This provider's $5.6M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 104% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 90% 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 | $373.30 | $95.48 | 3.91x | $277.82 | $405.7K | 6.7K | 5.5K |
| 2015 | $407.62 | $105.95 | 3.85x | $301.67 | $426.3K | 6.6K | 5.6K |
| 2016 | $476.00 | $134.55 | 3.54x | $341.45 | $489.5K | 7.5K | 6.1K |
| 2017 | $429.41 | $121.99 | 3.52x | $307.42 | $546.8K | 7.8K | 6.4K |
| 2018 | $428.20 | $127.29 | 3.36x | $300.91 | $533.2K | 7.9K | 6.6K |
| 2019 | $427.52 | $126.13 | 3.39x | $301.39 | $477.0K | 7.6K | 6.3K |
| 2020 | $401.28 | $101.33 | 3.96x | $299.95 | $343.9K | 6.1K | 5.2K |
| 2021 | $308.55 | $106.50 | 2.90x | $202.05 | $652.7K | 6.9K | 5.6K |
| 2022 | $326.22 | $111.37 | 2.93x | $214.85 | $915.9K | 7.8K | 6.1K |
| 2023 | $333.82 | $104.46 | 3.20x | $229.36 | $828.0K | 7.1K | 5.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 65778 | Insertion of amniotic membrane to eye surface | 1.4K | $1.5M | $1.1K | 2.55x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 20.7K | $1.2M | $59.06 | 2.31x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 9.5K | $780.2K | $82.43 | 2.08x |
| 92250 | Photography of the retina | 8.8K | $353.8K | $40.04 | 3.06x |
| 92083 | Measurement of field of vision during daylight conditions | 4.4K | $194.1K | $43.85 | 2.76x |
| 66982 | Removal of cataract with insertion of lens | 311 | $191.5K | $615.64 | 4.18x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 2.0K | $185.2K | $94.76 | 2.17x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 925 | $181.5K | $196.22 | 4.05x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 620 | $152.7K | $246.36 | 3.73x |
| 66984 | Removal of cataract with insertion of lens | 295 | $143.1K | $485.02 | 5.24x |
| 92133 | Diagnostic imaging of optic nerve of eye | 4.3K | $116.4K | $27.35 | 3.57x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.0K | $87.0K | $86.96 | 2.20x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 4.4K | $86.4K | $19.75 | 3.20x |
| 92134 | Diagnostic imaging of retina | 2.6K | $76.8K | $29.67 | 3.08x |
| 68761 | Closure of tear duct opening using plug | 726 | $75.5K | $103.97 | 3.03x |
| 65435 | Removal of outer layer of cornea | 853 | $49.5K | $58.02 | 2.26x |
| 92201 | Extended examination of eye with drawing of retina | 1.7K | $29.7K | $17.22 | 5.69x |
| 67820 | Removal of eyelashes by forceps | 1.1K | $29.1K | $27.21 | 3.95x |
| 83861 | Microfluid analysis of tears | 1.2K | $27.5K | $22.08 | 1.81x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 115 | $24.5K | $212.65 | 3.61x |
This provider submits charges 2.77 times higher than what Medicare actually pays.
A markup ratio of 2.77x means for every $100 Medicare pays, this provider initially charges $277. 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 VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Timothy Byrnes, MD | Roanoke, VA | $53.3M | ✓ Clear |
| James Tiedeman | Fishersville, VA | $51.1M | ✓ Clear |
| Juan Astruc, M.D. | Richmond, VA | $46.6M | ✓ Clear |
| Kapil Kapoor, MD | Norfolk, VA | $43.0M | ✓ Clear |
| Alan Wagner, MD | Norfolk, VA | $42.8M | ✓ 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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