This provider's $13.0M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
71% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of lens).
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 | $293.16 | $150.63 | 1.95x | $142.53 | $1.5M | 7.1K | 5.4K |
| 2015 | $305.42 | $134.84 | 2.27x | $170.58 | $1.6M | 7.9K | 5.9K |
| 2016 | $397.25 | $186.15 | 2.13x | $211.10 | $1.6M | 8.0K | 5.9K |
| 2017 | $410.68 | $192.70 | 2.13x | $217.98 | $1.6M | 8.0K | 5.8K |
| 2018 | $397.09 | $179.85 | 2.21x | $217.24 | $1.5M | 7.3K | 5.3K |
| 2019 | $452.44 | $192.24 | 2.35x | $260.20 | $1.4M | 6.9K | 5.0K |
| 2020 | $393.93 | $150.08 | 2.62x | $243.85 | $901.7K | 5.0K | 3.7K |
| 2021 | $363.07 | $134.00 | 2.71x | $229.07 | $1.0M | 5.7K | 4.2K |
| 2022 | $459.58 | $190.22 | 2.42x | $269.36 | $923.1K | 5.2K | 3.8K |
| 2023 | $442.33 | $179.85 | 2.46x | $262.48 | $888.4K | 4.9K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 20.4K | $9.2M | $450.41 | 2.16x |
| 92136 | Measurement of corneal curvature and depth of eye | 22.9K | $953.2K | $41.68 | 3.14x |
| 66982 | Removal of cataract with insertion of lens | 1.6K | $908.3K | $584.09 | 2.34x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 5.2K | $504.6K | $96.43 | 2.28x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 3.2K | $271.3K | $85.33 | 2.11x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.4K | $255.2K | $105.04 | 2.34x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.7K | $200.2K | $53.58 | 2.01x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.0K | $171.5K | $84.93 | 1.88x |
| 0191T | Internal insertion of eye fluid drainage device | 428 | $165.2K | $386.01 | 2.92x |
| 65820 | Incision to improve eye fluid flow | 262 | $151.4K | $577.84 | 1.95x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 304 | $81.5K | $268.00 | 2.19x |
| 92134 | Diagnostic imaging of retina | 1.3K | $38.7K | $28.84 | 2.32x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 593 | $35.6K | $60.08 | 2.09x |
| 76519 | Ultrasound of eye for determination of lens power | 406 | $23.9K | $58.91 | 2.08x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 44 | $18.7K | $424.84 | 2.31x |
| 92286 | Microscopic evaluation of deep cells of the eye | 565 | $15.7K | $27.79 | 2.03x |
| 65400 | Removal of growth of cornea | 28 | $14.4K | $514.41 | 2.08x |
| 0376T | Insertion of eye drainage device | 112 | $9.2K | $82.29 | 5.30x |
| 92133 | Diagnostic imaging of optic nerve of eye | 326 | $8.8K | $27.02 | 2.42x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 212 | $6.3K | $29.88 | 2.17x |
This provider submits charges 2.25 times higher than what Medicare actually pays.
A markup ratio of 2.25x means for every $100 Medicare pays, this provider initially charges $225. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Alexander Eaton, MD | Fort Myers, FL | $99.5M | ✓ Clear |
| Sunil Gupta, M.D. | Pensacola, FL | $86.1M | ✓ Clear |
| Hussein Wafapoor, M.D. | Fort Myers, FL | $70.9M | ✓ Clear |
| John Myers, M.D. | Pensacola, FL | $69.4M | ✓ Clear |
| Thomas Baudo, M.D. | Vero Beach, FL | $64.2M | ✓ 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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