NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
92201 Extended exam of the back part of the eye with retinal drawing CPT · E&M
Classification E&M › Ophthalmological Services › Ophthalmological E&M (CMS RBCS)
First observed 2020
National scale 452,704 services ▼ 2.1% YoY · 325,979 beneficiaries (CY2024, Medicare FFS)
Medicare paid $8.6M · $19.10 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
743
Named-group FFS services
286,268
FFS of Medicare
49%
Services YoY
-2.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~567,156 services

286,268 observed fee-for-service (50%) · ~280,888 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

Top states — 92201 (CY2024)
NY 89,272 CA 73,409 NJ 38,109 FL 36,468 TX 31,621

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

Named-group submitted charges
$24.7M
Named-group allowed amount
$7.4M
Named-group Medicare payments
$5.5M
Avg charge / svc
$86
Avg allowed / svc
$26
Avg payment / svc
$19
Average charge per group
$23 743 groups · avg submitted charge / service $400
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 92201 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ORANGE COUNTY RETINA MEDICAL GROUP SAN JUAN CAPISTRANO CA OPHTHALMOLOGY 4 14,182 $1,276,362 $90 19.3% (949) 496-0611
2 LONG ISLAND VITREO RETINAL CONSULTANTS PC GREAT NECK NY OPHTHALMOLOGY 19 12,858 $1,157,220 $90 14.4% (516) 466-0390
3 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON MD OPHTHALMOLOGY 80 8,753 $1,094,125 $125 34.7% (202) 331-1188
4 CUMBERLAND VALLEY RETINA CONSULTANTS PC HAGERSTOWN MD OPHTHALMOLOGY 5 8,217 $657,360 $80 32.6% 30166517121027
5 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON VA OPHTHALMOLOGY 80 7,197 $898,875 $125 51.3% (202) 331-1188
6 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NJ OPHTHALMOLOGY 115 5,245 $655,000 $125 13.8% (201) 837-7300
7 RETINA AND VITREOUS OF TEXAS PLLC BELLAIRE TX OPHTHALMOLOGY 9 5,237 $319,164 $61 16.6% (713) 799-9975
8 PANHANDLE EYE GROUP, LLP AMARILLO TX OPHTHALMOLOGY 11 5,133 $384,975 $75 16.2% (806) 351-1870
9 ASSOCIATED RETINA CONSULTANTS LTD PHOENIX AZ OPHTHALMOLOGY 15 4,723 $132,259 $28 53.0% (602) 242-4928
10 MARK FLECKNER M.D., P.C. GARDEN CITY NY OPHTHALMOLOGY 2 4,480 $672,000 $150 5.0% (516) 739-5905
11 MIDWEST RETINA CONSULTANTS SC DES PLAINES IL OPHTHALMOLOGY 6 3,929 $102,091 $26 15.1% (847) 698-6300
12 RETINA CARE CONSULTANTS PA SARASOTA FL OPHTHALMOLOGY 6 3,812 $138,201 $36 10.5% (941) 351-1200
13 FLORIDA EYE MICROSURGICAL INSTITUTE INC BOYNTON BEACH FL OPHTHALMOLOGY 13 3,175 $206,375 $65 8.7% (561) 737-5500
14 RETINA VITREOUS CONSULTANTS FT LAUDERDALE FL OPHTHALMOLOGY 44 3,155 $470,680 $149 8.7% (954) 776-6880
15 TIAN XIA MD PA LIVINGSTON NJ OPHTHALMOLOGY 2 3,123 $784,500 $251 8.2% (973) 716-0123
16 BOSTON LASER EYE INSTITUTE PC BROOKLINE MA OPHTHALMOLOGY 23 3,113 $281,570 $90 25.5% (617) 202-2020
