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Market snapshot

TX CY2024

Medicare Part B FFS · CY2024 · as published by CMS
92071 Fitting of contact lens for treatment of eye surface disease 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 11,389 services ▼ 7.0% YoY · 5,446 beneficiaries (CY2024, Medicare FFS)
Medicare paid $329K · $28.90 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window · National figures — the TX market is below
Market analyticsPlatform Methods →

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The read
What am I looking at, in one breath?
The read Platform

In Texas, 17 groups bill 92071 — 1,097 fee-for-service services, and volume is roughly flat year over year.

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The orienting line is free; the comparative synthesis — growth rank, concentration, and $/service against the national figure — unlocks with Platform.

The snapshot
The honest, real numbers — free, always.
Billing groups

17

Named groups billing this code in TX
Named-group FFS services

1,097

Attributable volume · fee-for-service
FFS of Medicare

46%

Payer-mix frame
Named-group coverage

51%

Of Texas’s disclosed Part B services (2024). The rest is billed by clinicians whose volume isn’t attributed to any group — they belong to several groups, or none. How attribution works →
Services · year over year
Services YoY

+0.4%

FFS enrollment -1.5%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~2,355 services

1,097 observed fee-for-service (47%) · ~1,258 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
The market
How big, moving which way, worth how much.
Billed → allowed → paid
Named-group submitted charges
$115K
Named-group allowed amount
$42K
Named-group Medicare payments
$33K
Avg charge / svc
$105
Avg allowed / svc
$39
Avg payment / svc
$30
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Per-service vs national + the payments trend unlock with Platform
12-year trend

The full twelve-year services and payments series, per-year values.

The structure
Who's in this market and how it's shaped.
Average charge per group
$40 17 groups · avg submitted charge / service $143
Market structure

Who owns the volume, how concentrated it is, and the drawn unattributed segment.

Market position

Where this market sits on volume and growth among all state markets, and its rank.

National benchmarks

Where each group's volume sits nationally and within its specialty.

The opportunity
So where do I act?
Worth a look

Every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume. The cross-market compare view sits alongside.

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City Specialty Providers 92071 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CORNEA ASSOCIATES OF TEXAS PA PLANO OPHTHALMOLOGY 10 278 $36,625 $132 17.7% (214) 692-0146
2 AALEYA KOREISHI MD PA FORT WORTH OPHTHALMOLOGY 2 155 $19,500 $126 9.9% (817) 529-3100
3 GREGORY K WACASEY OD PLLC LONGVIEW OPTOMETRY 2 126 $15,631 $124 8.0% (903) 663-1550
4 NORTH TEXAS OPHTHALMOLOGY ASSOCIATES, PLLC WICHITA FALLS OPHTHALMOLOGY 6 112 $10,200 $91 7.1% (940) 723-1274
5 3 C VISION SPECIALISTS SAN ANTONIO OPHTHALMOLOGY 2 82 $6,150 $75 5.2% (210) 538-2020
6 MED SOUTHWEST PLLC TEXARKANA OPTOMETRY 227 47 $2,820 $60 3.0% (903) 838-0783
7 SNIP AND FERENCE, PA SAN ANTONIO OPHTHALMOLOGY 6 46 $2,350 $51 2.9% —
8 WEST TEXAS EYE PA LUBBOCK CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 24 33 $4,250 $129 2.1% (806) 792-5900
9 STUART A TERRY MD PA SAN ANTONIO OPHTHALMOLOGY 4 29 $3,335 $115 1.8% (210) 222-2154
10 T AND B EYE CARE SERVICES, LP DALLAS OPTOMETRY 2 29 $1,200 $41 1.8% (972) 780-7199
11 RASHID AND RICE EYE ASSOCIATES, P.L.L.C. SAN ANTONIO OPHTHALMOLOGY 8 28 $2,100 $75 1.8% (210) 340-1212
12 FAGADAU AND HAWK, M.D LLP DALLAS OPHTHALMOLOGY 5 27 $3,870 $143 1.7% (214) 987-2020
13 NEW VISION EYE CENTER, LLC VERO BEACH OPHTHALMOLOGY 7 26 $2,262 $87 1.7% (772) 257-8700
14 PLANO EYE ASSOCIATES PC PLANO OPTOMETRY 7 21 $840 $40 1.3% (972) 985-1412
15 GURPREET SINGH MD PA SHENANDOAH OPHTHALMOLOGY 6 21 $1,760 $84 1.3% (281) 363-2777
16 LITTLE ROCK EYE CLINIC LLP LITTLE ROCK OPHTHALMOLOGY 17 20 $1,200 $60 1.3% (501) 224-5658
17 ANDROZO ENTERPRISES, PLLC SAN ANTONIO OPTOMETRY 3 17 $1,375 $81 1.1% (210) 403-9050

*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 →