NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
92004 New patient complete 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 1.52M services ▼ 7.4% YoY · 1.52M beneficiaries (CY2024, Medicare FFS)
Medicare paid $145.0M · $95.18 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
5,700
Named-group FFS services
1,073,148
FFS of Medicare
49%
Services YoY
-7.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,156,647 services

1,073,148 observed fee-for-service (50%) · ~1,083,499 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; 3 states without payer-mix data excluded. How we scale

Top states — 92004 (CY2024)
CA 157,902 FL 131,114 NY 130,996 TX 121,235 NJ 61,815

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

Named-group submitted charges
$286.8M
Named-group allowed amount
$156.2M
Named-group Medicare payments
$101.7M
Avg charge / svc
$267
Avg allowed / svc
$146
Avg payment / svc
$95
Average charge per group
$45 5,700 groups · avg submitted charge / service $1,926
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 92004 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ADVANCED EYECARE PROFESSIONAL OPTOMETRIC GROUP GLENDALE CA OPTOMETRY 8 9,466 $2,130,668 $225 6.0% (818) 240-0890
2 RESIDENT EYE CARE ASSOCIATES LLC FAIR LAWN NJ OPTOMETRY 15 6,297 $1,322,370 $210 10.2% —
3 SIGHT MEDICAL DOCTORS PLLC SMITHTOWN NY OPHTHALMOLOGY 115 6,249 $1,647,640 $264 4.8% (631) 265-8780
4 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 5,300 $3,179,436 $600 4.0% —
5 JACOB C SHAFRAN OPTOMETRY PLLC BROOKLYN NY OPTOMETRY 4 4,616 $1,032,822 $224 3.5% (212) 739-1799
6 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 4,021 $967,109 $241 3.1% (516) 766-2519
7 EYE ASSOCIATES OF NEW MEXICO LTD ALBUQUERQUE NM OPTOMETRY 67 3,881 $1,052,708 $271 32.9% (505) 888-5757
8 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 3,835 $1,610,866 $420 11.9% (410) 502-4340
9 RETINA VITREOUS CONSULTANTS FT LAUDERDALE FL OPHTHALMOLOGY 44 3,641 $1,452,741 $399 2.8% (954) 776-6880
10 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTON MA OPHTHALMOLOGY 70 3,580 $1,609,199 $449 6.8% (617) 367-4800
11 BARNET DULANEY PERKINS EYE CENTER, PC PHOENIX AZ OPTOMETRY 103 3,132 $1,174,500 $375 8.8% (602) 955-1000
12 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NJ OPHTHALMOLOGY 115 3,000 $1,258,189 $419 4.9% (201) 837-7300
13 EYE ASSOCIATES OF MANATEE, LLP BRADENTON FL OPTOMETRY 63 2,937 $872,244 $297 2.2% (941) 792-2020
14 EYE CENTERS OF AMERICA LLC BLOOMFIELD NJ OPHTHALMOLOGY 123 2,899 $875,333 $302 4.7% (973) 707-5632
15 HEA CLINIC PA HOUSTON TX OPHTHALMOLOGY 42 2,793 $1,284,780 $460 2.3% (713) 467-6474
16 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 2,636 $726,490 $276 6.9% 75762222003020
17 EYE CARE VISION OPTOMETRY PC STATEN ISLAND NY OPTOMETRY 31 2,622 $712,247 $272 2.0% (646) 921-1738
