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Market snapshot

92004 in CA CY2024

Medicare Part B FFS · CY2024 · as published by CMS

92004 — New patient complete exam of visual system

Billing groups
458
Named-group FFS services
101,933
FFS of Medicare
49%
Services YoY
-6.8%
FFS enrollment +0.0%
Estimated all-Medicare volume FFS + estimated MA estimate
~206,808 services

101,933 observed fee-for-service (49%) · ~104,875 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

Named-group submitted charges
$29.8M
Named-group allowed amount
$16.5M
Named-group Medicare payments
$11.2M
Avg charge / svc
$292
Avg allowed / svc
$162
Avg payment / svc
$110
Average charge per group
$74 458 groups · avg submitted charge / service $912
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City Specialty Providers 92004 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ADVANCED EYECARE PROFESSIONAL OPTOMETRIC GROUP GLENDALE OPTOMETRY 8 9,466 $2,130,668 $225 6.0% (818) 240-0890
2 SPECTRUM EYECARE OPTOMETRY INC SAN DIMAS OPTOMETRY 8 2,250 $580,500 $258 1.4% (909) 394-0462
3 PACIFIC EYE INSTITUTE A MEDICAL GROUP INC UPLAND OPHTHALMOLOGY 47 2,215 $465,505 $210 1.4% (909) 982-8846
4 VITREO-RETINAL MEDICAL GROUP, INC. YUBA CITY OPHTHALMOLOGY 21 1,892 $1,001,840 $530 1.2% (530) 273-8358
5 DR. J. SOLOMON MOORE, OD AND ASSOCIATES, INC. VAN NUYS OPTOMETRY 4 1,714 $299,950 $175 1.1% (818) 785-4040
6 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA OPHTHALMOLOGY 116 1,711 $1,559,839 $912 1.1% (323) 442-7122
7 RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR PASADENA OPHTHALMOLOGY 82 1,695 $452,992 $267 1.1% (800) 898-2020
8 RIDGE EYE CARE INC MARYSVILLE OPTOMETRY 19 1,553 $381,964 $246 1.0% (530) 743-1873
9 PACIFIC EYE SURGEONS A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION PASO ROBLES OPHTHALMOLOGY 20 1,389 $326,799 $235 0.9% (805) 545-8100
10 SIGHTRITE INC WEST BABYLON OPTOMETRY 6 1,133 $263,265 $232 0.7% (631) 422-4800
11 SUTTER BAY MEDICAL FOUNDATION PALO ALTO INTERNAL MEDICINE 3716 1,109 $581,422 $524 0.7% (415) 600-1020
12 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM DIAGNOSTIC RADIOLOGY 1197 1,051 $703,576 $669 0.7% (916) 983-7476
13 CALIFORNIA RETINA ASSOCIATES, LP CHULA VISTA OPHTHALMOLOGY 19 1,025 $393,350 $384 0.6% 6194257755257755
14 ALI OD AND PATEL OD PROFESSIONAL OPTOMETRIC CORPORATION SAN LUIS OBISPO OPTOMETRY 3 988 $164,008 $166 0.6% (805) 544-0450
15 BAY AREA RETINA ASSOCIATES VALLEJO OPHTHALMOLOGY 8 982 $461,703 $470 0.6% (707) 552-9596
16 DAN B TRAN MEDICAL CORPORATION ORANGE OPTOMETRY 11 979 $293,150 $299 0.6% (714) 771-1213
17 DAVID F CHANG M D INC LOS ALTOS OPHTHALMOLOGY 2 977 $201,196 $206 0.6% (650) 948-9123
18 REGENTS OF THE UNIVERSITY OF CALIFORNIA SACRAMENTO FAMILY PRACTICE 561 965 $618,565 $641 0.6% (916) 734-7777
