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Market snapshot

92014 in RI CY2024

Medicare Part B FFS · CY2024 · as published by CMS

92014 — Established patient complete exam of visual system

Billing groups
54
Named-group FFS services
26,276
FFS of Medicare
40%
Services YoY
-5.3%
FFS enrollment -3.5%
Estimated all-Medicare volume FFS + estimated MA estimate
~64,230 services

26,276 observed fee-for-service (41%) · ~37,954 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
$5.7M
Named-group allowed amount
$3.3M
Named-group Medicare payments
$2.2M
Avg charge / svc
$215
Avg allowed / svc
$125
Avg payment / svc
$82
Average charge per group
$100 54 groups · avg submitted charge / service $388
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Specialty market — Optometry: 12,615 services across 41 groups; top group 17%. See Optometry across all states →

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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 KOCH EYE ASSOCIATES LLP WARWICK OPTOMETRY 27 2,135 $602,837 $282 premium 16.9% 6.1% (401) 738-4800
2 CHARLES M COLLINS MD LTD MIDDLETOWN OPTOMETRY 4 1,825 $246,375 $135 premium 14.5% 5.2% (401) 847-1383
3 COASTAL EYE ASSOCIATES INC WESTERLY OPTOMETRY 5 907 $120,000 $132 premium 7.2% 2.6% (401) 348-2020
4 BROWN VISION CARE, INC EAST PROVIDENCE OPTOMETRY 5 642 $89,880 $140 premium 5.1% 1.8%
5 SPECS EYECARE INC MIDDLETOWN OPTOMETRY 3 532 $74,505 $140 premium 4.2% 1.5% (401) 846-1620
6 ATLANTIC FAMILY EYE CARE INC WOONSOCKET OPTOMETRY 5 520 $69,675 $134 premium 4.1% 1.5% (401) 765-5430
7 GARDEN CITY EYECARE INC CRANSTON OPTOMETRY 6 485 $77,615 $160 premium 3.8% 1.4% (401) 943-8151
8 TOLL GATE VISION, LTD. WARWICK OPTOMETRY 3 479 $80,472 $168 premium 3.8% 1.4% (401) 822-2020
9 DUQUETTE FAMILY EYE CARE INC NORTH SMITHFIELD OPTOMETRY 4 425 $102,000 $240 premium 3.4% 1.2% (401) 769-6323
10 DR LYN-MARIE BEHMKE OD EAST PROVIDENCE OPTOMETRY 3 417 $60,495 $145 premium 3.3% 1.2% (401) 434-5532
11 BRISTOL COUNTY EYE CARE LLC BRISTOL OPTOMETRY 3 306 $47,430 $155 premium 2.4% 0.9% (401) 253-9900
12 LTR EYE INC COVENTRY OPTOMETRY 2 276 $38,675 $140 premium 2.2% 0.8% (401) 828-2020
13 GIULIO G DIAMANTE MD INC JOHNSTON OPTOMETRY 4 275 $53,625 $195 premium 2.2% 0.8% (401) 521-3606
14 DR. DAVID W. FERRIS AND ASSOCIATES INC WARWICK OPTOMETRY 3 253 $35,420 $140 premium 2.0% 0.7% (401) 732-2350
15 EZRA L GALLER MD LTD PROVIDENCE OPTOMETRY 3 236 $46,974 $199 premium 1.9% 0.7% (401) 728-1400
16 OCEAN STATE EYE CARE WARWICK OPTOMETRY 2 231 $34,650 $150 premium 1.8% 0.7% (401) 828-3200
