This provider's $6.4M 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.
Notable: Payments increased 58% in 2021
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 | $303.67 | $101.83 | 2.98x | $201.84 | $710.0K | 10.9K | 8.1K |
| 2015 | $303.89 | $94.50 | 3.22x | $209.39 | $699.2K | 11.1K | 8.2K |
| 2016 | $334.00 | $102.42 | 3.26x | $231.58 | $752.6K | 12.4K | 9.1K |
| 2017 | $300.83 | $96.46 | 3.12x | $204.37 | $744.2K | 12.7K | 8.7K |
| 2018 | $316.75 | $97.24 | 3.26x | $219.51 | $675.2K | 10.5K | 8.0K |
| 2019 | $302.00 | $95.57 | 3.16x | $206.43 | $612.4K | 9.4K | 7.0K |
| 2020 | $291.00 | $96.12 | 3.03x | $194.88 | $377.2K | 5.8K | 4.5K |
| 2021 | $361.15 | $152.40 | 2.37x | $208.75 | $596.9K | 8.2K | 6.5K |
| 2022 | $334.77 | $145.32 | 2.30x | $189.45 | $654.0K | 8.6K | 6.9K |
| 2023 | $340.76 | $143.55 | 2.37x | $197.21 | $608.7K | 8.2K | 6.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 14.9K | $1.7M | $112.11 | 1.78x |
| 92083 | Measurement of field of vision during daylight conditions | 11.0K | $653.9K | $59.61 | 3.02x |
| 68761 | Closure of tear duct opening using plug | 2.8K | $563.0K | $201.66 | 2.98x |
| 92133 | Diagnostic imaging of optic nerve of eye | 12.3K | $413.7K | $33.69 | 4.22x |
| 65778 | Insertion of amniotic membrane to eye surface | 229 | $311.9K | $1.4K | 1.54x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 2.3K | $304.4K | $133.14 | 2.25x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 3.8K | $300.2K | $79.83 | 1.88x |
| 92250 | Photography of the retina | 5.2K | $284.0K | $54.42 | 4.13x |
| 83861 | Microfluid analysis of tears | 10.4K | $230.4K | $22.10 | 2.26x |
| 92132 | Diagnostic imaging of eyes | 6.9K | $208.9K | $30.17 | 5.36x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 4.1K | $202.2K | $48.87 | 3.07x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 7.5K | $187.0K | $24.95 | 3.21x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 638 | $179.7K | $281.61 | 3.52x |
| 92286 | Microscopic evaluation of deep cells of the eye | 5.5K | $176.1K | $32.28 | 6.20x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.1K | $173.7K | $83.53 | 1.79x |
| 95930 | Measurement and recording of nerve conduction patterns using visually-evoked stimulation | 1.1K | $140.9K | $123.84 | 4.04x |
| 92275 | Recording of retinal electrical responses to external stimuli | 868 | $120.8K | $139.17 | 2.51x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 406 | $105.0K | $258.59 | 3.83x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 131 | $41.1K | $314.00 | 2.57x |
| 92202 | Extended examination of eye with drawing of optic nerve and surrounding area (macula) | 2.4K | $34.3K | $14.44 | 2.77x |
This provider submits charges 2.81 times higher than what Medicare actually pays.
A markup ratio of 2.81x means for every $100 Medicare pays, this provider initially charges $281. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jonathan Jonisch, MD | Great Neck, NY | $52.3M | ✓ Clear |
| Jeffrey Josef, M.D. | Suffern, NY | $52.2M | ✓ Clear |
| Brett Rosenblatt | Great Neck, NY | $50.0M | ✓ Clear |
| Kenneth Graham | Great Neck, NY | $47.1M | ✓ Clear |
| Glenn Stoller, M.D. | Rockville Centre, NY | $46.4M | ✓ 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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