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Market snapshot

92228 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

92228 — Imaging of retina with remote review by physician

Billing groups
64
Named-group FFS services
3,848
FFS of Medicare
49%
Services YoY
+11.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,890 services

3,848 observed fee-for-service (49%) · ~4,042 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 — 92228 (CY2024)
PA 1,629 CA 630 IL 399 LA 388 NC 337

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

Named-group submitted charges
$305K
Named-group allowed amount
$94K
Named-group Medicare payments
$63K
Avg charge / svc
$79
Avg allowed / svc
$25
Avg payment / svc
$16
Average charge per group
$28 64 groups · avg submitted charge / service $179
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 92228 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 1,184 $113,546 $96 72.7% (570) 271-6144
2 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 210 $9,870 $47 54.1% (504) 842-3000
3 NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO MS FAMILY PRACTICE 121 182 $9,646 $53 93.8% (662) 377-5300
4 EXCELLENT MEDICAL ASSOCIATES PC ORLAND PARK IL INTERNAL MEDICINE 2 153 $7,650 $50 38.3% (708) 364-1205
5 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 110 $7,150 $65 6.8% (717) 531-5638
6 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 96 $6,864 $72 15.2% (415) 600-1020
7 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 93 $13,596 $146 14.8% (800) 926-8273
8 POTTSTOWN MEDICAL SPECIALISTS INC POTTSTOWN PA FAMILY PRACTICE 39 90 $4,500 $50 5.5% (484) 945-0075
9 LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE SHREVEPORT LA PHYSICIAN ASSISTANT 589 85 $7,650 $90 21.9% (318) 675-8700
10 UNM HOSPITAL ALBUQUERQUE NM NURSE PRACTITIONER 389 76 $3,192 $42 100.0% (505) 272-2644
11 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 74 $4,604 $62 23.5% (713) 512-7500
12 RETINA OF COASTAL CAROLINA, PLLC WILMINGTON NC OPHTHALMOLOGY 2 67 $5,025 $75 19.9% 9102542023117
13 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO OH DIAGNOSTIC RADIOLOGY 2057 65 $9,425 $145 63.1% (800) 926-8273
14 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 62 $3,348 $54 19.7% (512) 346-6611
15 VALLEY MEDICAL GROUP PC GREENFIELD MA PHYSICIAN ASSISTANT 108 61 $5,490 $90 41.8% (413) 774-6301
16 REGENTS OF THE UNIVERSITY OF CALIFORNIA SACRAMENTO CA FAMILY PRACTICE 561 56 $3,312 $59 8.9% (916) 734-7777
17 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 56 $5,992 $107 32.9% —
18 SUMMIT MEDICAL GROUP ARIZONA LLC GLENDALE AZ NURSE PRACTITIONER 158 55 $3,905 $71 48.7% (888) 698-6727
19 PERMANENTE MEDICAL GROUP INC SANTA CLARA CA INTERNAL MEDICINE 10890 49 $3,901 $80 7.8% (408) 851-1000
20 EYESIGHT OPHTHALMIC SERVICES PLLC PORTSMOUTH NH OPHTHALMOLOGY 17 48 $5,760 $120 100.0% (603) 436-1773
21 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 46 $3,374 $73 80.7% —
22 EINSTEIN COMMUNITY HEALTH ASSOCIATES INC PHILADELPHIA PA FAMILY PRACTICE 195 42 $3,500 $83 2.6% (215) 927-1937
23 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 40 $1,760 $44 35.4% (501) 686-8000
24 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 34 $4,250 $125 23.0% (845) 703-6999
25 NICHOLAS R HALPER MD PC ROCKVILLE CENTRE NY FAMILY PRACTICE 7 33 $3,300 $100 22.3% (516) 536-2221
26 ARIA HEALTH PHYSICIAN SERVICES PHILADELPHIA PA PHYSICIAN ASSISTANT 489 33 $2,805 $85 2.0% (215) 890-3030
27 LAFAYETTE HEALTH VENTURES INC LAFAYETTE LA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 293 32 $1,468 $46 8.2% (337) 289-7374
28 INSPIRA HEALTH NETWORK MEDICAL GROUP PC PITTSGROVE NJ DIAGNOSTIC RADIOLOGY 238 29 $2,001 $69 45.3% (856) 358-6161
29 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 29 $1,595 $55 34.1% (313) 916-2600
