NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
92012 Established 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 3.11M services ▼ 9.5% YoY · 2.00M beneficiaries (CY2024, Medicare FFS)
Medicare paid $198.9M · $63.93 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
3,683
Named-group FFS services
2,115,448
FFS of Medicare
49%
Services YoY
-9.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,274,365 services

2,115,448 observed fee-for-service (49%) · ~2,158,917 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 — 92012 (CY2024)
CA 501,718 NY 376,510 FL 275,388 TX 274,013 NJ 202,902

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

Named-group submitted charges
$363.8M
Named-group allowed amount
$191.2M
Named-group Medicare payments
$134.6M
Avg charge / svc
$172
Avg allowed / svc
$90
Avg payment / svc
$64
Average charge per group
$40 3,683 groups · avg submitted charge / service $595
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 92012 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 22,040 $9,509,666 $431 5.9% —
2 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NJ OPHTHALMOLOGY 115 17,434 $4,439,508 $255 8.6% (201) 837-7300
3 LONG ISLAND VITREO RETINAL CONSULTANTS PC GREAT NECK NY OPHTHALMOLOGY 19 15,818 $3,954,500 $250 4.2% (516) 466-0390
4 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTON MA OPHTHALMOLOGY 70 15,456 $4,246,921 $275 16.0% (617) 367-4800
5 RIDGE EYE CARE INC MARYSVILLE CA OPTOMETRY 19 15,308 $2,250,270 $147 3.1% (530) 743-1873
6 EYE CENTERS OF AMERICA LLC BLOOMFIELD NJ OPHTHALMOLOGY 123 13,954 $2,434,767 $174 6.9% (973) 707-5632
7 VITREOUS RETINA MACULA CONSULTANTS OF NEW YORK BROOKLYN NY OPHTHALMOLOGY 11 13,202 $3,070,590 $233 3.5% (718) 376-3223
8 PACIFIC EYE INSTITUTE A MEDICAL GROUP INC UPLAND CA OPHTHALMOLOGY 47 10,975 $1,316,527 $120 2.2% (909) 982-8846
9 RETINA ASSOCIATES OF CLEVELAND, INC. BEACHWOOD OH OPHTHALMOLOGY 19 10,600 $1,738,392 $164 26.2% —
10 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 10,403 $5,857,540 $563 2.1% (323) 442-7122
11 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 10,362 $1,474,460 $142 2.8% (516) 766-2519
12 RETINA VITREOUS CONSULTANTS FT LAUDERDALE FL OPHTHALMOLOGY 44 9,721 $2,329,980 $240 3.5% (954) 776-6880
13 ADVANCED SURGICAL MOBILE EYE CARE LLC APOLLO BEACH FL OPTOMETRY 6 9,426 $1,142,037 $121 3.4% —
14 TEXAS RETINA ASSOCIATES DALLAS TX OPHTHALMOLOGY 18 9,064 $1,812,800 $200 3.3% (214) 692-6941
15 SHORE EYE ASSOCIATES PA TOMS RIVER NJ OPHTHALMOLOGY 17 9,025 $2,707,846 $300 4.4% (732) 341-4733
16 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 8,601 $2,895,295 $337 2.3% (212) 305-8559
17 RETINA INSTITUTE OF TEXAS PA ARLINGTON TX OPHTHALMOLOGY 4 8,570 $1,191,230 $139 3.1% (817) 417-7769
18 HEA CLINIC PA HOUSTON TX OPHTHALMOLOGY 42 8,555 $2,369,735 $277 3.1% (713) 467-6474
19 SIGHT MEDICAL DOCTORS PLLC SMITHTOWN NY OPHTHALMOLOGY 115 8,307 $1,524,955 $184 2.2% (631) 265-8780