18 JEFFREY L MORER OD PC FRAMINGHAM MA OPTOMETRY 57 2,587 $491,530 $190 4.9% (617) 964-6681
19 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 2,560 $940,748 $367 2.0% (914) 241-1050
20 EYE CONSULTANTS OF ATLANTA, PC ATLANTA GA OPHTHALMOLOGY 30 2,495 $886,291 $355 6.2% (404) 351-2220
21 WHEATON EYE CLINIC LTD WHEATON IL OPHTHALMOLOGY 45 2,458 $398,948 $162 4.1% (630) 668-8250
22 CEI PHYSICIANS PSC, LLC BLUE ASH OH OPHTHALMOLOGY 157 2,449 $1,408,287 $575 6.9% 51398451333741
23 WOLFE CLINIC INC MARSHALLTOWN IA OPHTHALMOLOGY 36 2,445 $882,854 $361 13.7% (641) 754-6200
24 LONG ISLAND VITREO RETINAL CONSULTANTS PC GREAT NECK NY OPHTHALMOLOGY 19 2,438 $1,096,288 $450 1.9% (516) 466-0390
25 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 2,380 $1,406,378 $591 6.7% —
26 GAILEY EYE CLINIC, LTD BLOOMINGTON IL OPHTHALMOLOGY 16 2,326 $686,170 $295 3.9% 30982953111066
27 TEXAS RETINA ASSOCIATES DALLAS TX OPHTHALMOLOGY 18 2,305 $633,875 $275 1.9% (214) 692-6941
28 SWIFT OPTOMETRY CARE PC SAINT JAMES NY OPTOMETRY 8 2,268 $1,174,306 $518 1.7% (718) 963-3495
29 SPECTRUM EYECARE OPTOMETRY INC SAN DIMAS CA OPTOMETRY 8 2,250 $580,500 $258 1.4% (909) 394-0462
30 PACIFIC EYE INSTITUTE A MEDICAL GROUP INC UPLAND CA OPHTHALMOLOGY 47 2,215 $465,505 $210 1.4% (909) 982-8846
31 SHEPHERD EYE CENTER LTD LAS VEGAS NV OPHTHALMOLOGY 41 2,180 $960,882 $441 18.0% (702) 896-6043
32 EYE SPECIALISTS OF INDIANA PC INDIANAPOLIS IN OPTOMETRY 12 2,133 $405,270 $190 10.0% (317) 925-2200
33 BERKELEY EYE INSTITUTE, PLLC HOUSTON TX OPTOMETRY 62 2,110 $358,700 $170 1.7% (281) 333-8600
34 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON MD OPHTHALMOLOGY 80 2,100 $905,100 $431 6.5% (202) 331-1188
35 VISION INNOVATION CENTERS OF PENNSYLVANIA LLC WEST PITTSTON PA OPTOMETRY 85 2,075 $721,040 $347 4.0% (570) 602-1010
36 VITREO-RETINAL MEDICAL GROUP, INC. YUBA CITY CA OPHTHALMOLOGY 21 1,892 $1,001,840 $530 1.2% (530) 273-8358
37 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 1,832 $756,490 $413 1.5% (254) 724-2663
38 EYE SURGEONS OF RICHMOND INC RICHMOND VA OPHTHALMOLOGY 44 1,818 $618,120 $340 4.8% (804) 287-4200
39 OCALA EYE PA OCALA FL OPHTHALMOLOGY 24 1,805 $350,437 $194 1.4% (352) 622-5183
40 CAROLINA EYECARE PHYSICIANS LLC CHARLESTON SC OPHTHALMOLOGY 28 1,773 $507,927 $286 6.8% (888) 856-1878
41 EYE CARE AND VISION ASSOCIATES LLC ALLEN TX OPTOMETRY 2 1,761 $343,406 $195 1.5% (214) 551-9320
42 CLEMSON EYE PA EASLEY SC OPTOMETRY 51 1,759 $512,150 $291 6.8% (864) 654-6706
43 JW EYE ASSOCIATES, PLLC DALLAS TX OPTOMETRY 35 1,749 $424,139 $243 1.4% (214) 754-0000
44 STONY BROOK OPHTHALMOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY OPHTHALMOLOGY 16 1,746 $835,320 $478 1.3% (631) 444-4090
45 CHESAPEAKE EYE CARE AND LASER CENTER LLC ANNAPOLIS MD OPHTHALMOLOGY 78 1,736 $615,674 $355 5.4% (410) 571-8733
