NEVVI Medicare utilization intelligence

Down since 2015 — about 0.6× its level on the fee-for-service record, 0.9× MA-adjusted.

Medicare reported an estimated 31.6 million Ophthalmological E&M services in the United States in 2024

Published Jul 2026 · CMS Part B PUF 📋 Cite See the data →
Medicare Ophthalmological E&M services · fee-for-service record vs MA-adjusted total · 2015–2024
201520162017201820192020202120222023202415.8 million31.6 millionFee-for-service recordMA-adjusted total (est.)
Two series: the measured fee-for-service record and the MA-adjusted estimated total (FFS × total÷FFS enrollment). Their gap is Medicare Advantage's share, which the public file does not itemize by procedure. A services-volume count — billed services, not a count of procedures, visits, transports, or people. Cells under 11 beneficiaries withheld by CMS. Excludes commercial payers.
Utilization rate · per 1,000 fee-for-service beneficiaries · 2015–2024
2015201620172018201920202021202220232024564
Billed Ophthalmological E&M services per 1,000 fee-for-service beneficiaries — an enrollment-independent rate that isolates utilization from the shrinking fee-for-service pool. Assumption-free, so it is NOT scaled to total Medicare.

In 2024, Medicare's fee-for-service record carried about 15.8 million Ophthalmological E&M billed services in the United States; scaled for Medicare Advantage — roughly half of Medicare enrollment — that is an estimated 31.6 million services, or about 564 per 1,000 fee-for-service beneficiaries.

This counts reported Medicare Ophthalmological E&M SERVICES — billed services, not procedures, visits, transports, or people. A single episode can bill several services, and one person can be served many times, so this is a volume of billed services and nothing more. On the fee-for-service record the 2024 volume was about 15.8 million billed services; scaled to total Medicare enrollment it is an estimated 31.6 million. Assumption-free, that is about 564 Ophthalmological E&M services per 1,000 fee-for-service beneficiaries. Across 2015–2024 the estimated total moved about 0.9 times (about 0.6 times on the fee-for-service record alone, before the Medicare Advantage adjustment).

What this is

Reported Medicare fee-for-service Ophthalmological E&M billed services, 2015 to 2024, scaled to total Medicare enrollment, with the assumption-free per-1,000-beneficiary rate stated alongside.

What it is not

Not a count of procedures, visits, transports, or people (a services-volume count — one episode can bill several services), not Medicare Advantage measured directly, not all-payer, and not a care-quality or need signal. The scaled figures are estimates: the calculation assumes MA per-capita utilization ≈ FFS; MA plans may manage utilization differently. The per-1,000 rate is on the fee-for-service record and is not scaled.