This provider's $4.2M in total Medicare payments ranks in the 95th 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.
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 | $202.24 | $74.46 | 2.72x | $127.78 | $428.4K | 6.4K | 4.5K |
| 2015 | $193.24 | $69.37 | 2.79x | $123.87 | $395.6K | 6.2K | 4.4K |
| 2016 | $184.83 | $68.68 | 2.69x | $116.15 | $434.1K | 6.5K | 4.4K |
| 2017 | $183.70 | $68.85 | 2.67x | $114.85 | $426.9K | 6.7K | 4.6K |
| 2018 | $186.26 | $67.37 | 2.76x | $118.89 | $393.9K | 6.6K | 4.5K |
| 2019 | $224.84 | $80.12 | 2.81x | $144.72 | $437.8K | 6.8K | 4.3K |
| 2020 | $224.79 | $81.18 | 2.77x | $143.61 | $355.3K | 5.1K | 3.5K |
| 2021 | $218.05 | $89.26 | 2.44x | $128.79 | $435.2K | 6.2K | 3.8K |
| 2022 | $214.80 | $85.63 | 2.51x | $129.17 | $438.7K | 6.4K | 3.7K |
| 2023 | $222.51 | $82.94 | 2.68x | $139.57 | $433.2K | 6.5K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 10.7K | $863.0K | $80.57 | 1.83x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 6.4K | $687.8K | $107.89 | 1.41x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 2.0K | $478.2K | $242.73 | 3.51x |
| 92083 | Measurement of field of vision during daylight conditions | 6.1K | $358.9K | $59.13 | 2.03x |
| 92100 | Multiple measurements of eye fluid pressure over an extended time period, same day | 3.9K | $303.7K | $77.37 | 1.53x |
| 92250 | Photography of the retina | 5.1K | $276.4K | $53.98 | 3.09x |
| 92133 | Diagnostic imaging of optic nerve of eye | 6.1K | $204.7K | $33.67 | 3.27x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 684 | $197.8K | $289.23 | 2.94x |
| 92134 | Diagnostic imaging of retina | 4.3K | $165.6K | $38.85 | 3.79x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 6.0K | $146.6K | $24.39 | 2.73x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 819 | $116.1K | $141.71 | 1.76x |
| 92132 | Diagnostic imaging of eyes | 4.1K | $113.0K | $27.37 | 3.86x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 2.2K | $80.5K | $36.14 | 4.00x |
| 92140 | Glaucoma testing of eye fluid pressure | 1.3K | $72.2K | $57.63 | 1.73x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 217 | $24.8K | $114.21 | 1.58x |
| 92202 | Extended examination of eye with drawing of optic nerve and surrounding area (macula) | 1.5K | $22.6K | $14.64 | 6.44x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 273 | $21.8K | $79.99 | 1.78x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 546 | $20.7K | $37.86 | 3.69x |
| 76514 | Ultrasound of corneal structure and measurement | 973 | $12.0K | $12.32 | 4.74x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 172 | $7.1K | $41.30 | 3.37x |
This provider submits charges 2.4 times higher than what Medicare actually pays.
A markup ratio of 2.4x means for every $100 Medicare pays, this provider initially charges $240. 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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