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Market snapshot

NJ CY2024

Medicare Part B FFS · CY2024 · as published by CMS
92250 Photography of the retina CPT · Standard X-ray imaging
Classification Imaging › Standard X-ray › Angiography (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 3.41M services ▲ 2.6% YoY · 3.06M beneficiaries (CY2024, Medicare FFS)
Medicare paid $86.8M · $25.43 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window · National figures — the NJ market is below
Market analyticsPlatform Methods →

The structure and trend panels below are live for everyone — free to look at. The rank & score analytics, baskets, and export are the platform.

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

In New Jersey, 214 groups bill 92250 — 114,170 fee-for-service services, and volume is up 6.1% 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

214

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

114,170

Attributable volume · fee-for-service
FFS of Medicare

59%

Payer-mix frame
Named-group coverage

42%

Of New Jersey’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

+6.1%

FFS enrollment -0.7%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~191,235 services

114,170 observed fee-for-service (60%) · ~77,065 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
$15.0M
Named-group allowed amount
$4.5M
Named-group Medicare payments
$3.3M
Avg charge / svc
$132
Avg allowed / svc
$39
Avg payment / svc
$29
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
Market trend — 12-year view
services 2013–2024
YearServices Services per 1,000 Part B FFS beneficiaries Medicare payments
2013 (introduction year) 135,169 127.0 $8,282,126
2014 146,426 133.3 $9,691,010
2015 154,133 137.7 $10,222,460
2016 161,888 144.5 $10,625,666
2017 160,259 151.5 $8,843,166
2018 167,299 159.2 $7,778,849
2019 161,318 167.3 $6,724,725
2020 (2020) 125,904 134.1 $4,653,023
2021 151,151 167.1 $4,887,423
2022 149,088 168.5 $4,442,476
2023 162,266 185.8 $4,792,535
2024 172,176 198.6 $4,970,604

CAGR 2014–2024: +1.6%/yr · CAGR excludes 2020 and the introduction year.

Rates are per 1,000 Part B fee-for-service beneficiaries in the market's geography. See Methods.

The structure
Who's in this market and how it's shaped.
Average charge per group
$39 214 groups · avg submitted charge / service $508
Market structure

265 HHI (named-group grain, CY2024) · fragmented · top 5 hold 31% of named-group volume

List shares are of named-group volume; bar segments are of disclosed volume (named groups cover 66% of it — the hatched segment is the remainder, drawn per D-062).

Of volume attributable to named groups, independents account for 32%; hospital-affiliated 68%.

Disclosed setting mix: 100% office · 0% facility.

HHI trend: 2020: 270 · 2021: 245 · 2022: 252 · 2023: 267 · 2024: 256 (group rosters begin 2019)

Provider-setting count 2013 → 2024: 734 → 968 (+32%).

Named groups cover 66% of disclosed volume. CMS suppresses provider-code rows under 11 beneficiaries at the source; suppressed volume is excluded and cannot be estimated from this file. Volume shares describe the volume attributable to named groups; the coverage line above states how much of disclosed Medicare fee-for-service volume that is.

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.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City Specialty Providers 92250 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 EYE CENTERS OF AMERICA LLC BLOOMFIELD OPHTHALMOLOGY 123 8,410 $1,281,989 $152 4.9% (973) 707-5632
2 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK OPHTHALMOLOGY 115 8,397 $1,624,787 $193 4.9% (201) 837-7300
3 RESIDENT EYE CARE ASSOCIATES LLC FAIR LAWN OPTOMETRY 15 7,815 $976,870 $125 4.5% —
4 SHORE EYE ASSOCIATES PA TOMS RIVER OPHTHALMOLOGY 17 5,691 $739,803 $130 3.3% (732) 341-4733
5 MONMOUTH RETINA CONSULTANTS PA LITTLE SILVER OPHTHALMOLOGY 11 5,377 $674,225 $125 3.1% (732) 530-7730
That's the top 5 of 214 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. 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 →