This provider's $15.4M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 1133518% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1990% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $185.00 | $40.91 | 4.52x | $144.09 | $449.96 | 11 | 1 |
| 2016 | $209.78 | $39.43 | 5.32x | $170.35 | $7.0K | 178 | 6 |
| 2017 | $222.61 | $79.36 | 2.81x | $143.25 | $146.7K | 1.8K | 12 |
| 2018 | $324.73 | $127.41 | 2.55x | $197.32 | $717.3K | 5.6K | 17 |
| 2019 | $354.67 | $140.57 | 2.52x | $214.10 | $1.1M | 7.8K | 19 |
| 2020 | $399.38 | $160.99 | 2.48x | $238.39 | $1.4M | 8.4K | 18 |
| 2021 | $446.48 | $183.73 | 2.43x | $262.75 | $3.3M | 17.8K | 17 |
| 2022 | $479.18 | $191.47 | 2.50x | $287.71 | $3.8M | 19.6K | 21 |
| 2023 | $346.37 | $127.29 | 2.72x | $219.08 | $5.1M | 40.1K | 22 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2778 | Injection, ranibizumab, 0.1 mg | 21.0K | $5.2M | $246.12 | 2.04x |
| J0178 | Injection, aflibercept, 1 mg | 7.1K | $5.0M | $703.55 | 1.78x |
| 67028 | Injection of drug into eye | 8.5K | $917.9K | $107.51 | 9.06x |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | 3.6K | $800.3K | $219.51 | 3.34x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 20.5K | $592.4K | $28.95 | 2.42x |
| J3490 | Unclassified drugs | 622 | $526.6K | $846.62 | 2.10x |
| 92012 | Established patient problem focused exam of visual system | 6.8K | $496.6K | $72.58 | 1.69x |
| 92134 | Imaging of retina | 13.6K | $458.0K | $33.57 | 3.71x |
| 92014 | Established patient complete exam of visual system | 4.3K | $445.6K | $103.99 | 1.70x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 1.1K | $172.9K | $157.33 | 3.18x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.3K | $171.4K | $127.36 | 1.66x |
| 92250 | Photography of the retina | 2.9K | $100.0K | $34.64 | 2.74x |
| 92004 | New patient complete exam of visual system | 729 | $87.8K | $120.39 | 1.56x |
| J7999 | Compounded drug, not otherwise classified | 1.2K | $79.3K | $67.25 | 1.49x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 794 | $71.9K | $90.59 | 1.94x |
| 92287 | Imaging of front third of eye using a special camera after injection of a dye | 383 | $48.4K | $126.37 | 1.49x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 48 | $42.8K | $891.42 | 4.71x |
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 2.9K | $36.2K | $12.44 | 15.98x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 43 | $30.9K | $719.01 | 6.34x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 1.4K | $30.2K | $22.28 | 3.37x |
This provider submits charges 2.57 times higher than what Medicare actually pays.
A markup ratio of 2.57x means for every $100 Medicare pays, this provider initially charges $257. 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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