19 MIRAMAR EYE SPECIALISTS MEDICAL GROUP INC VENTURA OPHTHALMOLOGY 25 962 $327,525 $340 0.6% (805) 648-3085
20 HARVARD EYE ASSOCIATES FKA ROGER OHANESIAN MD AND EDWARD KIM MD INC SAN CLEMENTE OPHTHALMOLOGY 20 959 $417,297 $435 0.6% (949) 951-2020
21 SCRIPPS HEALTH LA JOLLA PHYSICIAN ASSISTANT 1431 894 $449,369 $503 0.6% (858) 455-9100
22 EYE CARE INSTITUTE A MEDICAL CORPORATION SANTA ROSA OPHTHALMOLOGY 8 844 $357,856 $424 0.5% (707) 546-9800
23 VANTAGE EYE CENTER A MEDICAL CORP MONTEREY OPHTHALMOLOGY 19 829 $310,875 $375 0.5% (831) 647-3900
24 DELTA EYE MEDICAL GROUP, INC. STOCKTON OPHTHALMOLOGY 8 812 $154,280 $190 0.5% (209) 478-1797
25 ALAN M BERG MD INC AND ROBERT E FEINFIELD MD INC BURBANK OPHTHALMOLOGY 8 786 $192,570 $245 0.5% (818) 845-3557
26 WEST COAST RETINA MEDICAL GROUP INC SAN FRANCISCO OPHTHALMOLOGY 10 782 $269,790 $345 0.5% (415) 972-4600
27 LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL GROUP LAKEWOOD OPHTHALMOLOGY 8 702 $175,500 $250 0.4% (562) 232-1442
28 RICHARD H HAVUNJIAN MD A PROFESSIONAL CORPORATION GLENDALE OPHTHALMOLOGY 2 671 $134,402 $200 0.4% (818) 548-5858
29 SPECIALTY EYE CARE MEDICAL CENTER , INC GLENDALE OPHTHALMOLOGY 4 667 $248,400 $372 0.4% (818) 265-7777
30 SANSUM CLINIC SANTA BARBARA INTERNAL MEDICINE 322 645 $269,610 $418 0.4% (805) 681-7500
31 CAMERON RIA LLC PHOENIX OPHTHALMOLOGY 6 642 $154,003 $240 0.4% (602) 368-3448
32 SHASTA EYE MEDICAL GROUP INC REDDING OPHTHALMOLOGY 6 628 $126,115 $201 0.4% (530) 223-2500
33 BAY EYE MEDICAL GROUP INC SANTA CRUZ OPHTHALMOLOGY 6 622 $155,500 $250 0.4% (831) 475-7012
34 NORTHERN CALIFORNIA RETINA VITREOUS ASSOCIATES MEDICAL GROUP, INC. SAN JOSE OPHTHALMOLOGY 7 604 $241,600 $400 0.4% (408) 251-3500
35 ARTHUR N. DONALDSON, M.D., INC. SONORA OPHTHALMOLOGY 2 600 $123,000 $205 0.4% (209) 532-0340
36 SPECTRUM EYE PHYSICIANS A MEDICAL CORPORATION CUPERTINO OPHTHALMOLOGY 14 600 $142,640 $238 0.4% (408) 253-3083
37 NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION SANTA ROSA OPHTHALMOLOGY 11 582 $195,367 $336 0.4% (707) 544-3375
38 SHARP REES-STEALY MEDICAL GROUP INC SAN DIEGO PHYSICIAN ASSISTANT 872 576 $226,971 $394 0.4% (858) 499-2600
39 REGENTS OF THE UNIV OF CA SACRAMENTO DIAGNOSTIC RADIOLOGY 1608 554 $213,132 $385 0.4% (877) 827-7463
40 CALIFORNIA RETINA CONSULTANTS SANTA BARBARA OPHTHALMOLOGY 11 534 $117,480 $220 0.3% (805) 963-1648
41 SIERRA VIEW MEDICAL EYE INC GRASS VALLEY OPHTHALMOLOGY 6 521 $98,125 $188 0.3% (530) 272-3411
42 RETINA CONSULTANTS SAN DIEGO INC POWAY OPHTHALMOLOGY 5 495 $101,475 $205 0.3% (858) 451-1911
43 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO DIAGNOSTIC RADIOLOGY 2057 494 $237,343 $480 0.3% (800) 926-8273
44 NANCY PARK OD, INC UKIAH OPTOMETRY 5 490 $82,280 $168 0.3% (707) 313-8019
45 OROHEALTH CORPORATION A NON PROFIT HEALTHCARE SYSTEM OROVILLE INTERNAL MEDICINE 124 474 $151,715 $320 0.3% (530) 532-8654
