This provider's $3.9M in total Medicare payments ranks in the 99th percentile of Optometry providers nationally.
Medicare payments to this provider grew 61% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 143% in 2023
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $84.79 | $57.70 | 1.47x | $27.09 | $417.6K | 7.5K | 6.7K |
| 2015 | $85.54 | $55.71 | 1.54x | $29.83 | $458.4K | 8.5K | 7.4K |
| 2016 | $92.07 | $56.85 | 1.62x | $35.22 | $378.6K | 7.3K | 6.3K |
| 2017 | $91.53 | $54.54 | 1.68x | $36.99 | $383.6K | 7.9K | 6.8K |
| 2018 | $88.50 | $52.66 | 1.68x | $35.84 | $496.6K | 10.5K | 8.9K |
| 2019 | $90.70 | $54.31 | 1.67x | $36.39 | $317.7K | 6.8K | 5.7K |
| 2020 | $96.41 | $56.64 | 1.70x | $39.77 | $209.7K | 4.3K | 3.7K |
| 2021 | $94.58 | $58.85 | 1.61x | $35.73 | $246.6K | 4.8K | 4.0K |
| 2022 | $94.43 | $58.09 | 1.63x | $36.34 | $277.1K | 5.5K | 4.5K |
| 2023 | $87.27 | $50.80 | 1.72x | $36.47 | $674.1K | 14.5K | 12.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 7.8K | $723.3K | $92.52 | 1.33x |
| 92250 | Photography of the retina | 10.4K | $531.0K | $51.14 | 2.12x |
| 92083 | Measurement of field of vision during daylight conditions | 8.5K | $477.6K | $55.92 | 2.13x |
| 76512 | Ultrasound of eye disease, growth, or structure | 7.0K | $438.4K | $62.44 | 1.78x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 2.8K | $366.4K | $129.60 | 1.36x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 2.9K | $226.3K | $77.25 | 1.31x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 9.0K | $214.8K | $23.96 | 1.38x |
| 92134 | Diagnostic imaging of retina | 5.8K | $206.3K | $35.86 | 1.51x |
| 92286 | Microscopic evaluation of deep cells of the eye | 6.0K | $192.9K | $32.11 | 1.40x |
| 92285 | Photography of content of eyes | 9.8K | $168.4K | $17.11 | 2.91x |
| 68761 | Closure of tear duct opening using plug | 1.4K | $138.0K | $102.17 | 1.78x |
| 92025 | Computerized mapping of corneal curvature | 3.1K | $95.2K | $30.76 | 1.45x |
| 92133 | Diagnostic imaging of optic nerve of eye | 997 | $34.2K | $34.31 | 1.54x |
| 92060 | Measurement of eye muscles to detect deviation of eyeball | 334 | $18.6K | $55.63 | 1.40x |
| 76514 | Ultrasound scan of cornea to determine thickness | 1.3K | $13.5K | $10.08 | 1.84x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 375 | $8.8K | $23.52 | 2.37x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 47 | $3.2K | $67.53 | 1.78x |
| 92100 | Multiple measurements of eye fluid pressure over an extended time period | 24 | $1.8K | $75.44 | 1.28x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 34 | $754.31 | $22.19 | 1.31x |
| 67820 | Removal of eyelashes using forceps | 16 | $280.32 | $17.52 | 3.45x |
This provider submits charges 1.7 times higher than what Medicare actually pays.
A markup ratio of 1.7x means for every $100 Medicare pays, this provider initially charges $170. This is lower than the national average.
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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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