20 RESIDENT EYE CARE ASSOCIATES LLC FAIR LAWN NJ OPTOMETRY 15 8,093 $1,254,415 $155 4.0% —
21 VITREO-RETINAL MEDICAL GROUP, INC. YUBA CITY CA OPHTHALMOLOGY 21 7,859 $2,515,040 $320 1.6% (530) 273-8358
22 CONNECTICUT EYE CONSULTANTS PC DANBURY CT OPHTHALMOLOGY 16 7,741 $1,578,996 $204 12.0% (203) 791-2020
23 JW EYE ASSOCIATES, PLLC DALLAS TX OPTOMETRY 35 6,945 $1,080,807 $156 2.5% (214) 754-0000
24 SPECIALTY EYE CARE MEDICAL CENTER , INC GLENDALE CA OPHTHALMOLOGY 4 6,632 $1,658,000 $250 1.3% (818) 265-7777
25 PRINCETON EYE GROUP, PA PRINCETON NJ OPHTHALMOLOGY 14 6,513 $911,961 $140 3.2% (609) 921-9437
26 CENTER FOR SIGHT PL VENICE FL OPTOMETRY 37 6,498 $1,182,636 $182 2.4% (941) 488-2020
27 ASSOCIATED RETINA CONSULTANTS LTD PHOENIX AZ OPHTHALMOLOGY 15 6,442 $617,359 $96 14.6% (602) 242-4928
28 RETINA VITREOUS ASSOCIATES MEDICAL GROUP LOS ANGELES CA OPHTHALMOLOGY 17 6,346 $1,269,040 $200 1.3% (213) 483-8810
29 ADVANCED EYECARE PROFESSIONAL OPTOMETRIC GROUP GLENDALE CA OPTOMETRY 8 6,059 $819,002 $135 1.2% (818) 240-0890
30 DELRAY EYE ASSOCIATES PA DELRAY BEACH FL OPHTHALMOLOGY 9 6,044 $695,060 $115 2.2% (561) 498-8100
31 GAILEY EYE CLINIC, LTD BLOOMINGTON IL OPHTHALMOLOGY 16 5,961 $1,025,292 $172 5.2% 30982953111066
32 OPHTHALMOLOGY ASSOCIATES OF THE VALLEY MEDICAL GROUP ENCINO CA OPHTHALMOLOGY 8 5,921 $710,520 $120 1.2% (818) 990-3623
33 REFOCUS EYE HEALTH OF CENTRAL CONNECTICUT PC STAMFORD CT OPHTHALMOLOGY 37 5,760 $1,087,365 $189 9.0% (203) 869-3082
34 FLORIDA EYE MICROSURGICAL INSTITUTE INC BOYNTON BEACH FL OPHTHALMOLOGY 13 5,680 $1,022,892 $180 2.1% (561) 737-5500
35 MEDICAL CENTER OPHTHALMOLOGY ASSOCIATES SAN ANTONIO TX OPHTHALMOLOGY 12 5,514 $579,000 $105 2.0% (210) 697-2020
36 GEORGIA RETINA, PC LAWRENCEVILLE GA OPHTHALMOLOGY 23 5,500 $1,023,407 $186 9.8% (678) 405-0922
37 RETINA ASSOCIATES, P.A. LITTLE ROCK AR OPHTHALMOLOGY 8 5,459 $846,145 $155 17.1% (501) 219-0900
38 RASHID AND RICE EYE ASSOCIATES, P.L.L.C. SAN ANTONIO TX OPHTHALMOLOGY 8 5,424 $542,500 $100 2.0% (210) 340-1212
39 VITREO RETINAL SURGERY PLLC MINNEAPOLIS MN OPHTHALMOLOGY 26 5,365 $1,968,927 $367 20.8% (952) 929-1131
40 LASER AND MICROSURGERY, PC BROOKLYN NY OPHTHALMOLOGY 5 5,252 $787,950 $150 1.4% (718) 627-0303
41 RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR PASADENA CA OPHTHALMOLOGY 82 5,239 $1,022,765 $195 1.0% (800) 898-2020
42 EYE ASSOCIATES OF BOCA RATON, P.A. BOCA RATON FL OPHTHALMOLOGY 7 5,210 $521,000 $100 1.9% (561) 391-8300
43 OCEAN EYE INSTITUTE PA TOMS RIVER NJ OPHTHALMOLOGY 10 4,983 $1,479,951 $297 2.5% —
44 CORNEA ASSOCIATES OF TEXAS PA PLANO TX OPHTHALMOLOGY 10 4,967 $968,565 $195 1.8% (214) 692-0146
45 ALEXANDRIA EYE AND LASER CENTER LLC ALEXANDRIA LA OPTOMETRY 24 4,949 $990,025 $200 7.9% (318) 487-2020
46 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 4,944 $607,451 $123 6.7% 75762222003020