46 DR. J. SOLOMON MOORE, OD AND ASSOCIATES, INC. VAN NUYS CA OPTOMETRY 4 1,714 $299,950 $175 1.1% (818) 785-4040
47 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 1,711 $1,559,839 $912 1.1% (323) 442-7122
48 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 1,695 $565,828 $334 3.2% (617) 421-1000
49 RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR PASADENA CA OPHTHALMOLOGY 82 1,695 $452,992 $267 1.1% (800) 898-2020
50 CAPE CORAL EYE CENTER PA CAPE CORAL FL OPTOMETRY 18 1,678 $340,304 $203 1.3% (239) 542-2020
51 SOUTHEASTERN RETINA ASSOCIATES PC KNOXVILLE TN OPHTHALMOLOGY 21 1,620 $502,313 $310 5.2% (865) 588-0811
52 AUSTIN RETINA ASSOCIATES PLLC AUSTIN TX OPHTHALMOLOGY 19 1,616 $509,075 $315 1.3% (512) 451-0103
53 CENTER FOR SIGHT PL VENICE FL OPTOMETRY 37 1,608 $497,236 $309 1.2% (941) 488-2020
54 SHORE EYE ASSOCIATES PA TOMS RIVER NJ OPHTHALMOLOGY 17 1,602 $800,425 $500 2.6% (732) 341-4733
55 CHARLES S OVITSKY PC CHICAGO IL OPTOMETRY 13 1,593 $271,050 $170 2.6% (773) 588-3090
56 MARION EYE CENTERS LTD MARION IL OPTOMETRY 39 1,571 $389,608 $248 2.6% (618) 993-5686
57 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 1,569 $1,359,990 $867 1.2% (212) 263-9700
58 FLORIDA EYE MICROSURGICAL INSTITUTE INC BOYNTON BEACH FL OPHTHALMOLOGY 13 1,563 $441,878 $283 1.2% (561) 737-5500
59 SPOKANE EYE CLINIC PS SPOKANE WA OPHTHALMOLOGY 35 1,563 $357,926 $229 4.9% (509) 456-0107
60 SIGHT SERVICES PC PHILADELPHIA PA OPTOMETRY 8 1,554 $352,821 $227 3.0% (215) 877-1565
61 RIDGE EYE CARE INC MARYSVILLE CA OPTOMETRY 19 1,553 $381,964 $246 1.0% (530) 743-1873
62 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 1,545 $567,391 $367 1.2% (305) 689-5437
63 ASSOCIATED OPHTHALMOLOGISTS LTD SCOTTSDALE AZ OPHTHALMOLOGY 19 1,535 $434,440 $283 4.3% (602) 991-5012
64 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 1,527 $558,462 $366 7.2% (507) 284-2511
65 VITREOUS RETINA MACULA CONSULTANTS OF NEW YORK BROOKLYN NY OPHTHALMOLOGY 11 1,504 $1,046,784 $696 1.1% (718) 376-3223
66 JONATHAN WOOLFSON MD PC ATLANTA GA OPHTHALMOLOGY 32 1,478 $369,500 $250 3.7% (770) 804-1684
67 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 1,462 $378,658 $259 5.9% —
68 CASCADE EYE AND SKIN CENTERS PC PUYALLUP WA PHYSICIAN ASSISTANT 45 1,460 $338,557 $232 4.6% (253) 848-3000
69 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 1,423 $484,375 $340 5.2% (704) 295-3414
70 CHARLES L. HEATON, M.D. P.A. TYLER TX OPHTHALMOLOGY 18 1,414 $453,745 $321 1.2% 90352604442111
71 EYE HEALTH NORTHWEST PC PORTLAND OR OPHTHALMOLOGY 69 1,413 $553,896 $392 8.6% (503) 255-2291
72 BAYCARE CLINIC LLP GREEN BAY WI PHYSICIAN ASSISTANT 199 1,396 $457,046 $327 6.3% —
73 PACIFIC EYE SURGEONS A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION PASO ROBLES CA OPHTHALMOLOGY 20 1,389 $326,799 $235 0.9% (805) 545-8100
