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Market snapshot

92274 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

92274 — Measurement of retinal and optic nerve function targeting multiple separate locations

Billing groups
36
Named-group FFS services
1,689
FFS of Medicare
49%
Services YoY
+16.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,497 services

1,689 observed fee-for-service (48%) · ~1,808 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 — 92274 (CY2024)

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

Named-group submitted charges
$431K
Named-group allowed amount
$138K
Named-group Medicare payments
$103K
Avg charge / svc
$255
Avg allowed / svc
$82
Avg payment / svc
$61
Average charge per group
$95 36 groups · avg submitted charge / service $550
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 92274 services, CY2024
#Physician group City St Specialty Providers 92274 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 HIGHLAND RETINA ASSOCIATES, LLC TERRE HAUTE IN OPHTHALMOLOGY 2 325 $67,712 $208 premium 91.5% (812) 281-2608
2 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON VA OPHTHALMOLOGY 80 193 $57,900 $300 premium 78.8% (202) 331-1188
3 LAKE LAZER EYE CENTER PC CLINTON TOWNSHIP MI OPHTHALMOLOGY 2 142 $35,500 $250 premium 33.8% (586) 792-3891
4 ROBERT T CLARK MD PC BRIGHTON MI OPHTHALMOLOGY 3 116 $32,775 $283 premium 27.6% (810) 474-3937
5 EYE PHYSICIANS OF FLORIDA LLP PLANTATION FL OPHTHALMOLOGY 42 64 $19,200 $300 premium 78.0% (954) 741-5555
6 MACULACARE PLLC NEW YORK NY OPHTHALMOLOGY 4 55 $17,600 $320 premium 32.5% (212) 439-9600
7 EYE CENTER OF CENTRAL GEORGIA, P.C. MACON GA OPHTHALMOLOGY 5 55 $12,210 $222 premium 100.0% (478) 743-7061
8 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 52 $18,148 $349 premium 100.0% (919) 684-8111
9 ACCESS EYE CENTERS INC FREDERICKSBURG VA OPTOMETRY 10 52 $11,173 $215 premium 21.2% (540) 786-3900
10 RETINA VITREOUS ASSOCIATES MEDICAL GROUP LOS ANGELES CA OPHTHALMOLOGY 17 49 $6,713 $137 premium 14.4% (213) 483-8810
11 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA OPHTHALMOLOGY 51 44 $17,688 $402 premium 12.9% (714) 456-8068
12 VITREO-RETINAL MEDICAL GROUP, INC. YUBA CITY CA OPHTHALMOLOGY 21 42 $13,860 $330 premium 12.4% (530) 273-8358
13 RETINA CONSULTANT PLLC SLINGERLANDS NY OPHTHALMOLOGY 8 36 $8,100 $225 premium 21.3% (518) 533-6550
14 BOSTON LASER EYE INSTITUTE PC BROOKLINE MA OPHTHALMOLOGY 23 35 $4,865 $139 premium 39.3% (617) 202-2020
15 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 35 $10,492 $300 premium 4.7% (410) 502-4340
16 CEI PHYSICIANS PSC, LLC BLUE ASH OH OPHTHALMOLOGY 157 31 $10,509 $339 premium 31.3% 51398451333741
17 RAJ K. MATURI MD PC CARMEL IN OPHTHALMOLOGY 4 30 $6,000 $200 premium 8.5% (317) 817-1414
18 UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION BIRMINGHAM AL OPHTHALMOLOGY 24 28 $8,356 $298 premium 46.7% (205) 325-8620
19 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 24 $9,155 $381 premium 7.1% (650) 723-4000
20 KUNESH EYE CENTER, INC OAKWOOD OH OPHTHALMOLOGY 5 24 $5,160 $215 premium 24.2% (937) 298-1703
21 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY OH PHYSICIAN ASSISTANT 1783 21 $2,171 $103 premium 21.2% (801) 581-2121
22 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 20 $8,640 $432 premium 11.8% (212) 305-8559
23 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 19 $2,666 $140 premium 21.3% (617) 523-7900
24 ASSOCIATED RETINA CONSULTANTS LTD PHOENIX AZ OPHTHALMOLOGY 15 18 $1,702 $95 premium 51.4% (602) 242-4928
25 MIDWESTERN UNIVERSITY GLENDALE AZ OPTOMETRY 121 17 $7,500 $441 premium 48.6% (623) 537-6000
26 TEXAS RETINA ASSOCIATES DALLAS TX OPHTHALMOLOGY 18 16 $4,000 $250 premium 11.1% (214) 692-6941
27 SUMMIT EYE CENTER LLC LEES SUMMIT MO OPTOMETRY 4 15 $1,875 $125 premium 57.7% (816) 246-2111
28 HAYLEY EYE CLINIC PC WICHITA FALLS TX OPTOMETRY 7 15 $2,520 $168 premium 10.4% (940) 723-2020
29 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 15 $2,115 $141 premium 3.6% (734) 763-5459
30 RETINA CONSULTANTS OF ALABAMA P.C. BIRMINGHAM AL OPHTHALMOLOGY 12 14 $1,330 $95 premium 23.3% (205) 329-7100
31 WILLS EYE OPHTHALMOLOGY CLINIC, INC PHILADELPHIA PA OPHTHALMOLOGY 143 13 $1,950 $150 premium 100.0% (215) 928-3041
32 HAYLEY EYE CLINIC PC WICHITA FALLS TN OPTOMETRY 7 13 $2,184 $168 premium 100.0% (940) 723-2020
33 DUPAGE EYE CENTER LTD DOWNERS GROVE IL OPHTHALMOLOGY 2 13 $2,275 $175 premium 25.0% (630) 963-3937
34 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 13 $4,823 $371 premium 9.0% (214) 633-5555
35 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA CA OPHTHALMOLOGY 116 12 $6,600 $550 premium 3.5% (323) 442-7122
36 EYE CARE PLUS LLP AMARILLO TX OPTOMETRY 5 12 $2,340 $195 premium 8.3% (806) 358-3594
37 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 11 $3,025 $275 premium 42.3% (314) 747-3000

*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 →