NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
92014 Established 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 9.16M services ▼ 1.6% YoY · 7.93M beneficiaries (CY2024, Medicare FFS)
Medicare paid $760.8M · $83.01 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
6,736
Named-group FFS services
6,706,482
FFS of Medicare
49%
Services YoY
-1.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~13,342,075 services

6,706,482 observed fee-for-service (50%) · ~6,635,593 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 — 92014 (CY2024)
CA 863,754 FL 707,159 TX 677,404 NY 669,818 IL 406,587

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

Named-group submitted charges
$1.6B
Named-group allowed amount
$831.5M
Named-group Medicare payments
$555.6M
Avg charge / svc
$234
Avg allowed / svc
$124
Avg payment / svc
$83
Average charge per group
$35 6,736 groups · avg submitted charge / service $837
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 92014 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON MD OPHTHALMOLOGY 80 68,292 $24,994,872 $366 24.5% (202) 331-1188
2 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTON MA OPHTHALMOLOGY 70 65,218 $26,078,799 $400 17.8% (617) 367-4800
3 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NJ OPHTHALMOLOGY 115 57,480 $20,976,197 $365 14.3% (201) 837-7300
4 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 43,038 $8,652,503 $201 6.4% (516) 766-2519
5 SIGHT MEDICAL DOCTORS PLLC SMITHTOWN NY OPHTHALMOLOGY 115 40,617 $17,792,750 $438 6.1% (631) 265-8780
6 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON VA OPHTHALMOLOGY 80 34,426 $12,605,265 $366 10.2% (202) 331-1188
7 EYE CENTERS OF AMERICA LLC BLOOMFIELD NJ OPHTHALMOLOGY 123 29,119 $9,457,177 $325 7.2% (973) 707-5632
8 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 28,589 $17,577,806 $615 4.3% —
9 RETINA VITREOUS CONSULTANTS FT LAUDERDALE FL OPHTHALMOLOGY 44 25,782 $8,697,386 $337 3.6% (954) 776-6880
10 TEXAS RETINA ASSOCIATES DALLAS TX OPHTHALMOLOGY 18 24,034 $4,806,800 $200 3.5% (214) 692-6941
11 HEA CLINIC PA HOUSTON TX OPHTHALMOLOGY 42 23,876 $9,311,640 $390 3.5% (713) 467-6474
12 CEI PHYSICIANS PSC, LLC BLUE ASH OH OPHTHALMOLOGY 157 22,484 $10,904,069 $485 9.6% 51398451333741
13 EYE SURGEONS OF RICHMOND INC RICHMOND VA OPHTHALMOLOGY 44 21,113 $6,017,205 $285 6.3% (804) 287-4200
14 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 19,719 $4,555,089 $231 5.8% —
15 TENNESSEE RETINA PC NASHVILLE TN OPHTHALMOLOGY 16 19,511 $7,840,446 $402 9.6% (615) 983-6000
16 VISION INNOVATION CENTERS OF PENNSYLVANIA LLC WEST PITTSTON PA OPTOMETRY 85 18,768 $5,556,692 $296 4.8% (570) 602-1010
17 WHEATON EYE CLINIC LTD WHEATON IL OPHTHALMOLOGY 45 18,239 $2,492,534 $137 4.5% (630) 668-8250
18 VIRGINIA EYE CONSULTANTS INC NORFOLK VA OPHTHALMOLOGY 57 18,227 $5,828,029 $320 5.4% 75762222003020
19 EYE ASSOCIATES OF MANATEE, LLP BRADENTON FL OPTOMETRY 63 17,074 $4,171,699 $244 2.4% (941) 792-2020
20 EYE ASSOCIATES OF NEW MEXICO LTD ALBUQUERQUE NM OPTOMETRY 67 16,905 $3,839,884 $227 35.9% (505) 888-5757
21 EYE CONSULTANTS OF ATLANTA, PC ATLANTA GA OPHTHALMOLOGY 30 16,798 $5,195,739 $309 8.0% (404) 351-2220
22 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 16,187 $5,166,885 $319 5.8% (410) 502-4340
23 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 15,707 $12,781,367 $814 1.8% (323) 442-7122
24 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 15,540 $7,152,823 $460 6.6% —
25 GEORGIA RETINA, PC LAWRENCEVILLE GA OPHTHALMOLOGY 23 15,387 $3,931,005 $255 7.3% (678) 405-0922
26 RETINA VITREOUS ASSOCIATES MEDICAL GROUP LOS ANGELES CA OPHTHALMOLOGY 17 15,244 $4,537,990 $298 1.8% (213) 483-8810
27 RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR PASADENA CA OPHTHALMOLOGY 82 15,153 $3,974,472 $262 1.8% (800) 898-2020
28 CENTER FOR SIGHT PL VENICE FL OPTOMETRY 37 15,151 $3,940,560 $260 2.1% (941) 488-2020
29 VITREO-RETINAL MEDICAL GROUP, INC. YUBA CITY CA OPHTHALMOLOGY 21 14,660 $6,596,240 $450 1.7% (530) 273-8358
30 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 14,602 $3,609,567 $247 2.2% (914) 241-1050
31 RETINA AND VITREOUS CENTER PC NORFOLK VA OPHTHALMOLOGY 7 14,452 $2,448,401 $169 4.3% (757) 481-4400
32 SUNIL GUPTA MD LLC PENSACOLA FL OPHTHALMOLOGY 10 14,393 $3,329,523 $231 2.0% (850) 476-6759
33 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 13,749 $3,997,440 $291 7.4% (919) 684-8111
34 VISTAR EYE CENTER, INC ROANOKE VA OPHTHALMOLOGY 29 13,393 $1,772,712 $132 4.0% (540) 855-5100
35 MARION EYE CENTERS LTD MARION IL OPTOMETRY 39 12,983 $2,661,558 $205 3.2% (618) 993-5686
36 CALIFORNIA RETINA ASSOCIATES, LP CHULA VISTA CA OPHTHALMOLOGY 19 12,877 $4,140,900 $322 1.5% 6194257755257755
37 RIDGE EYE CARE INC MARYSVILLE CA OPTOMETRY 19 12,460 $2,591,808 $208 1.4% (530) 743-1873
38 ORANGE COUNTY RETINA MEDICAL GROUP SAN JUAN CAPISTRANO CA OPHTHALMOLOGY 4 12,457 $2,304,545 $185 1.4% (949) 496-0611
39 CHESAPEAKE EYE CARE AND LASER CENTER LLC ANNAPOLIS MD OPHTHALMOLOGY 78 12,412 $3,718,910 $300 4.5% (410) 571-8733
40 BARNET DULANEY PERKINS EYE CENTER, PC PHOENIX AZ OPTOMETRY 103 12,398 $3,905,206 $315 6.9% (602) 955-1000
41 ASHEVILLE EYE ASSOCIATES PLLC ASHEVILLE NC OPHTHALMOLOGY 24 12,364 $1,607,380 $130 6.7% (828) 258-1586
42 REFOCUS EYE HEALTH OF CENTRAL CONNECTICUT PC STAMFORD CT OPHTHALMOLOGY 37 12,283 $3,641,360 $296 10.5% (203) 869-3082
43 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 11,615 $3,320,525 $286 6.3% (704) 295-3414
44 MIDWEST RETINA CONSULTANTS SC DES PLAINES IL OPHTHALMOLOGY 6 11,542 $1,501,500 $130 2.8% (847) 698-6300
45 LEHIGH VALLEY EYE CENTER, P.C. WEST MIFFLIN PA OPHTHALMOLOGY 51 11,492 $2,054,449 $179 3.0% (412) 653-3080
46 SHEPHERD EYE CENTER LTD LAS VEGAS NV OPHTHALMOLOGY 41 11,415 $4,228,047 $370 21.2% (702) 896-6043
