This provider's $7.7M in total Medicare payments ranks in the 98th 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 | $467.31 | $175.21 | 2.67x | $292.10 | $642.7K | 5.5K | 3.3K |
| 2015 | $541.59 | $221.11 | 2.45x | $320.48 | $908.0K | 7.8K | 5.1K |
| 2016 | $447.71 | $214.69 | 2.09x | $233.02 | $945.9K | 8.6K | 5.8K |
| 2017 | $355.66 | $154.45 | 2.30x | $201.21 | $879.5K | 7.8K | 5.8K |
| 2018 | $443.86 | $160.43 | 2.77x | $283.43 | $1.0M | 8.9K | 6.5K |
| 2019 | $326.38 | $145.04 | 2.25x | $181.34 | $973.6K | 10.4K | 7.4K |
| 2020 | $323.26 | $145.30 | 2.22x | $177.96 | $594.0K | 7.0K | 5.4K |
| 2021 | $405.69 | $188.77 | 2.15x | $216.92 | $692.0K | 7.3K | 5.4K |
| 2022 | $307.17 | $136.28 | 2.25x | $170.89 | $584.5K | 6.6K | 5.0K |
| 2023 | $359.59 | $160.37 | 2.24x | $199.22 | $497.0K | 5.5K | 3.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 3.6K | $1.6M | $442.84 | 2.53x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 15.4K | $1.4M | $90.57 | 2.32x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.4K | $655.0K | $269.45 | 2.13x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 940 | $477.9K | $508.45 | 2.14x |
| 92134 | Diagnostic imaging of retina | 13.7K | $442.4K | $32.35 | 2.25x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 5.6K | $374.8K | $66.73 | 2.18x |
| J0178 | Injection, aflibercept, 1 mg | 417 | $311.9K | $748.03 | 1.86x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 1.5K | $290.3K | $193.30 | 2.13x |
| 66988 | Removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 436 | $260.0K | $596.28 | 1.96x |
| 92136 | Measurement of corneal curvature and depth of eye | 4.2K | $229.5K | $54.50 | 2.49x |
| 92083 | Measurement of field of vision during daylight conditions | 4.4K | $202.0K | $45.44 | 2.43x |
| 92250 | Photography of the retina | 4.0K | $179.0K | $44.32 | 2.49x |
| 67031 | Laser release of scar tissue between the lens and retina | 494 | $152.9K | $309.53 | 2.09x |
| 92273 | Full field recording of retinal electrical responses to external stimuli with interpretation and report | 1.4K | $149.8K | $109.36 | 2.04x |
| 92283 | Extended color vision examination | 3.3K | $147.4K | $44.90 | 2.10x |
| 67028 | Injection of drug into eye | 1.8K | $142.3K | $81.03 | 3.39x |
| 0191T | Internal insertion of eye fluid drainage device | 213 | $127.1K | $596.54 | 2.91x |
| 92133 | Diagnostic imaging of optic nerve of eye | 3.4K | $99.2K | $29.08 | 2.34x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 782 | $79.4K | $101.51 | 2.46x |
| 65778 | Insertion of amniotic membrane to eye surface | 48 | $55.6K | $1.2K | 2.40x |
This provider submits charges 2.31 times higher than what Medicare actually pays.
A markup ratio of 2.31x means for every $100 Medicare pays, this provider initially charges $231. 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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