30 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 28 $810 $29 4.4% (916) 983-7476
31 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 28 $1,680 $60 8.3% (910) 662-6000
32 MCR HEALTH INC PARRISH FL NURSE PRACTITIONER 153 26 $1,560 $60 36.6% (941) 713-2231
33 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 25 $1,825 $73 22.1% (501) 202-2093
34 STAR RETINA PLLC FORT WORTH TX OPHTHALMOLOGY 2 24 $2,070 $86 7.6% (817) 378-4777
35 SARATOGA HOSPITAL SARATOGA SPRINGS NY PHYSICIAN ASSISTANT 353 24 $2,184 $91 16.2% (518) 583-8421
36 AVENEL ISELIN MEDICAL GROUP, LLC ISELIN NJ FAMILY PRACTICE 17 23 $2,254 $98 35.9% (732) 404-1580
37 BLUE RIDGE HEALTHCARE MEDICAL GROUP INC MORGANTON NC NURSE PRACTITIONER 221 22 $883 $40 6.5% (828) 580-3278
38 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 22 $2,046 $93 10.8% (410) 761-1222
39 FAMILY FIRST MEDICAL CENTER PLLC IDAHO FALLS ID PHYSICIAN ASSISTANT 18 22 $1,256 $57 29.3% 2085527700837
40 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 22 $1,470 $67 31.0% —
41 CHRISTIANA CARE HEALTH SERVICES INC NEWARK MD PHYSICIAN ASSISTANT 1537 21 $1,345 $64 10.3% —
42 CLINICA LA FAMILIA PC TEMPE AZ PHYSICIAN ASSISTANT 32 21 $1,430 $68 18.6% (602) 569-3999
43 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 21 $1,785 $85 1.3% (215) 456-8242
44 LESTER E COX MEDICAL CENTERS SPRINGFIELD MO NURSE PRACTITIONER 245 20 $867 $43 11.5% (417) 269-5158
45 SVMHS CLINICS SALINAS CA PHYSICIAN ASSISTANT 245 20 $1,680 $84 3.2% (831) 422-3636
46 TIDALHEALTH PHYSICIAN NETWORK, INC. SEAFORD DE NURSE PRACTITIONER 105 19 $1,430 $75 23.2% 30262966118802
47 PLATTE VALLEY MEDICAL GROUP LLC BRIGHTON CO CARDIOVASCULAR DISEASE (CARDIOLOGY) 115 19 $537 $28 100.0% (303) 498-1600
48 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 18 $544 $30 22.0% —
49 ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY PHYSICIAN ASSISTANT 480 15 $1,117 $74 10.1% (518) 525-1852
50 COMPASS HEALTH INC CLINTON MO MENTAL HEALTH COUNSELOR 314 15 $2,331 $155 8.6% (888) 403-1071
51 MMG NELSON RD LLC LAKE CHARLES LA FAMILY PRACTICE 5 14 $1,484 $106 3.6% (337) 480-7900
52 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 14 $546 $39 23.3% (253) 428-2200
53 VMD PRIMARY PROVIDERS SOUTH HILL COUNTRY TEXAS, PLLC SAN ANTONIO TX NURSE PRACTITIONER 29 13 $923 $71 4.1% (210) 436-8400
54 LIFETIME FAMILY MEDICINE,LLC DALLAS GA NURSE PRACTITIONER 8 13 $1,885 $145 7.6% (770) 459-8449
55 SCL HEALTH MEDICAL GROUP - BILLINGS LLC BILLINGS MT PHYSICIAN ASSISTANT 285 12 $339 $28 100.0% (406) 237-3913
56 VMD PRIMARY PROVIDERS EASTERN MICHIGAN PC NOVI MI PHYSICIAN ASSISTANT 64 12 $852 $71 14.1% —
57 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 12 $1,200 $100 3.6% (919) 684-8111
58 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA NY PHYSICIAN ASSISTANT 1017 12 $888 $74 8.1% (803) 749-5101
59 HONORHEALTH MEDICAL GROUP, LLC PHOENIX TX FAMILY PRACTICE 326 12 $661 $55 3.8% (602) 371-3100
60 HONORHEALTH MEDICAL GROUP, LLC PHOENIX AZ FAMILY PRACTICE 326 12 $661 $55 10.6% (602) 371-3100
61 SHARP REES-STEALY MEDICAL GROUP INC SAN DIEGO CA PHYSICIAN ASSISTANT 872 11 $1,034 $94 1.7% (858) 499-2600
62 TIDALHEALTH PRIMARY CARE LLC SALISBURY MD NURSE PRACTITIONER 62 11 $828 $75 5.4% (410) 543-8240
63 BUFFALO MEDICAL GROUP, P.C. WILLIAMSVILLE NY PHYSICIAN ASSISTANT 237 11 $641 $58 7.4% (716) 630-1000
64 AHMED FAMILY PRACTICE LLC FOREST PARK GA NURSE PRACTITIONER 3 11 $321 $29 6.5% (404) 968-9469
65 MCBROOM CLINIC PA LA GRANGE TX FAMILY PRACTICE 8 11 $594 $54 3.5% —
66 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 11 $1,965 $179 19.3% (864) 587-3000
67 IORA SENIOR HEALTH LLC PHOENIX AZ NURSE PRACTITIONER 121 11 $627 $57 9.7% (602) 218-4075

*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 →