47 SOUTH SHORE EYE CARE LLP WANTAGH NY OPHTHALMOLOGY 9 4,895 $1,028,790 $210 1.3% (516) 785-3900
48 MIRAMAR EYE SPECIALISTS MEDICAL GROUP INC VENTURA CA OPHTHALMOLOGY 25 4,816 $910,401 $189 1.0% (805) 648-3085
49 CALIFORNIA RETINA CONSULTANTS SANTA BARBARA CA OPHTHALMOLOGY 11 4,804 $600,500 $125 1.0% (805) 963-1648
50 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 4,780 $1,046,248 $219 7.6% (410) 502-4340
51 PALMETTO RETINA CENTER LLC WEST COLUMBIA SC OPHTHALMOLOGY 13 4,686 $796,364 $170 10.2% (803) 744-0156
52 CALIFORNIA RETINA ASSOCIATES, LP CHULA VISTA CA OPHTHALMOLOGY 19 4,677 $1,078,020 $230 0.9% 6194257755257755
53 RETINA CONSULTANTS OF SEATTLE PC EVERETT WA OPHTHALMOLOGY 4 4,562 $638,680 $140 14.5% (425) 740-2470
54 MARION EYE CENTERS LTD MARION IL OPTOMETRY 39 4,545 $645,392 $142 4.0% (618) 993-5686
55 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 4,500 $904,500 $201 12.6% (919) 684-8111
56 RETINOVITREOUS ASSOCIATES LTD PHILADELPHIA PA OPHTHALMOLOGY 39 4,468 $871,260 $195 2.4% (800) 331-6634
57 1960 EYE SURGEONS, P.A. HOUSTON TX OPHTHALMOLOGY 6 4,446 $425,685 $96 1.6% (281) 890-1784
58 MAGIE MABREY EYE CLINIC P A CONWAY AR OPHTHALMOLOGY 5 4,258 $774,947 $182 13.3% (501) 327-4444
59 RETINA CARE SPECIALISTS PLLC PALM BEACH GARDENS FL OPHTHALMOLOGY 6 4,228 $452,326 $107 1.5% (561) 624-0099
60 EYESIGHT OPHTHALMIC SERVICES PLLC PORTSMOUTH NH OPHTHALMOLOGY 17 4,209 $1,088,590 $259 32.4% (603) 436-1773
61 NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION SANTA ROSA CA OPHTHALMOLOGY 11 4,179 $844,154 $202 0.8% (707) 544-3375
62 HARVARD EYE ASSOCIATES FKA ROGER OHANESIAN MD AND EDWARD KIM MD INC SAN CLEMENTE CA OPHTHALMOLOGY 20 4,110 $1,079,693 $263 0.8% (949) 951-2020
63 RETINA CONSULTANTS OF CAROLINA, PA GREENVILLE SC OPHTHALMOLOGY 11 4,003 $520,552 $130 8.7% (864) 233-5722
64 NORTHERN CALIFORNIA RETINA VITREOUS ASSOCIATES MEDICAL GROUP, INC. SAN JOSE CA OPHTHALMOLOGY 7 3,999 $919,770 $230 0.8% (408) 251-3500
65 BOSTON LASER EYE INSTITUTE PC BROOKLINE MA OPHTHALMOLOGY 23 3,964 $1,000,642 $252 4.1% (617) 202-2020
66 RETINAL DIAGNOSTIC CENTER A MEDICAL CORPORATION CAMPBELL CA OPHTHALMOLOGY 6 3,888 $714,432 $184 0.8% (408) 559-0666
67 EAST BAY RETINA CONSULTANTS A MEDICAL GROUP INC OAKLAND CA OPHTHALMOLOGY 6 3,875 $877,008 $226 0.8% (510) 444-1600
68 NORTHERN VIRGINIA OPHTHALMOLOGY ASSOC PC FALLS CHURCH VA OPHTHALMOLOGY 18 3,855 $392,364 $102 5.2% (703) 534-3900
69 STONY BROOK OPHTHALMOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY OPHTHALMOLOGY 16 3,850 $1,138,055 $296 1.0% (631) 444-4090
70 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 3,824 $977,298 $256 1.4% (214) 633-5555
71 CHARLESTON NEUROSCIENCES INSTITUTE CHARLESTON SC OPHTHALMOLOGY 9 3,732 $604,404 $162 8.1% (843) 763-4466
72 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 3,698 $1,186,567 $321 1.0% (212) 241-4812
73 VITREO RETINAL ASSOCIATES PA GAINESVILLE FL OPHTHALMOLOGY 4 3,694 $369,400 $100 1.3% (352) 371-2800
