This provider's $8.5M 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.
Notable: Payments increased 52% 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 | $302.19 | $207.55 | 1.46x | $94.64 | $886.9K | 9.5K | 7.9K |
| 2015 | $286.42 | $190.89 | 1.50x | $95.53 | $842.4K | 9.2K | 7.3K |
| 2016 | $263.88 | $179.42 | 1.47x | $84.46 | $907.1K | 10.0K | 7.8K |
| 2017 | $287.17 | $167.69 | 1.71x | $119.48 | $880.2K | 10.7K | 8.1K |
| 2018 | $267.46 | $150.00 | 1.78x | $117.46 | $857.8K | 10.4K | 8.1K |
| 2019 | $356.00 | $223.53 | 1.59x | $132.47 | $901.4K | 10.8K | 8.3K |
| 2020 | $331.02 | $208.45 | 1.59x | $122.57 | $526.4K | 6.7K | 5.3K |
| 2021 | $286.45 | $170.59 | 1.68x | $115.86 | $800.6K | 9.9K | 7.4K |
| 2022 | $389.18 | $233.27 | 1.67x | $155.91 | $886.4K | 11.9K | 8.5K |
| 2023 | $412.13 | $243.77 | 1.69x | $168.36 | $978.5K | 12.3K | 8.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 19.5K | $2.0M | $100.61 | 1.48x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 16.3K | $1.2M | $73.51 | 1.44x |
| 66984 | Removal of cataract with insertion of lens | 2.3K | $1.2M | $500.93 | 1.63x |
| 92083 | Measurement of field of vision during daylight conditions | 10.2K | $555.7K | $54.52 | 1.54x |
| 92250 | Photography of the retina | 10.6K | $517.8K | $49.00 | 1.80x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 4.2K | $478.0K | $114.41 | 1.54x |
| 92134 | Diagnostic imaging of retina | 13.7K | $472.3K | $34.57 | 1.71x |
| 67028 | Injection of drug into eye | 4.3K | $428.6K | $100.42 | 1.38x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 789 | $230.9K | $292.67 | 1.62x |
| J9035 | Injection, bevacizumab, 10 mg | 4.2K | $221.3K | $52.83 | 1.54x |
| 92133 | Diagnostic imaging of optic nerve of eye | 6.6K | $211.0K | $31.78 | 1.79x |
| 65820 | Incision to improve eye fluid flow | 267 | $173.4K | $649.57 | 1.44x |
| 0191T | Internal insertion of eye fluid drainage device | 360 | $169.8K | $471.72 | 1.91x |
| 92136 | Measurement of corneal curvature and depth of eye | 4.8K | $136.8K | $28.70 | 1.92x |
| 67904 | Repair of tendon of upper eyelid | 106 | $100.8K | $950.48 | 1.36x |
| 66982 | Removal of cataract with insertion of lens | 121 | $72.7K | $600.59 | 1.63x |
| 65778 | Placement of amniotic membrane on eye surface for wound healing | 55 | $70.2K | $1.3K | 1.41x |
| 66174 | Dilation to improve eye fluid flow | 86 | $60.4K | $702.11 | 1.71x |
| J0178 | Injection, aflibercept, 1 mg | 83 | $57.0K | $687.25 | 1.50x |
| 68761 | Closure of tear duct opening using plug | 171 | $31.2K | $182.18 | 1.86x |
This provider submits charges 1.57 times higher than what Medicare actually pays.
A markup ratio of 1.57x means for every $100 Medicare pays, this provider initially charges $157. This is lower 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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