46 SACRAMENTO EYE CONSULTANTS A MED CORP SACRAMENTO OPHTHALMOLOGY 11 473 $199,208 $421 0.3% (916) 649-1515
47 BRADLEY J SANDLER MD INC. FAIRFIELD OPHTHALMOLOGY 2 468 $93,132 $199 0.3% (707) 422-6500
48 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO DIAGNOSTIC RADIOLOGY 2420 466 $234,686 $504 0.3% (916) 681-8852
49 VISION CARE CENTER A MEDICAL GROUP INC FRESNO OPHTHALMOLOGY 19 461 $92,200 $200 0.3% (559) 486-2000
50 COLE OPTOMETRIC CORPORATION EUREKA OPTOMETRY 2 461 $76,065 $165 0.3% (707) 445-4126
51 EYE SURGICAL AND MEDICAL ASSOCIATES, INC. VISALIA OPHTHALMOLOGY 6 457 $180,515 $395 0.3% (559) 627-9393
52 EAST BAY EYE CENTERS MEDICAL CORPORATION SAN RAMON OPHTHALMOLOGY 6 449 $122,448 $273 0.3% (925) 830-8823
53 MARSHALL B KETCHUM UNIVERSITY ANAHEIM OPTOMETRY 58 447 $109,515 $245 0.3% (714) 463-7505
54 DR B KAMKAR, OD A PROFESSIONAL OPTOMETRY CORP GLENDALE OPTOMETRY 2 444 $77,700 $175 0.3% (818) 500-8008
55 DAVID D GILBERT MD INC WALNUT CREEK OPHTHALMOLOGY 4 439 $114,252 $260 0.3% (925) 934-7800
56 JONATHAN M. DAVIDORF, M.D. INC. WEST HILLS OPHTHALMOLOGY 6 438 $102,054 $233 0.3% (818) 883-0112
57 E JOSEPH NADJI MD A MEDICAL CORPORATION SANTA MONICA OPHTHALMOLOGY 2 431 $108,337 $251 0.3% (310) 453-0551
58 TOTAL VISION PC SAN DIEGO OPTOMETRY 116 424 $84,800 $200 0.3% (858) 546-1940
59 LINDA VU MD, A MEDICAL CORP MONTEREY PARK OPHTHALMOLOGY 3 424 $105,922 $250 0.3% (626) 382-2020
60 PUENTE HILLS EYE CARE CENTER, INC. HACIENDA HEIGHTS OPHTHALMOLOGY 3 422 $73,893 $175 0.3% (626) 912-6888
61 CALIFORNIA EYE CLINIC ANTIOCH OPTOMETRY 9 419 $104,750 $250 0.3% (925) 754-2300
62 EAST BAY OPHTHALMOLOGY PINOLE OPHTHALMOLOGY 3 417 $82,163 $197 0.3% (510) 724-1768
63 THOMAS S TOOMA M D A PROFESSIONAL CORPORATION SAN DIEGO OPTOMETRY 33 409 $88,911 $217 0.3% (858) 278-9900
64 TRAM LE OD INC SAND CITY OPTOMETRY 2 400 $54,000 $135 0.3% (831) 899-4185
65 ALVARADO EYE ASSOCIATES MED CLINIC INC CORONADO OPHTHALMOLOGY 6 397 $116,596 $294 0.3% (614) 460-3711
66 CSE MEDICAL GROUP INC. THOUSAND OAKS OPHTHALMOLOGY 5 393 $129,079 $328 0.2% (805) 497-3744
67 GABRIEL JACOB MD A MEDICAL CORPORATION SACRAMENTO OPTOMETRY 7 392 $79,474 $203 0.2% (916) 423-2134
68 GORDON SCHANZLIN NEW VISION INSTITUTE, INC. A PROFESSIONAL MEDICAL COR LA JOLLA OPHTHALMOLOGY 10 383 $82,345 $215 0.2% (858) 455-6800
69 EYE PHYSICIANS OF LONG BEACH A MEDICAL GROUP INC LONG BEACH OPHTHALMOLOGY 8 375 $97,918 $261 0.2% (562) 799-2020
70 EYE SITE SACRAMENTO MEDICAL GROUP INC. SACRAMENTO OPHTHALMOLOGY 7 374 $59,840 $160 0.2% 9164528105214
71 PACIFIC EYE ASSOCIATES, A MEDICAL CORPORATION SAN FRANCISCO OPHTHALMOLOGY 13 365 $82,125 $225 0.2% (415) 923-3007
72 STEVEN D ZELKO MD INC SOLVANG OPHTHALMOLOGY 2 356 $58,070 $163 0.2% (805) 688-6612
73 MARIN OPHTHALMIC CONSULTANTS, A MEDICAL CORPORATION SAN RAFAEL OPHTHALMOLOGY 5 354 $98,746 $279 0.2% (415) 454-5565