74 UNIVERSITY EYE SPECIALISTS, P.C. KNOXVILLE TN OPHTHALMOLOGY 15 3,633 $454,125 $125 9.3% —
75 WALLACE EYE SURGERY, LTD ALEXANDRIA LA OPHTHALMOLOGY 5 3,630 $326,700 $90 5.8% (318) 448-4488
76 RETINA CONSULTANTS PC MANCHESTER CT OPHTHALMOLOGY 7 3,596 $1,078,730 $300 5.6% (860) 646-7704
77 EYE CARE SPECIALISTS LLC CAPE GIRARDEAU MO OPHTHALMOLOGY 6 3,594 $515,250 $143 9.1% (573) 335-3577
78 OPHTHALMIC SURGEONS OF GR BPT PC FAIRFIELD CT OPHTHALMOLOGY 6 3,575 $500,450 $140 5.6% (203) 371-0141
79 EYE CONSULTANTS OF ATLANTA, PC ATLANTA GA OPHTHALMOLOGY 30 3,564 $772,328 $217 6.3% (404) 351-2220
80 EYE CARE AND VISION ASSOCIATES LLC ALLEN TX OPTOMETRY 2 3,548 $408,076 $115 1.3% (214) 551-9320
81 EYE ASSOCIATES OF NORTH JERSEY PA DOVER NJ OPHTHALMOLOGY 6 3,483 $870,800 $250 1.7% (973) 366-1232
82 SWIFT OPTOMETRY CARE PC SAINT JAMES NY OPTOMETRY 8 3,471 $1,037,778 $299 0.9% (718) 963-3495
83 OPHTHALMIC PARTNERS OF FLORIDA PA ORLANDO FL OPHTHALMOLOGY 5 3,454 $750,727 $217 1.3% (407) 425-7188
84 EYE CARE VISION OPTOMETRY PC STATEN ISLAND NY OPTOMETRY 31 3,451 $483,192 $140 0.9% (646) 921-1738
85 THE EYE PHYSICIANS OF PINELLAS, PA LARGO FL OPHTHALMOLOGY 39 3,439 $549,610 $160 1.2% (727) 581-8706
86 RETINA MACULA SPECIALISTS OF MIAMI LLC PLANTATION FL OPHTHALMOLOGY 23 3,431 $625,288 $182 1.2% (954) 452-9922
87 THE EYE CARE GROUP, P.C. WATERBURY CT OPHTHALMOLOGY 16 3,417 $635,880 $186 5.3% (203) 573-4849
88 EYE CENTER OF TEXAS LLP BELLAIRE TX OPHTHALMOLOGY 19 3,358 $906,660 $270 1.2% (713) 797-1010
89 SUNIL GUPTA MD LLC PENSACOLA FL OPHTHALMOLOGY 10 3,344 $535,661 $160 1.2% (850) 476-6759
90 EVERETT AND HURITE OPHTHALMIC ASSOCIATION PITTSBURGH PA OPHTHALMOLOGY 16 3,315 $350,895 $106 1.8% (412) 288-0885
91 SERRANO EYE CENTER MEDICAL GROUP LOS ANGELES CA OPHTHALMOLOGY 3 3,272 $392,640 $120 0.7% (213) 380-8800
92 RETINA CONSULTANTS OF SOUTHERN COLORADO P C COLORADO SPRINGS CO OPHTHALMOLOGY 8 3,226 $918,912 $285 14.1% 7194739595103
93 SOUTHERN SHORES EYE CENTER, P.A. MANAHAWKIN NJ OPHTHALMOLOGY 6 3,198 $428,430 $134 1.6% (609) 597-8087
94 SAN ANTONIO EYE CENTER, PA SAN ANTONIO TX OPHTHALMOLOGY 31 3,172 $501,540 $158 1.2% (210) 242-7555
95 RETINA ASSOCIATES LLC LENEXA KS OPHTHALMOLOGY 12 3,169 $494,786 $156 9.5% —
96 EYE PHYSICIANS AND SURGEONS PC DECATUR GA OPHTHALMOLOGY 8 3,157 $457,765 $145 5.6% (404) 292-2500
97 WEST TEXAS EYE PA LUBBOCK TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 24 3,135 $691,460 $221 1.1% (806) 792-5900
98 EYE SPECIALISTS MEDICAL GROUP OF NAPA VALLEY INC NAPA CA OPHTHALMOLOGY 6 3,114 $822,204 $264 0.6% (707) 255-6212
99 EYE CARE INSTITUTE A MEDICAL CORPORATION SANTA ROSA CA OPHTHALMOLOGY 8 3,097 $786,638 $254 0.6% (707) 546-9800
100 ATLANTIC EYE PHYSICIANS, PA EATONTOWN NJ OPHTHALMOLOGY 12 3,087 $463,075 $150 1.5% (732) 222-7373

Showing the top 100 of 3,683 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 →