17 CEI PHYSICIANS PSC, LLC BLUE ASH OH OPHTHALMOLOGY 157 3,074 $297,849 $97 43.4% 51398451333741
18 STONY BROOK OPHTHALMOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY OPHTHALMOLOGY 16 2,913 $262,170 $90 3.3% (631) 444-4090
19 RETINA CONSULTANTS LLC BRENTWOOD MO OPHTHALMOLOGY 18 2,863 $135,821 $47 31.7% (314) 367-1181
20 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 2,832 $319,057 $113 3.2% —
21 RONALD CONCETTO GENTILE MD, PC NEW YORK NY OPHTHALMOLOGY 4 2,614 $261,380 $100 2.9% (212) 979-4120
22 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 2,570 $343,724 $134 3.5% (323) 442-7122
23 EYE CENTERS OF AMERICA LLC BLOOMFIELD NJ OPHTHALMOLOGY 123 2,413 $139,028 $58 6.3% (973) 707-5632
24 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 2,373 $233,776 $99 2.7% (212) 241-4812
25 ASSOCIATED VITREORETINAL AND UVEITIS CONSULTANTS LLC CARMEL IN OPHTHALMOLOGY 7 2,308 $138,480 $60 35.3% (317) 571-1501
26 RETINA CONSULTANTS OF AUSTIN PA ROUND ROCK TX OPHTHALMOLOGY 3 2,109 $139,194 $66 6.7% (512) 454-5851
27 ASSOCIATED RETINA SPECIALIST PLLC NEW YORK NY OPHTHALMOLOGY 2 1,990 $517,400 $260 2.2% (212) 604-9800
28 RETINA AND VITREOUS SURGEONS OF UTAH LLC MURRAY UT OPHTHALMOLOGY 4 1,919 $134,330 $70 78.4% (801) 892-8200
29 RASW, PC TUCSON AZ OPHTHALMOLOGY 7 1,886 $94,310 $50 21.2% (520) 886-2597
30 MICHIGAN RETINA CENTER, PC DEARBORN MI OPHTHALMOLOGY 3 1,766 $109,492 $62 13.7% (313) 441-2227
31 WEST COAST RETINA MEDICAL GROUP INC SAN FRANCISCO CA OPHTHALMOLOGY 10 1,708 $170,800 $100 2.3% (415) 972-4600
32 HAROLD WEISS MDANDMARK HAIMANN MDANDJOEL MILLER MDANDSUSAN MALINOWSKI SOUTHFIELD MI OPHTHALMOLOGY 7 1,681 $58,885 $35 13.1% (248) 356-8610
33 HARRUP KAUR MD INC SAN JOSE CA OPTOMETRY 6 1,674 $101,578 $61 2.3% (408) 940-3930
34 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 1,668 $160,006 $96 13.7% (617) 523-7900
35 COREY M. NOTIS, M.D., P.A. SPRINGFIELD NJ OPHTHALMOLOGY 12 1,571 $90,586 $58 4.1% (973) 232-6900
36 CENTER FOR EXCELLENCE IN EYECARE PA MIAMI FL OPHTHALMOLOGY 17 1,466 $68,897 $47 4.0% (305) 598-2020
37 RETINA CONSULTANTS OF NEVADA LLP LAS VEGAS NV OPHTHALMOLOGY 14 1,463 $104,692 $72 54.2% (702) 369-0200
38 RETINA VITREOUS CENTER, PLLC EDMOND OK OPHTHALMOLOGY 6 1,463 $107,144 $73 27.7% (405) 607-6699
39 BRYAN J PHILLIPS MD SC BOLINGBROOK IL OPHTHALMOLOGY 2 1,451 $76,903 $53 5.6% (630) 378-4799
40 SIGHT MEDICAL DOCTORS PLLC SMITHTOWN NY OPHTHALMOLOGY 115 1,416 $212,400 $150 1.6% (631) 265-8780
41 ILLINOIS RETINA ASSOCIATES, PLLC HARVEY IL OPHTHALMOLOGY 19 1,413 $58,693 $42 5.4% (708) 596-8710
42 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CA INTERNAL MEDICINE 11157 1,400 $126,000 $90 1.9% (800) 954-8000
43 RETINA INSTITUTE OF ILLINOIS PC NILES IL OPHTHALMOLOGY 10 1,390 $208,500 $150 5.3% (847) 297-8900
44 WHEATON EYE CLINIC LTD WHEATON IL OPHTHALMOLOGY 45 1,355 $36,388 $27 5.2% (630) 668-8250
