This provider's $8.2M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 10669% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1047% in 2015
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 | $115.00 | $86.36 | 1.33x | $28.64 | $10.6K | 119 | 109 |
| 2015 | $272.04 | $114.85 | 2.37x | $157.19 | $121.1K | 1.2K | 871 |
| 2016 | $254.62 | $106.03 | 2.40x | $148.59 | $119.3K | 1.2K | 947 |
| 2017 | $378.59 | $140.73 | 2.69x | $237.86 | $226.0K | 2.4K | 2.0K |
| 2018 | $458.76 | $164.09 | 2.80x | $294.67 | $956.2K | 6.6K | 5.0K |
| 2019 | $504.79 | $199.45 | 2.53x | $305.34 | $1.4M | 10.1K | 7.1K |
| 2020 | $485.27 | $212.71 | 2.28x | $272.56 | $1.2M | 9.4K | 6.5K |
| 2021 | $422.41 | $177.33 | 2.38x | $245.08 | $1.7M | 12.3K | 8.8K |
| 2022 | $514.89 | $219.33 | 2.35x | $295.56 | $1.4M | 10.0K | 7.5K |
| 2023 | $440.91 | $189.98 | 2.32x | $250.93 | $1.1M | 9.0K | 6.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 3.0K | $1.2M | $385.53 | 2.84x |
| 66174 | Dilation to improve eye fluid flow | 1.7K | $987.9K | $587.70 | 2.43x |
| 66982 | Removal of cataract with insertion of lens | 1.4K | $730.4K | $521.38 | 2.59x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 7.3K | $714.5K | $97.53 | 2.07x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.3K | $637.9K | $275.09 | 2.05x |
| 65820 | Incision to improve eye fluid flow | 1.1K | $566.1K | $519.82 | 2.47x |
| J0178 | Injection, aflibercept, 1 mg | 745 | $550.0K | $738.22 | 2.11x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 4.5K | $307.1K | $68.10 | 2.02x |
| 92136 | Measurement of corneal curvature and depth of eye | 4.8K | $224.5K | $46.54 | 2.64x |
| 92273 | Full field recording of retinal electrical responses to external stimuli with interpretation and report | 1.8K | $195.6K | $110.12 | 2.03x |
| 67028 | Injection of drug into eye | 2.2K | $186.8K | $85.23 | 4.28x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 843 | $167.8K | $199.06 | 2.07x |
| 92134 | Diagnostic imaging of retina | 5.2K | $167.0K | $32.36 | 2.19x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 328 | $156.6K | $477.55 | 2.21x |
| 92083 | Measurement of field of vision during daylight conditions | 3.3K | $154.5K | $46.92 | 2.28x |
| 66988 | Removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 320 | $120.0K | $375.07 | 3.12x |
| 66989 | Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 163 | $111.9K | $686.38 | 1.99x |
| 92283 | Extended color vision examination | 2.2K | $100.1K | $44.94 | 2.08x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 210 | $99.8K | $475.20 | 2.30x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 844 | $82.6K | $97.88 | 2.34x |
This provider submits charges 2.45 times higher than what Medicare actually pays.
A markup ratio of 2.45x means for every $100 Medicare pays, this provider initially charges $245. 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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