This provider averages 53 services per working day
Based on 133.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.1M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 53 services per working day raises questions about billing patterns.
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 | $296.53 | $228.78 | 1.30x | $67.75 | $1.4M | 14.1K | 9.3K |
| 2015 | $274.74 | $211.40 | 1.30x | $63.34 | $1.3M | 13.1K | 8.9K |
| 2016 | $207.39 | $158.08 | 1.31x | $49.31 | $1.5M | 14.0K | 9.3K |
| 2017 | $207.28 | $159.33 | 1.30x | $47.95 | $1.4M | 14.0K | 9.4K |
| 2018 | $241.37 | $182.49 | 1.32x | $58.88 | $1.4M | 14.1K | 9.3K |
| 2019 | $247.00 | $185.04 | 1.33x | $61.96 | $1.3M | 14.0K | 9.6K |
| 2020 | $184.46 | $141.00 | 1.31x | $43.46 | $884.0K | 9.9K | 7.4K |
| 2021 | $227.98 | $179.88 | 1.27x | $48.10 | $1.2M | 13.2K | 9.5K |
| 2022 | $243.95 | $185.84 | 1.31x | $58.11 | $1.3M | 13.3K | 9.1K |
| 2023 | $256.19 | $191.48 | 1.34x | $64.71 | $1.3M | 13.6K | 8.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 2.3K | $1.7M | $747.63 | 1.27x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 18.7K | $1.5M | $79.17 | 1.29x |
| 76513 | Ultrasound of eye using water bath method | 7.1K | $1.1M | $161.06 | 1.27x |
| 66984 | Removal of cataract with insertion of lens | 1.5K | $768.8K | $525.16 | 1.37x |
| 92083 | Measurement of field of vision during daylight conditions | 12.8K | $720.4K | $56.37 | 1.35x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 5.8K | $664.5K | $114.50 | 1.29x |
| 92275 | Recording of retinal electrical responses to external stimuli | 4.7K | $629.7K | $134.29 | 1.32x |
| 92133 | Diagnostic imaging of optic nerve of eye | 14.9K | $531.7K | $35.70 | 1.32x |
| 92134 | Diagnostic imaging of retina | 13.5K | $522.7K | $38.59 | 1.30x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.9K | $485.5K | $82.34 | 1.29x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 3.5K | $479.5K | $135.83 | 1.29x |
| 67028 | Injection of drug into eye | 3.9K | $388.2K | $99.91 | 1.28x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 899 | $280.4K | $311.92 | 1.28x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 986 | $278.1K | $282.07 | 1.28x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 6.3K | $273.4K | $43.59 | 1.28x |
| 68761 | Closure of tear duct opening using plug | 1.5K | $249.9K | $170.71 | 1.46x |
| 66982 | Removal of cataract with insertion of lens | 331 | $225.7K | $681.86 | 1.37x |
| 92250 | Photography of the retina | 5.5K | $204.8K | $37.23 | 1.36x |
| 65820 | Incision to improve eye fluid flow | 260 | $196.3K | $755.13 | 1.27x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.7K | $176.0K | $47.76 | 1.27x |
This provider submits charges 1.3 times higher than what Medicare actually pays.
A markup ratio of 1.3x means for every $100 Medicare pays, this provider initially charges $130. This is lower 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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