45 NASSAU HEALTH CARE CORPORATION EAST MEADOW NY INTERNAL MEDICINE 180 1,343 $165,130 $123 1.5% (516) 486-6862
46 HOUSTON RETINA ASSOCIATES PA HOUSTON TX OPHTHALMOLOGY 6 1,329 $83,046 $62 4.2% (281) 495-2222
47 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 1,318 $197,700 $150 1.5% (516) 766-2519
48 RETINA ASSOCIATES OF SOUTH TEXAS PA SAN ANTONIO TX OPHTHALMOLOGY 5 1,302 $65,340 $50 4.1% (210) 615-7600
49 CHESAPEAKE EYE CARE AND LASER CENTER LLC ANNAPOLIS MD OPHTHALMOLOGY 78 1,273 $71,749 $56 5.0% (410) 571-8733
50 RSC AURORA, PLLC AURORA CO OPHTHALMOLOGY 4 1,246 $55,522 $45 38.8% (720) 443-2425
51 RETINA VITREOUS ASSOCIATES MEDICAL GROUP LOS ANGELES CA OPHTHALMOLOGY 17 1,245 $211,455 $170 1.7% (213) 483-8810
52 DELRAY EYE ASSOCIATES PA DELRAY BEACH FL OPHTHALMOLOGY 9 1,236 $43,260 $35 3.4% (561) 498-8100
53 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTON MA OPHTHALMOLOGY 70 1,233 $117,135 $95 10.1% (617) 367-4800
54 EDISON OPHTHALMOLOGY ASSOCIATES L.L.C. EDISON NJ OPHTHALMOLOGY 5 1,225 $153,125 $125 3.2% (908) 822-0070
55 OPHTHALMIC PARTNERS OF FLORIDA PA ORLANDO FL OPHTHALMOLOGY 5 1,220 $92,693 $76 3.3% (407) 425-7188
56 UNIVERSITY PHYSICIAN GROUP DETROIT MI NURSE PRACTITIONER 405 1,198 $59,352 $50 9.3% (800) 527-6266
57 CAROLINA OPHTHALMOLOGY PA ASHEVILLE NC OPHTHALMOLOGY 10 1,175 $84,600 $72 27.2% (800) 624-6575
58 ROBERT D. ROSS, MD (APMC) METAIRIE LA OPHTHALMOLOGY 3 1,170 $174,975 $150 24.1% (504) 888-7771
59 ADVANCED RETINA CENTER LC VIENNA VA OPHTHALMOLOGY 2 1,168 $49,139 $42 8.3% (703) 917-0012
60 GERSTENFELD AND GERSTENFELD M D S P C STATEN ISLAND NY OPHTHALMOLOGY 4 1,164 $87,300 $75 1.3% (718) 984-7616
61 PALM BEACH EYE CENTER INC DELRAY BEACH FL OPHTHALMOLOGY 5 1,144 $60,129 $53 3.1% (561) 287-3295
62 ARLINGTON EYE PHYSICIANS LLC ARLINGTON HEIGHTS IL OPHTHALMOLOGY 7 1,112 $33,152 $30 4.3% (847) 394-1414
63 RETINA ASSOCIATES OF ORANGE COUNTY SANTA ANA CA OPHTHALMOLOGY 5 1,105 $61,880 $56 1.5% (714) 543-6020
64 ST CHARLES EYE CENTER INC SAINT CHARLES MO OPHTHALMOLOGY 2 1,097 $65,820 $60 12.2% (636) 946-6986
65 RETINA ASSOCIATES OF CLEVELAND, INC. BEACHWOOD OH OPHTHALMOLOGY 19 1,096 $52,608 $48 15.5% —
66 MEHRAN TABAN MD INC TORRANCE CA OPHTHALMOLOGY 2 1,081 $90,804 $84 1.5% (424) 247-9090
67 EAST BAY RETINA CONSULTANTS A MEDICAL GROUP INC OAKLAND CA OPHTHALMOLOGY 6 1,048 $61,643 $59 1.4% (510) 444-1600
68 HARVARD EYE ASSOCIATES FKA ROGER OHANESIAN MD AND EDWARD KIM MD INC SAN CLEMENTE CA OPHTHALMOLOGY 20 1,032 $73,206 $71 1.4% (949) 951-2020
69 ASSOCIATE OPHTHALMOLOGISTS PC ASTORIA NY OPHTHALMOLOGY 2 1,001 $100,100 $100 1.1% (718) 728-3400
70 FIRST CHOICE PHYSICIAN PARTNERS PALM SPRINGS CA PHYSICIAN ASSISTANT 148 986 $64,721 $66 1.3% —
71 CAROLINA EYECARE PHYSICIANS LLC CHARLESTON FL OPHTHALMOLOGY 28 976 $46,633 $48 2.7% (888) 856-1878
72 VITREO-RETINAL MEDICAL GROUP, INC. YUBA CITY CA OPHTHALMOLOGY 21 955 $85,826 $90 1.3% (530) 273-8358
