This provider's $5.9M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
83% 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.
Notable: Payments increased 108% in 2023
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 | $598.89 | $220.04 | 2.72x | $378.85 | $865.5K | 3.7K | 2.9K |
| 2015 | $605.90 | $220.73 | 2.74x | $385.17 | $829.5K | 3.6K | 2.7K |
| 2016 | $609.56 | $218.23 | 2.79x | $391.33 | $833.1K | 3.7K | 2.8K |
| 2017 | $644.10 | $218.90 | 2.94x | $425.20 | $824.9K | 3.7K | 2.8K |
| 2018 | $815.09 | $249.56 | 3.27x | $565.53 | $875.8K | 3.8K | 2.9K |
| 2019 | $822.14 | $254.01 | 3.24x | $568.13 | $857.4K | 3.7K | 2.8K |
| 2020 | $1.2K | $297.47 | 4.05x | $906.92 | $494.3K | 2.5K | 1.9K |
| 2022 | $1.1K | $257.82 | 4.11x | $802.74 | $88.2K | 342 | 341 |
| 2023 | $1.3K | $259.55 | 5.04x | $1.0K | $183.5K | 707 | 702 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 11.7K | $4.9M | $417.68 | 3.17x |
| 92136 | Measurement of corneal curvature and depth of eye | 12.0K | $359.4K | $29.98 | 2.53x |
| 66982 | Removal of cataract with insertion of lens | 582 | $305.9K | $525.61 | 3.11x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.2K | $303.2K | $256.98 | 4.53x |
| 76519 | Ultrasound of eye for determination of lens power | 221 | $6.6K | $30.05 | 2.46x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 46 | $2.4K | $53.03 | 1.98x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 33 | $2.4K | $71.92 | 2.32x |
This provider submits charges 3.19 times higher than what Medicare actually pays.
A markup ratio of 3.19x means for every $100 Medicare pays, this provider initially charges $319. 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 WA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Charles Sung, MD | Kennewick, WA | $38.3M | ✓ Clear |
| David Spinak, MD | Silverdale, WA | $34.8M | ✓ 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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