17 BLACKSTONE VALLEY EYE CARE, P.C. WOONSOCKET OPTOMETRY 4 214 $39,590 $185 premium 1.7% 0.6% (401) 762-4473
18 WESTMINSTER EYECARE ASSOCIATES INC PROVIDENCE OPTOMETRY 11 177 $28,320 $160 premium 1.4% 0.5% (401) 688-2301
19 SOUTHERN NEW ENGLAND EYE INC NORTH PROVIDENCE OPTOMETRY 2 164 $28,700 $175 premium 1.3% 0.5% (401) 232-0941
20 RHODE EYELAND LLC NORTH KINGSTOWN OPTOMETRY 2 164 $26,240 $160 premium 1.3% 0.5% (401) 262-0042
21 EYE HEALTH ASSOCIATES INC DARTMOUTH OPTOMETRY 27 154 $43,582 $283 premium 1.2% 0.4% 77432030404215
22 AEG RHODE ISLAND PROFESSIONAL PC PAWTUCKET OPTOMETRY 9 151 $24,555 $163 premium 1.2% 0.4% (401) 723-9540
23 THE EYE DOCTOR, LLC EAST GREENWICH OPTOMETRY 3 141 $19,535 $139 premium 1.1% 0.4% (401) 227-5300
24 PROVIDENCE EYE ASSOCIATES INC PROVIDENCE OPTOMETRY 3 137 $21,020 $153 premium 1.1% 0.4% (401) 351-5664
25 HOPE VISION PLLC CONCORD OPTOMETRY 2 132 $23,100 $175 premium 1.0% 0.4% (603) 224-0971
26 KLIBANOFF EYE ASSOCIATES, LTD PAWTUCKET OPTOMETRY 2 123 $22,140 $180 premium 1.0% 0.4% (401) 723-3400
27 JOHN MAGALHAES AND ASSOCIATES, INC DARTMOUTH OPTOMETRY 8 120 $21,600 $180 premium 1.0% 0.3% (508) 717-0425
28 PRYTULA EYE ASSOCIATES INC COVENTRY OPTOMETRY 3 118 $17,288 $147 premium 0.9% 0.3% (401) 823-8200
29 CLARITY EYE CARE, LTD. CRANSTON OPTOMETRY 2 112 $18,480 $165 premium 0.9% 0.3% (401) 943-3082
30 GEORGE D BERTHERMAN,O.D., INC. PROVIDENCE OPTOMETRY 4 94 $10,340 $110 premium 0.7% 0.3% (401) 941-6221
31 CUMBERLAND HILL EYE CARE LLC CUMBERLAND OPTOMETRY 2 88 $11,100 $126 premium 0.7% 0.3% (401) 333-0090
32 FAMILY EYE HEALTH ASSOCIATES, LLC WARWICK OPTOMETRY 3 84 $11,760 $140 premium 0.7% 0.2% (401) 921-0098
33 MODERN EYES LLC PAWTUCKET OPTOMETRY 2 81 $10,935 $135 premium 0.6% 0.2% (401) 729-0200
34 EYES ON NIGRELLI LLC WESTERLY OPTOMETRY 2 80 $13,600 $170 premium 0.6% 0.2% (860) 552-9669
35 RHODE ISLAND OPTOMETRICS LLC CRANSTON OPTOMETRY 6 73 $8,115 $111 premium 0.6% 0.2% (401) 463-6696
36 VISION ASSOCIATES INC WOONSOCKET OPTOMETRY 5 72 $10,800 $150 premium 0.6% 0.2% (401) 769-2755
37 NEIL W MCALLISTER OD PC COLORADO SPRINGS OPTOMETRY 2 65 $9,618 $148 premium 0.5% 0.2% (719) 598-5068
38 SMITHFIELD EYE AND OPTICAL LLC GREENVILLE OPTOMETRY 3 51 $8,160 $160 premium 0.4% 0.1% (401) 949-7300
39 MAINE OPTOMETRY PA GORHAM OPTOMETRY 22 33 $5,775 $175 premium 0.3% 0.1% (207) 729-8474
40 DR TED F BUKOWSKI AND ASSOC PC RAYNHAM OPTOMETRY 2 30 $4,125 $138 premium 0.2% 0.1% (508) 285-2015
41 MASS OPTOMETRIC ASSOCIATES, PLLC BILLERICA OPTOMETRY 48 13 $1,375 $106 premium 0.1% 0.0% (978) 667-0481

*"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 →