47 EYE HEALTH NORTHWEST PC PORTLAND OR OPHTHALMOLOGY 69 11,355 $3,746,997 $330 12.4% (503) 255-2291
48 CLEMSON EYE PA EASLEY SC OPTOMETRY 51 11,058 $2,741,404 $248 6.6% (864) 654-6706
49 CAROLINA EYECARE PHYSICIANS LLC CHARLESTON SC OPHTHALMOLOGY 28 10,968 $2,639,500 $241 6.6% (888) 856-1878
50 ADVANCED EYECARE PROFESSIONAL OPTOMETRIC GROUP GLENDALE CA OPTOMETRY 8 10,941 $2,460,325 $225 1.3% (818) 240-0890
51 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 10,924 $3,193,216 $292 1.5% (305) 689-5437
52 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 10,831 $3,816,194 $352 3.0% (617) 523-7900
53 PACIFIC EYE INSTITUTE A MEDICAL GROUP INC UPLAND CA OPHTHALMOLOGY 47 10,813 $1,527,160 $141 1.3% (909) 982-8846
54 COLUMBIA EYE CLINIC PA COLUMBIA SC OPHTHALMOLOGY 19 10,633 $1,512,844 $142 6.4% (803) 779-3070
55 JAWAD A QURESHI MD PA SOUTHLAKE TX OPHTHALMOLOGY 7 10,429 $4,004,476 $384 1.5% (817) 865-6800
56 PACIFIC EYE SURGEONS A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION PASO ROBLES CA OPHTHALMOLOGY 20 10,275 $2,063,619 $201 1.2% (805) 545-8100
57 BOSTON LASER EYE INSTITUTE PC BROOKLINE MA OPHTHALMOLOGY 23 10,242 $4,020,266 $393 2.8% (617) 202-2020
58 GAILEY EYE CLINIC, LTD BLOOMINGTON IL OPHTHALMOLOGY 16 10,198 $2,518,906 $247 2.5% 30982953111066
59 HORIZON EYE CARE PA CHARLOTTE NC OPHTHALMOLOGY 25 10,129 $2,429,678 $240 5.5% (704) 365-0555
60 SHORE EYE ASSOCIATES PA TOMS RIVER NJ OPHTHALMOLOGY 17 9,952 $4,179,189 $420 2.5% (732) 341-4733
61 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 9,944 $2,624,848 $264 2.4% (630) 469-9200
62 BERKELEY EYE INSTITUTE, PLLC HOUSTON TX OPTOMETRY 62 9,809 $1,353,706 $138 1.4% (281) 333-8600
63 TOMOKA EYE ASSOCIATES PA ORMOND BEACH FL OPHTHALMOLOGY 9 9,717 $1,817,079 $187 1.4% (386) 672-4244
64 ALEXANDRIA EYE AND LASER CENTER LLC ALEXANDRIA LA OPTOMETRY 24 9,689 $2,422,275 $250 6.7% (318) 487-2020
65 MICHIGAN OPHTHALMOLOGY SPECIALISTS PLLC LIVONIA MI OPHTHALMOLOGY 25 9,681 $1,696,895 $175 4.9% (734) 421-2020
66 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 9,653 $3,380,709 $350 1.4% (214) 633-5555
67 RESIDENT EYE CARE ASSOCIATES LLC FAIR LAWN NJ OPTOMETRY 15 9,615 $1,682,625 $175 2.4% —
68 JW EYE ASSOCIATES, PLLC DALLAS TX OPTOMETRY 35 9,411 $1,848,565 $196 1.4% (214) 754-0000
69 ST LUKES CATARACT AND LASER INSTITUTE TARPON SPRINGS FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 48 9,389 $1,727,576 $184 1.3% (727) 943-3111
70 EYESIGHT OPHTHALMIC SERVICES PLLC PORTSMOUTH NH OPHTHALMOLOGY 17 9,191 $3,319,774 $361 15.6% (603) 436-1773
71 STONY BROOK OPHTHALMOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY OPHTHALMOLOGY 16 9,170 $3,856,805 $421 1.4% (631) 444-4090
72 SPOKANE EYE CLINIC PS SPOKANE WA OPHTHALMOLOGY 35 8,968 $1,739,792 $194 5.8% (509) 456-0107
73 WOLFE CLINIC INC MARSHALLTOWN IA OPHTHALMOLOGY 36 8,823 $2,673,369 $303 6.7% (641) 754-6200
