This provider's $6.1M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $235.16 | $137.42 | 1.71x | $97.74 | $772.1K | 7.9K | 5.0K |
| 2015 | $234.51 | $135.53 | 1.73x | $98.98 | $740.8K | 7.7K | 5.0K |
| 2016 | $238.41 | $127.73 | 1.87x | $110.68 | $700.3K | 8.0K | 5.2K |
| 2017 | $238.67 | $130.75 | 1.83x | $107.92 | $670.7K | 8.4K | 5.6K |
| 2018 | $228.49 | $133.88 | 1.71x | $94.61 | $648.7K | 8.5K | 5.9K |
| 2019 | $215.46 | $122.81 | 1.75x | $92.65 | $618.1K | 8.1K | 5.7K |
| 2020 | $213.76 | $115.49 | 1.85x | $98.27 | $421.5K | 5.8K | 4.3K |
| 2021 | $223.23 | $118.89 | 1.88x | $104.34 | $543.6K | 7.1K | 5.1K |
| 2022 | $230.71 | $122.28 | 1.89x | $108.43 | $515.2K | 6.8K | 4.6K |
| 2023 | $229.22 | $121.63 | 1.88x | $107.59 | $505.9K | 6.6K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 32.5K | $3.1M | $94.77 | 2.13x |
| 92083 | Measurement of field of vision during daylight conditions | 9.7K | $545.6K | $56.03 | 2.12x |
| 66984 | Removal of cataract with insertion of lens | 883 | $473.7K | $536.44 | 1.68x |
| 68761 | Closure of tear duct opening using plug | 2.3K | $380.8K | $168.72 | 1.63x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.7K | $358.7K | $131.70 | 1.86x |
| 92134 | Diagnostic imaging of retina | 9.1K | $322.9K | $35.61 | 2.22x |
| 92250 | Photography of the retina | 5.8K | $296.9K | $51.28 | 2.08x |
| 92133 | Diagnostic imaging of optic nerve of eye | 6.9K | $223.5K | $32.21 | 1.93x |
| 67820 | Removal of eyelashes by forceps | 1.9K | $74.2K | $39.24 | 2.48x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 253 | $73.6K | $290.95 | 1.55x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 519 | $67.2K | $129.50 | 1.85x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 241 | $60.0K | $248.79 | 1.63x |
| 68840 | Probing of nasal-tear duct | 383 | $52.4K | $136.71 | 1.68x |
| 76519 | Ultrasound of eye for determination of lens power | 723 | $50.5K | $69.81 | 1.79x |
| 65210 | Removal of foreign body in external eye, conjunctiva or sclera | 430 | $22.4K | $52.19 | 2.22x |
| 67840 | Removal of eyelid growth | 74 | $18.1K | $244.02 | 1.42x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 171 | $11.5K | $67.33 | 2.33x |
| 67800 | Removal of eyelid growth | 95 | $10.3K | $108.08 | 2.04x |
| 68440 | Snip incision of tear-drainage opening at inner corner of the eye | 82 | $6.1K | $74.52 | 2.24x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 44 | $3.2K | $72.57 | 1.72x |
This provider submits charges 2.03 times higher than what Medicare actually pays.
A markup ratio of 2.03x means for every $100 Medicare pays, this provider initially charges $203. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Ophthalmology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Nathan Steinle, M.D. | Santa Barbara, CA | $63.1M | ✓ Clear |
| Stephen Couvillion, MD | Santa Barbara, CA | $47.7M | ✓ Clear |
| Margaret Chang, M.D. | Sacramento, CA | $47.6M | ✓ Clear |
| David Boyer, MD | Los Angeles, CA | $47.5M | ✓ Clear |
| Alessandro Castellarin, M.D. | Santa Barbara, CA | $46.9M | ✓ Clear |
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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