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Market snapshot

92240 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

92240 — Exam of blood vessels between the white part of eye and retina using a special camera after injection of a dye

Billing groups
11
Named-group FFS services
3,389
FFS of Medicare
49%
Services YoY
-17.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,221 services

3,389 observed fee-for-service (47%) · ~3,832 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 — 92240 (CY2024)

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

Named-group submitted charges
$2.0M
Named-group allowed amount
$616K
Named-group Medicare payments
$466K
Avg charge / svc
$586
Avg allowed / svc
$182
Avg payment / svc
$137
Average charge per group
$284 11 groups · avg submitted charge / service $810
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 92240 services, CY2024
#Physician group City St Specialty Providers 92240 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 PANHANDLE EYE GROUP, LLP AMARILLO TX OPHTHALMOLOGY 11 2,276 $1,308,700 $575 premium 61.5% (806) 351-1870
2 ROBERT D. ROSS, MD (APMC) METAIRIE LA OPHTHALMOLOGY 3 339 $274,590 $810 premium 100.0% (504) 888-7771
3 OPHTHALMIC CONSULTANTS OF LONG ISLAND ROCKVILLE CENTRE NY OPHTHALMOLOGY 107 271 $121,950 $450 premium 91.9% (516) 766-2519
4 OMNI EYE SPECIALISTS P A ISELIN NJ OPHTHALMOLOGY 46 187 $112,200 $600 premium 89.9% (732) 750-0400
5 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 91 $69,321 $762 premium 37.4% (305) 689-5437
6 OPHTHALMIC PARTNERS , PA FORT WORTH TX OPHTHALMOLOGY 14 68 $26,112 $384 premium 1.8% (817) 332-2020
7 EUGENE WM NG MD LLC HILO HI OPHTHALMOLOGY 7 64 $23,455 $366 premium 100.0% (808) 356-3820
8 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 35 $20,650 $590 premium 100.0% (919) 684-8111
9 STERLING VISION PC FLORENCE OR OPTOMETRY 8 20 $11,400 $570 premium 100.0% (541) 762-2763
10 KENNETH R GROSSMAN MD INC MERCED CA OPHTHALMOLOGY 2 15 $4,260 $284 premium 41.7% (209) 383-0989
11 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM IL PHYSICIAN ASSISTANT 3051 12 $7,080 $590 premium 8.5% (919) 684-8111
12 NORTH SHORE-LIJ MEDICAL PC MANHASSET PA PHYSICIAN ASSISTANT 6294 11 $5,709 $519 premium 4.0%

*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 →