This provider averages 58 services per working day
Based on 145.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $25.8M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 58 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 72% from 2014 to 2023.
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 | $232.39 | $133.14 | 1.75x | $99.25 | $1.7M | 12.9K | 16 |
| 2015 | $296.73 | $156.70 | 1.89x | $140.03 | $1.7M | 11.1K | 17 |
| 2016 | $331.49 | $171.17 | 1.94x | $160.32 | $1.9M | 11.2K | 17 |
| 2017 | $493.78 | $201.55 | 2.45x | $292.23 | $2.1M | 10.5K | 16 |
| 2018 | $522.49 | $203.77 | 2.56x | $318.72 | $2.5M | 12.3K | 16 |
| 2019 | $607.30 | $231.42 | 2.62x | $375.88 | $3.1M | 13.6K | 13 |
| 2020 | $671.14 | $249.81 | 2.69x | $421.33 | $3.2M | 13.0K | 13 |
| 2021 | $714.70 | $267.59 | 2.67x | $447.11 | $3.5M | 12.9K | 15 |
| 2022 | $622.75 | $221.55 | 2.81x | $401.20 | $3.0M | 13.6K | 16 |
| 2023 | $249.26 | $86.25 | 2.89x | $163.01 | $3.0M | 34.4K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 21.0K | $15.3M | $725.58 | 2.21x |
| J2778 | Injection, ranibizumab, 0.1 mg | 15.9K | $4.3M | $271.10 | 2.28x |
| 67028 | Injection of drug into eye | 15.1K | $1.5M | $97.73 | 7.02x |
| 92014 | Established patient complete exam of visual system | 11.9K | $1.2M | $99.89 | 1.98x |
| 92134 | Imaging of retina | 24.6K | $946.0K | $38.40 | 2.60x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 27.4K | $774.5K | $28.25 | 2.75x |
| 92012 | Established patient problem focused exam of visual system | 8.8K | $686.6K | $77.95 | 1.86x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 2.7K | $264.2K | $99.64 | 2.00x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.9K | $245.5K | $129.30 | 1.99x |
| 92250 | Photography of the retina | 2.5K | $124.8K | $49.56 | 2.58x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1.1K | $110.9K | $103.70 | 2.79x |
| J7999 | Compounded drug, not otherwise classified | 1.4K | $86.1K | $61.53 | 1.33x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 943 | $73.4K | $77.84 | 2.73x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 126 | $59.5K | $472.03 | 2.97x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 101 | $59.1K | $585.55 | 2.99x |
| J3590 | Unclassified biologics | 598 | $30.7K | $51.38 | 1.40x |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | 7.4K | $21.6K | $2.91 | 1.87x |
| 92004 | New patient complete exam of visual system | 147 | $19.5K | $132.90 | 3.01x |
| 76512 | 2d ultrasound scan of eye tissue and structures | 296 | $19.1K | $64.51 | 3.41x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 612 | $13.3K | $21.80 | 4.56x |
This provider submits charges 2.51 times higher than what Medicare actually pays.
A markup ratio of 2.51x means for every $100 Medicare pays, this provider initially charges $251. 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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