This provider's $5.5M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
Their average markup ratio of 5.83x is significantly above the specialty median of 2.9x.
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 | $1.9K | $280.59 | 6.83x | $1.6K | $738.0K | 7.8K | 6.1K |
| 2015 | $1.1K | $214.48 | 4.97x | $851.17 | $597.4K | 6.9K | 5.3K |
| 2016 | $1.4K | $254.31 | 5.57x | $1.2K | $525.4K | 6.3K | 4.7K |
| 2017 | $1.4K | $249.65 | 5.43x | $1.1K | $508.8K | 6.9K | 5.2K |
| 2018 | $1.4K | $237.81 | 5.78x | $1.1K | $535.2K | 7.1K | 5.3K |
| 2019 | $2.0K | $257.86 | 7.57x | $1.7K | $547.4K | 7.1K | 5.3K |
| 2020 | $2.1K | $223.60 | 9.22x | $1.8K | $416.5K | 5.8K | 4.7K |
| 2021 | $2.9K | $305.10 | 9.64x | $2.6K | $610.1K | 8.0K | 5.7K |
| 2022 | $2.4K | $255.65 | 9.45x | $2.2K | $539.3K | 8.0K | 5.5K |
| 2023 | $2.0K | $222.79 | 9.16x | $1.8K | $501.0K | 7.7K | 5.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 23.0K | $1.7M | $71.82 | 4.37x |
| 92083 | Measurement of field of vision during daylight conditions | 17.4K | $931.4K | $53.38 | 5.86x |
| 66170 | Creation of eye fluid drainage tract | 420 | $418.8K | $997.12 | 6.07x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 3.8K | $386.6K | $100.69 | 3.98x |
| 92133 | Diagnostic imaging of optic nerve of eye | 9.8K | $298.5K | $30.55 | 8.40x |
| 92250 | Photography of the retina | 5.8K | $295.6K | $51.36 | 6.34x |
| 66180 | Creation of shunt to improve eye fluid flow | 276 | $281.8K | $1.0K | 5.97x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.9K | $235.7K | $123.68 | 3.88x |
| 66984 | Removal of cataract with insertion of lens | 484 | $208.8K | $431.45 | 10.96x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 662 | $157.3K | $237.68 | 10.31x |
| 66250 | Revision or repair of operative wound of eye | 254 | $126.3K | $497.40 | 8.05x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 410 | $109.2K | $266.24 | 8.13x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 2.9K | $67.8K | $23.42 | 5.03x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 175 | $52.1K | $297.57 | 6.37x |
| 65820 | Incision to improve eye fluid flow | 62 | $47.5K | $765.50 | 7.67x |
| 92002 | Eye and medical examination for diagnosis and treatment, new patient | 629 | $43.2K | $68.63 | 4.48x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 569 | $42.8K | $75.16 | 4.41x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 355 | $41.2K | $116.02 | 4.57x |
| 66982 | Removal of cataract with insertion of lens | 42 | $25.0K | $595.06 | 7.65x |
| 67255 | Repair of defect of sclera with graft | 41 | $19.1K | $465.33 | 10.75x |
This provider submits charges 5.83 times higher than what Medicare actually pays.
A markup ratio of 5.83x means for every $100 Medicare pays, this provider initially charges $583. 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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