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Market snapshot

92014 in VI CY2024

Medicare Part B FFS · CY2024 · as published by CMS

92014 — Established patient complete exam of visual system

Billing groups
2
Named-group FFS services
776
FFS of Medicare
70%
Services YoY
+20.2%
FFS enrollment +0.4%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,111 services

776 observed fee-for-service (70%) · ~335 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
$288K
Named-group allowed amount
$97K
Named-group Medicare payments
$56K
Avg charge / svc
$372
Avg allowed / svc
$125
Avg payment / svc
$72
Average charge per group
$296 2 groups · avg submitted charge / service $493
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Specialty market — Optometry: 479 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. 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 ST. CROIX VISION CENTER INC CHRISTIANSTED OPTOMETRY 7 479 $141,784 $296 premium 38.7% (340) 773-2020

*"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 →