OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. Procedures
  3. 92014
  4. Cost Analysis

How Much Does Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits Cost on Medicare?

Cost analysis for CPT 92014 — Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits

Share:

Average Medicare Payment

$79.94

2023 data

Total Payments (2023)

$782.6M

Services (2023)

9.3M

Price Change (2014–2023)

+1.2%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$78.96$978.6M11.7M—
2015$78.53$975.4M11.8M-0.5%
2016$77.11$984.6M12.1M-1.8%
2017$76.19$983.9M12.2M-1.2%
2018$78.91$1.0B12.3M+3.6%
2019$81.31$1.1B12.5M+3.0%
2020$79.71$868.2M10.3M-2.0%
2021$80.68$822.8M9.7M+1.2%
2022$79.60$776.5M9.3M-1.3%
2023$79.94$782.6M9.3M+0.4%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.6x more than the cheapest for this procedure. NJ averages $98.12 vs MP at $60.57.

StateAvg PaymentTotal PaymentsServicesProviders
NJ$98.12$39.4M401.3K1.1K
CA$97.27$82.9M852.0K2.9K
NY$96.34$65.1M676.1K2.2K
DC$94.54$1.4M14.4K52
AK$92.68$1.1M12.2K101
MD$92.46$27.1M293.6K617
CT$92.12$10.8M117.7K583
ZZ$88.35$9.6K1091
MA$88.17$32.3M366.6K1.1K
HI$85.93$5.0M57.9K220
VA$84.75$28.6M337.8K873
FL$84.00$62.1M739.4K2.2K
RI$83.85$3.1M37.0K190
WA$83.43$13.3M159.1K790
IL$83.36$35.0M419.3K1.4K
DE$83.09$3.4M41.4K115
PR$83.04$434.5K5.2K83
TX$82.45$56.8M689.4K2.7K
PA$81.71$32.9M402.8K1.6K
GU$81.61$205.6K2.5K9
NV$81.31$4.4M54.5K291
CO$81.23$10.1M124.8K665
AZ$80.25$13.9M173.0K646
GA$79.67$16.7M209.5K847
AA$79.58$16.1K2021
NH$79.19$4.4M55.7K208
MI$78.81$16.0M202.9K1.1K
NC$78.71$15.6M198.4K880
OR$78.70$7.0M89.1K438
MO$77.63$13.1M168.2K725
MN$77.51$9.9M127.3K827
SC$76.91$13.2M171.6K543
MT$76.69$3.9M50.3K170
TN$76.66$15.5M202.6K809
WY$76.33$1.8M23.7K84
SD$76.06$3.3M44.0K196
LA$75.74$11.2M148.4K470
VT$75.71$1.9M25.6K99
AL$75.65$5.7M75.0K427
KY$75.49$5.8M77.5K417
ME$75.25$3.5M46.2K237
UT$74.60$5.4M72.2K325
OK$74.56$9.2M122.8K552
NM$74.41$3.4M45.7K184
IN$74.32$9.6M129.2K743
WV$74.31$3.0M40.0K182
ND$74.29$2.7M36.0K171
OH$73.99$17.9M242.4K1.4K
KS$73.61$9.8M132.8K529
NE$73.41$5.5M74.5K274
IA$73.36$10.0M136.2K504

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Nathan SteinleOphthalmologyCA$650.3K6.4K$102.10
Rizwan BhattiOphthalmologyCA$572.3K5.3K$107.49
Jawad QureshiOphthalmologyTX$551.3K5.6K$97.60
Robert ReinauerOphthalmologyTX$518.9K5.6K$93.00
Sunil GuptaOphthalmologyFL$492.0K5.7K$85.60
Timothy YouOphthalmologyCA$482.9K4.8K$100.63
Lori BirndorfOphthalmologyCA$470.1K4.3K$108.94
Daniel BerinsteinOphthalmologyMD$456.1K4.3K$105.59
Alan WagnerOphthalmologyVA$454.5K4.9K$92.33
Deborah ReidOphthalmologyMD$452.9K4.8K$94.70
Michael OsmanOphthalmologyVA$433.6K4.4K$99.46
Mohammedyusuf HajeeOphthalmologyNJ$422.7K4.3K$99.02
Kapil KapoorOphthalmologyVA$422.7K4.8K$88.12
Michael LaiOphthalmologyMD$420.5K4.0K$104.11
Rohit LakhanpalOphthalmologyMD$419.4K4.3K$96.71
Jason FlickerOphthalmologyNY$406.5K3.6K$111.43
Kent SmallOphthalmologyCA$404.1K3.8K$107.52
Lee AngiolettiOphthalmologyNJ$390.0K3.7K$105.44
Eric WeichelOphthalmologyMD$382.3K3.8K$100.03
Cuong VuOphthalmologyMD$373.5K3.5K$105.31

🤔 Is Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits Overpriced?

Based on the data, CPT 92014 shows a 1.6x variation in pricing across states — moderate variation by Medicare standards.

Costs have increased 1.2% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.