73 RETINA ASSOCIATES OF ST LOUIS, INC FLORISSANT MO OPHTHALMOLOGY 4 924 $25,935 $28 10.2% (314) 839-1211
74 EAGLE ROCK MEDLINK GROUP INC LOS ANGELES CA INTERNAL MEDICINE 4 916 $45,800 $50 1.2% (818) 439-2021
75 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 902 $46,904 $52 3.5% —
76 RICHARD H HAVUNJIAN MD A PROFESSIONAL CORPORATION GLENDALE CA OPHTHALMOLOGY 2 880 $88,006 $100 1.2% (818) 548-5858
77 ADVANCED OPTHALMOLOGY CENTER PA EDISON NJ OPHTHALMOLOGY 2 879 $26,139 $30 2.3% —
78 MEDICAL CONSULTANTS OF SOUTHERN CALIFORNIA, INC RANCHO CUCAMONGA CA OPHTHALMOLOGY 2 873 $43,650 $50 1.2% (909) 944-5353
79 OPHTHALMOLOGY NJ LLC MT ARLINGTON NJ OPHTHALMOLOGY 11 865 $64,242 $74 2.3% (973) 584-4451
80 ASSOCIATED RETINAL CONSULTANTS PC ROYAL OAK MI OPHTHALMOLOGY 32 853 $51,180 $60 6.6% (248) 288-2280
81 JOSEPH L LIN MD INC WEST COVINA CA OPHTHALMOLOGY 3 851 $46,743 $55 1.2% (626) 653-9444
82 FRANKFORT EYE CENTER PSC FRANKFORT KY OPHTHALMOLOGY 8 799 $103,870 $130 59.0% (502) 875-9860
83 TELAHUN, SHRADER AND RIVERA, MD ALEXANDRIA MD OPHTHALMOLOGY 6 791 $39,550 $50 3.1% (301) 868-6700
84 MEDICAL SURGICAL EYE CARE SERVICES PC WEST ISLIP NY OPHTHALMOLOGY 9 789 $68,915 $87 0.9% (631) 422-1112
85 RETINA GROUP PC BRONX NY OPHTHALMOLOGY 4 775 $38,750 $50 0.9% (718) 798-3030
86 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NY OPHTHALMOLOGY 115 770 $96,250 $125 0.9% (201) 837-7300
87 RONALD CONCETTO GENTILE MD, PC NEW YORK CT OPHTHALMOLOGY 4 751 $29,832 $40 18.2% (212) 979-4120
88 NASSAU OPHTHALMOLOGY ASSOC PC CEDARHURST NY OPHTHALMOLOGY 2 749 $56,175 $75 0.8% (516) 374-6900
89 CATARACT CORNEA AND LASER EYE CARE PLLC BROOKLYN NY OPHTHALMOLOGY 2 749 $39,631 $53 0.8% (718) 238-3438
90 RETINA CONSULTANTS PC MANCHESTER CT OPHTHALMOLOGY 7 726 $54,450 $75 17.6% (860) 646-7704
91 STUART J KAUFMAN MD AND ASSOC PA ZEPHYRHILLS FL OPHTHALMOLOGY 7 717 $32,265 $45 2.0% (813) 788-7616
92 ROBERT H. CHU, MD, PA ROCKVILLE MD OPHTHALMOLOGY 2 714 $60,690 $85 2.8% (301) 770-2020
93 TYSONS CORNER OPHTHALMIC ASSOCIATES, LTD FAIRFAX VA OPHTHALMOLOGY 5 699 $34,950 $50 5.0% (703) 698-2020
94 OPHTHALMOLOGY ASSOCIATES OF GLEN COVE, PC GLEN COVE NY OPHTHALMOLOGY 2 685 $41,400 $60 0.8% (516) 676-4596
95 RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR PASADENA CA OPHTHALMOLOGY 82 678 $36,385 $54 0.9% (800) 898-2020
96 GREGORY L HENDERSON MD FACS INC BRANDON FL OPHTHALMOLOGY 32 662 $47,807 $72 1.8% —
97 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK MA PHYSICIAN ASSISTANT 2818 662 $66,200 $100 5.4% (212) 241-4812
98 SCARSDALE OPHTHALMOLOGY ASSOCIATES PLLC SCARSDALE NY OPHTHALMOLOGY 7 662 $132,400 $200 0.7% (914) 725-5400
99 MSKCC SURGERY GROUP NEW YORK NY PHYSICIAN ASSISTANT 373 647 $103,520 $160 0.7% (212) 639-2000
100 DAVID H FISHER JR INC THE VISION CLINIC LAFAYETTE LA OPTOMETRY 2 620 $27,900 $45 12.8% (337) 237-2110

Showing the top 100 of 743 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 →