NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

92014 in MT CY2024

Medicare Part B FFS · CY2024 · as published by CMS

92014 — Established patient complete exam of visual system

Billing groups
38
Named-group FFS services
38,488
FFS of Medicare
70%
Services YoY
-1.9%
FFS enrollment -0.8%
Estimated all-Medicare volume FFS + estimated MA estimate
~54,585 services

38,488 observed fee-for-service (71%) · ~16,097 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
$7.0M
Named-group allowed amount
$4.8M
Named-group Medicare payments
$3.0M
Avg charge / svc
$182
Avg allowed / svc
$124
Avg payment / svc
$78
Average charge per group
$84 38 groups · avg submitted charge / service $300
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →

Specialty market — Optometry: 16,904 services across 25 groups; top group 12%. See Optometry across all states →

Refine: practice size any 5+ 25+ 100+ independent only
Filter results: clear filters

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 92014 services, CY2024
#Physician group City Specialty Providers 92014 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 BOES EYE CARE GREAT FALLS OPTOMETRY 3 1,969 $261,332 $133 premium 11.6% 4.0% (406) 455-2020
2 MONTANA EYECARE LLP HELENA OPTOMETRY 6 1,490 $296,510 $199 premium 8.8% 3.0% (406) 443-2121
3 HEIGHTS EYECARE, INC. BILLINGS OPTOMETRY 6 1,470 $233,730 $159 premium 8.7% 3.0% (406) 252-9927
4 HAVRE OPTOMETRIC CLINIC PLLP HAVRE OPTOMETRY 3 1,169 $206,280 $176 premium 6.9% 2.4% (406) 265-1231
5 ADVANCED EYECARE LLC BOZEMAN OPTOMETRY 7 1,151 $217,539 $189 premium 6.8% 2.3% (406) 577-2507
6 MCBRIDE AND MCBRIDE OPTOMETRISTS PC BILLINGS OPTOMETRY 4 987 $146,155 $148 premium 5.8% 2.0% (406) 656-7605
7 BEYER BIG SKY OPTICAL, INC HAMILTON OPTOMETRY 4 873 $148,410 $170 premium 5.2% 1.8% (406) 363-2020
8 HELENA VISION CENTER PC HELENA OPTOMETRY 3 769 $111,505 $145 premium 4.5% 1.6% (406) 442-6814
9 EYECARE PROFESSIONALS - MOUNTAIN EYEWEAR LIVINGSTON OPTOMETRY 3 753 $118,974 $158 premium 4.5% 1.5% (406) 222-0250
10 MISSION VALLEY EYE CENTER INC RONAN OPTOMETRY 2 639 $83,070 $130 premium 3.8% 1.3% (406) 646-8921
11 BAUER AND CLAUSEN, PC BILLINGS OPTOMETRY 5 628 $84,152 $134 premium 3.7% 1.3% (406) 656-8886
12 KRISTI SCHIED OD, PC BILLINGS OPTOMETRY 3 625 $87,866 $141 premium 3.7% 1.3% (406) 652-4455
13 VISION CLINIC PLLC KALISPELL OPTOMETRY 5 590 $96,032 $163 premium 3.5% 1.2% (406) 755-5910
14 CENTRAL MONTANA EYECARE PC GREAT FALLS OPTOMETRY 6 580 $120,785 $208 premium 3.4% 1.2% (406) 453-1900
15 BEEMER AND BARTLETT EYE CLINIC, LLC PIERRE OPTOMETRY 2 554 $118,845 $215 premium 3.3% 1.1% (605) 224-0404
16 CREGER FAMILY EYE CARE PC DILLON OPTOMETRY 2 501 $71,550 $143 premium 3.0% 1.0% (406) 683-2611
17 WHITEFISH EYE CENTER LLC WHITEFISH OPTOMETRY 3 462 $71,507 $155 premium 2.7% 0.9% (406) 862-2020
18 EYE CLINIC OF GREAT FALLS PC GREAT FALLS OPTOMETRY 3 407 $72,853 $179 premium 2.4% 0.8% (406) 452-9507
19 JOSEPH W. VINCENT O.D. AND JUSTINE E. REDLIN O.D. VISION CARE P.C. GREAT FALLS OPTOMETRY 2 325 $39,030 $120 premium 1.9% 0.7% (406) 727-9160
20 BILLINGS FAMILY EYECARE SHILOH PLLC BILLINGS OPTOMETRY 4 233 $63,609 $273 premium 1.4% 0.5% (406) 245-2436
21 JEC LLC MISSOULA OPTOMETRY 2 231 $30,030 $130 premium 1.4% 0.5% (406) 272-0453
22 SHOPTIKAL LLC MONONA OPTOMETRY 191 226 $19,005 $84 premium 1.3% 0.5% (608) 222-9420
23 ELAINE HAPP OD PA MONTICELLO OPTOMETRY 5 150 $20,475 $136 premium 0.9% 0.3% (763) 271-2020
24 WELLFORD EYE CENTER PLLC BOZEMAN OPTOMETRY 2 73 $8,760 $120 premium 0.4% 0.1% (406) 586-2173
25 ERIC NOLL OD PC KODIAK OPTOMETRY 5 49 $11,760 $240 premium 0.3% 0.1% (907) 694-2020

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →