71 KIRK EYE CENTER SC RIVER FOREST IL OPHTHALMOLOGY 8 132 $18,341 $139 3.6% (708) 771-3334
72 CHARLESTON NEUROSCIENCES INSTITUTE CHARLESTON SC OPHTHALMOLOGY 9 131 $15,065 $115 15.8% (843) 763-4466
73 R MOSTAFAVI MD OPHTHAMOLOGIST PC STATEN ISLAND NY OPHTHALMOLOGY 5 128 $25,600 $200 0.8% (718) 370-2222
74 RETINA ASSOCIATES LLC LENEXA KS OPHTHALMOLOGY 12 127 $17,145 $135 9.8% —
75 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 127 $30,988 $244 27.5% (720) 777-1234
76 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 125 $28,586 $229 3.5% (570) 271-6144
77 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 125 $24,874 $199 5.7% (617) 421-1000
78 HORIZON EYE CARE PA MARGATE CITY NJ OPTOMETRY 13 125 $15,625 $125 3.1% (609) 822-4242
79 BARNET DULANEY PERKINS EYE CENTER, PC PHOENIX AZ OPTOMETRY 103 125 $26,250 $210 11.8% (602) 955-1000
80 MIRAMAR EYE SPECIALISTS MEDICAL GROUP INC VENTURA CA OPHTHALMOLOGY 25 124 $23,560 $190 1.5% (805) 648-3085
81 CAROLINA EYECARE PHYSICIANS LLC CHARLESTON SC OPHTHALMOLOGY 28 123 $20,042 $163 14.9% (888) 856-1878
82 JING DONG MD PC ATHENS GA OPHTHALMOLOGY 5 123 $23,862 $194 11.2% (706) 546-9290
83 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 123 $21,483 $175 8.6% (865) 938-3627
84 LYNN AND YORK OPTOMETRISTS PC CLARKSVILLE TN OPTOMETRY 5 120 $12,551 $105 8.4% (931) 647-8417
85 MARION EYE CENTERS LTD MARION IL OPTOMETRY 39 120 $17,280 $144 3.3% (618) 993-5686
86 FLORIDA EYE MICROSURGICAL INSTITUTE INC BOYNTON BEACH FL OPHTHALMOLOGY 13 120 $23,380 $195 2.0% (561) 737-5500
87 JEFFREY L ZIMM MD PA NAPLES FL OPHTHALMOLOGY 6 119 $20,091 $169 2.0% (239) 592-5511
88 CENTER FOR SIGHT PL VENICE FL OPTOMETRY 37 119 $20,587 $173 2.0% (941) 488-2020
89 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 118 $27,494 $233 2.0% (904) 396-1725
90 PRINCETON EYE GROUP, PA PRINCETON NJ OPHTHALMOLOGY 14 113 $14,690 $130 2.8% (609) 921-9437
91 RAYNER EYE CLINIC, LLC OXFORD MS OPHTHALMOLOGY 11 112 $15,680 $140 11.8% (662) 234-6551
92 BARRY J. EDISON D.O. P.C. EATONTOWN NJ OPHTHALMOLOGY 4 112 $15,120 $135 2.7% (732) 201-3993
93 CENTER FOR SIGHT OF NORTHWEST FLORIDA, PA PENSACOLA FL OPHTHALMOLOGY 8 112 $14,224 $127 1.9% (850) 476-9236
94 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 111 $16,189 $146 1.3% (650) 723-4000
95 BAPTIST EYE SURGEONS, PLLC KNOXVILLE TN OPHTHALMOLOGY 12 111 $29,415 $265 7.8% (865) 579-3920
96 HUDSON LEBLANC, PLLC PAMPA TX OPTOMETRY 2 108 $14,580 $135 1.4% (806) 669-2824
97 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NJ NURSE PRACTITIONER 2273 106 $38,160 $360 2.6% (212) 305-8559
98 NORTHERN CALIFORNIA RETINA VITREOUS ASSOCIATES MEDICAL GROUP, INC. SAN JOSE CA OPHTHALMOLOGY 7 105 $13,125 $125 1.3% (408) 251-3500
99 GLEASON-JANKY EYE PHYSICIANS PC GRAND ISLAND NE OPHTHALMOLOGY 2 105 $16,265 $155 35.5% (308) 381-4733
100 VISALIA EYE CENTER INC VISALIA TX OPHTHALMOLOGY 3 105 $9,365 $89 1.4% (559) 733-4372

Showing the top 100 of 915 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 →