74 VENTURA INSTITUTE OF OPHTHALMOLOGY INC LANCASTER OPTOMETRY 4 354 $117,672 $332 0.2% (661) 940-0555
75 KENNETH C LOW MD A PROFESSIONAL CORPORATION FREMONT OPHTHALMOLOGY 2 354 $82,128 $232 0.2% (510) 794-0660
76 DANIEL C. KLINE, M.D., INC. IRVINE OPHTHALMOLOGY 6 353 $88,250 $250 0.2% (949) 653-9500
77 CARSON MCBEATH AND BOSWELL INC LONG BEACH OPHTHALMOLOGY 8 352 $77,796 $221 0.2% (562) 984-7024
78 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA DIAGNOSTIC RADIOLOGY 1317 352 $115,313 $328 0.2% —
79 SORENSON AND SORENSON MD INC BERKELEY OPHTHALMOLOGY 5 349 $104,400 $299 0.2% (510) 848-1413
80 PAUL J DOUGHERTY M D INC WESTLAKE VILLAGE OPHTHALMOLOGY 16 348 $123,740 $356 0.2% (805) 987-5300
81 ADVANCED EYE MEDICAL GROUP A PROFESSIONAL CORPORATION MISSION VIEJO OPHTHALMOLOGY 6 347 $62,105 $179 0.2% (714) 582-1090
82 OPHTHALMOLOGY ASSOCIATES OF THE VALLEY MEDICAL GROUP ENCINO OPHTHALMOLOGY 8 344 $72,240 $210 0.2% (818) 990-3623
83 FOGG REMINGTON EYECARE INC FRESNO OPTOMETRY 20 337 $71,107 $211 0.2% (559) 449-5010
84 MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY MEDICAL GROUP INC SACRAMENTO OPHTHALMOLOGY 9 336 $55,440 $165 0.2% (916) 731-8040
85 APPY PROFESSIONAL OPTOMETRIC CORPORATION ARCATA OPTOMETRY 3 328 $42,640 $130 0.2% (707) 822-7641
86 CRAIG HELM M D A PROFESSIONAL CORPORATION VALENCIA OPHTHALMOLOGY 9 328 $114,800 $350 0.2% (661) 259-3937
87 USC CARE MEDICAL GROUP INC LOS ANGELES DIAGNOSTIC RADIOLOGY 1374 327 $100,489 $307 0.2% (800) 872-2273
88 ENG MEDICAL ASSOCIATES MONTEREY PARK OPHTHALMOLOGY 2 326 $62,210 $191 0.2% (626) 289-8260
89 ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION SANTA MARIA OPHTHALMOLOGY 14 319 $57,420 $180 0.2% (805) 925-2637
90 LOS ANGELES VISION CENTER INC CULVER CITY OPHTHALMOLOGY 4 316 $104,286 $330 0.2% (310) 838-0202
91 HERTZOG EYE ASSOCIATES A MEDICAL CORPORATION LONG BEACH OPHTHALMOLOGY 2 313 $93,987 $300 0.2% (562) 597-3100
92 SARBJIT SINGH HUNDAL FREMONT OPHTHALMOLOGY 3 300 $85,240 $284 0.2% (510) 796-4500
93 GROSSMONT DERMATOLOGY MEDICAL CLINIC LA MESA DERMATOLOGY 9 295 $99,434 $337 0.2% 6194621670215
94 ENTERPRISE OPTOMETRY GROUP INC REDDING OPTOMETRY 3 290 $46,400 $160 0.2% (530) 222-3166
95 MILAUSKAS EYE INSTITUTE MEDICAL GROUP II, INC. RANCHO MIRAGE OPTOMETRY 10 290 $71,881 $248 0.2% (760) 340-3937
96 V. NICHOLAS BATRA M.D. INC. SAN LEANDRO OPHTHALMOLOGY 5 286 $98,660 $345 0.2% (510) 357-3636
97 PASADENA EYE MEDICAL GROUP PASADENA OPHTHALMOLOGY 4 284 $49,700 $175 0.2% (626) 796-5325
98 FIRST CHOICE PHYSICIAN PARTNERS PALM SPRINGS PHYSICIAN ASSISTANT 148 279 $85,433 $306 0.2% —
99 WOLSTAN AND GOLDBERG EYE ASSOCIATES INC A MEDICAL CORPORATON TORRANCE OPHTHALMOLOGY 7 276 $66,950 $243 0.2% (310) 543-2611
100 VISALIA EYE CENTER INC VISALIA OPHTHALMOLOGY 3 275 $42,809 $156 0.2% (559) 733-4372

Showing the top 100 of 458 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 →