74 ILLINOIS RETINA ASSOCIATES, PLLC HARVEY IL OPHTHALMOLOGY 19 8,792 $2,220,776 $253 2.2% (708) 596-8710
75 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 8,716 $3,435,471 $394 6.8% (608) 260-2900
76 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 8,706 $3,070,834 $353 1.2% (904) 396-1725
77 RETINA INSTITUTE OF TEXAS PA ARLINGTON TX OPHTHALMOLOGY 4 8,652 $1,695,792 $196 1.3% (817) 417-7769
78 ROCKINGHAM EYE PHYSICIANS AND ASSOCIATES PC ROCKINGHAM VA OPTOMETRY 9 8,619 $1,141,590 $132 2.6% (540) 433-2485
79 RETINA AND VITREOUS OF TEXAS PLLC BELLAIRE TX OPHTHALMOLOGY 9 8,615 $2,637,272 $306 1.3% (713) 799-9975
80 SOUTHWEST RETINA CONSULTANTS PA EL PASO TX OPHTHALMOLOGY 7 8,556 $1,753,898 $205 1.3% (915) 532-3912
81 RETINA INSTITUTE OF ILLINOIS PC NILES IL OPHTHALMOLOGY 10 8,552 $2,941,700 $344 2.1% (847) 297-8900
82 OCALA EYE PA OCALA FL OPHTHALMOLOGY 24 8,542 $1,319,728 $154 1.2% (352) 622-5183
83 JERVEY EYE GROUP PA GREENVILLE SC OPHTHALMOLOGY 20 8,438 $2,242,891 $266 5.1% (864) 458-7956
84 EYEONE PLC STAUNTON VA OPHTHALMOLOGY 13 8,424 $1,146,543 $136 2.5% (540) 213-7720
85 WYMAN SICHER EYE ASSOCIATES SC PEORIA IL OPHTHALMOLOGY 21 8,359 $2,131,545 $255 2.1% (309) 243-2400
86 EAST TEXAS EYE CARE ASSOCIATES PLLC TYLER TX OPHTHALMOLOGY 12 8,316 $1,750,907 $211 1.2% (903) 595-0500
87 SOUTHERN EYE ASSOCIATES OF SC, PA GREENVILLE SC OPHTHALMOLOGY 17 8,153 $2,888,331 $354 4.9% 86426933332271
88 COASTAL EYE GROUP, P.C. GEORGETOWN SC OPHTHALMOLOGY 10 7,998 $1,085,464 $136 4.8% (843) 546-8421
89 FLORIDA EYE MICROSURGICAL INSTITUTE INC BOYNTON BEACH FL OPHTHALMOLOGY 13 7,996 $2,092,599 $262 1.1% (561) 737-5500
90 RETINA ASSOCIATES OF CLEVELAND, INC. BEACHWOOD OH OPHTHALMOLOGY 19 7,985 $1,852,520 $232 3.4% —
91 EYE CENTERS OF TENNESSEE, LLC COOKEVILLE TN OPTOMETRY 17 7,954 $1,360,900 $171 3.9% (931) 650-4100
92 OPHTHALMOLOGY ASSOCIATES OF THE VALLEY MEDICAL GROUP ENCINO CA OPHTHALMOLOGY 8 7,936 $1,428,480 $180 0.9% (818) 990-3623
93 EYE PHYSICIANS, LLC COLUMBUS OH OPHTHALMOLOGY 34 7,932 $1,890,035 $238 3.4% (614) 221-7464
94 COLORADO RETINA ASSOCIATES, PLLC ENGLEWOOD CO OPHTHALMOLOGY 14 7,864 $2,541,580 $323 6.4% (303) 261-1600
95 THE EYE PHYSICIANS OF PINELLAS, PA LARGO FL OPHTHALMOLOGY 39 7,849 $1,853,710 $236 1.1% (727) 581-8706
96 BLUE SKY VISION EYE CARE PC GRAND RAPIDS MI OPTOMETRY 51 7,814 $1,565,918 $200 4.0% (616) 949-2600
97 GREGORY L HENDERSON MD FACS INC BRANDON FL OPHTHALMOLOGY 32 7,802 $1,770,094 $227 1.1% —
98 BERNSTEIN, HILLIKER, HARTZELL EYE CENTER, LLP LEWISBURG PA OPTOMETRY 17 7,769 $2,135,881 $275 2.0% (866) 995-3937
99 RETINA VITREOUS CENTER, PLLC EDMOND OK OPHTHALMOLOGY 6 7,573 $1,802,303 $238 6.3% (405) 607-6699
100 SOUTHEASTERN RETINA ASSOCIATES PC KNOXVILLE TN OPHTHALMOLOGY 21 7,511 $1,952,860 $260 3.7% (865) 588-0811

Showing the top 100 of 6,736 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 →