74 CHROMA OPTICS PLLC BURLINGTON VT OPTOMETRY 2 1,384 $311,400 $225 23.1% (802) 497-1676
75 EYESIGHT OPHTHALMIC SERVICES PLLC PORTSMOUTH NH OPHTHALMOLOGY 17 1,383 $560,115 $405 15.4% (603) 436-1773
76 ST LUKES CATARACT AND LASER INSTITUTE TARPON SPRINGS FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 48 1,378 $304,538 $221 1.1% (727) 943-3111
77 OMAHA EYE AND LASER INSTITUTE, INC. OMAHA NE OPHTHALMOLOGY 14 1,374 $544,240 $396 12.1% (402) 898-3818
78 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 1,370 $627,850 $458 2.6% (617) 523-7900
79 BOSTON LASER EYE INSTITUTE PC BROOKLINE MA OPHTHALMOLOGY 23 1,368 $586,840 $429 2.6% (617) 202-2020
80 BONNEY LAKE OPTICAL INC BONNEY LAKE WA OPTOMETRY 2 1,365 $266,830 $195 4.3% (253) 750-8135
81 PACIFIC NORTHWEST RETINA PLLC BELLEVUE WA OPHTHALMOLOGY 19 1,358 $399,252 $294 4.2% (206) 215-3850
82 HORIZON EYE CARE PA MARGATE CITY NJ OPTOMETRY 13 1,357 $269,650 $199 2.2% (609) 822-4242
83 NORTH IDAHO EYE INSTITUTE P A COEUR D ALENE ID OPHTHALMOLOGY 11 1,346 $386,302 $287 13.8% (208) 667-2531
84 EYES ON SITE PLLC MESA AZ OPTOMETRY 4 1,346 $239,434 $178 3.8% (480) 626-8925
85 ADVANCED SURGICAL MOBILE EYE CARE LLC APOLLO BEACH FL OPTOMETRY 6 1,333 $276,021 $207 1.0% —
86 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 1,333 $555,337 $417 1.1% (214) 633-5555
87 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 1,331 $371,920 $279 11.2% (801) 581-2121
88 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 1,328 $395,028 $297 4.2% (865) 938-3627
89 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 1,312 $613,075 $467 5.9% (608) 260-2900
90 CHARLESTON NEUROSCIENCES INSTITUTE CHARLESTON SC OPHTHALMOLOGY 9 1,309 $361,128 $276 5.0% (843) 763-4466
91 GAINESVILLE EYE ASSOCIATES LLC GAINESVILLE GA OPHTHALMOLOGY 20 1,303 $459,264 $352 3.2% (770) 532-4444
92 RETINA ASSOCIATES LLC LENEXA KS OPHTHALMOLOGY 12 1,283 $257,986 $201 6.4% —
93 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 1,274 $546,514 $429 1.0% (904) 396-1725
94 THE EYE PHYSICIANS OF PINELLAS, PA LARGO FL OPHTHALMOLOGY 39 1,247 $344,952 $277 1.0% (727) 581-8706
95 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 1,244 $634,440 $510 0.9% (212) 746-5454
96 EAST TEXAS EYE CARE ASSOCIATES PLLC TYLER TX OPHTHALMOLOGY 12 1,241 $300,380 $242 1.0% (903) 595-0500
97 COLORADO RETINA ASSOCIATES, PLLC ENGLEWOOD CO OPHTHALMOLOGY 14 1,238 $474,646 $383 5.3% (303) 261-1600
98 ADVANTAGECARE PHYSICIANS PC BROOKLYN NY INTERNAL MEDICINE 318 1,214 $482,437 $397 0.9% (718) 858-6300
99 RETINA SPECIALISTS OF MISSISSIPPI, PLLC HATTIESBURG MS OPHTHALMOLOGY 7 1,211 $240,989 $199 5.6% (601) 255-0736
100 JEFFREY L MORER OD PC FRAMINGHAM OH OPTOMETRY 57 1,176 $186,984 $159 3.3% (617) 964-6681

Showing the top 100 of 5,700 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 →