⚠️ This provider averages 212 services per working day — physically unusual for an individual practitioner
Based on 530.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $86.1M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 212 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 70% 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 | $448.77 | $133.06 | 3.37x | $315.71 | $6.7M | 50.3K | 28 |
| 2015 | $472.80 | $142.74 | 3.31x | $330.06 | $6.9M | 48.2K | 25 |
| 2016 | $487.96 | $150.74 | 3.24x | $337.22 | $6.9M | 45.7K | 27 |
| 2017 | $489.97 | $153.58 | 3.19x | $336.39 | $6.9M | 45.1K | 25 |
| 2018 | $528.89 | $166.39 | 3.18x | $362.50 | $8.1M | 48.5K | 23 |
| 2019 | $575.85 | $185.46 | 3.10x | $390.39 | $9.0M | 48.3K | 23 |
| 2020 | $724.25 | $237.46 | 3.05x | $486.79 | $9.7M | 41.0K | 23 |
| 2021 | $753.78 | $236.43 | 3.19x | $517.35 | $10.1M | 42.7K | 25 |
| 2022 | $653.36 | $192.72 | 3.39x | $460.64 | $10.5M | 54.3K | 25 |
| 2023 | $377.47 | $106.86 | 3.53x | $270.61 | $11.4M | 106.6K | 23 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 52.3K | $38.3M | $731.68 | 2.53x |
| J2778 | Injection, ranibizumab, 0.1 mg | 86.8K | $23.5M | $270.81 | 3.69x |
| 92014 | Established patient complete exam of visual system | 63.4K | $5.6M | $88.09 | 2.64x |
| 67028 | Injection of drug into eye | 57.8K | $5.0M | $86.09 | 8.23x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 15.3K | $2.4M | $154.74 | 2.54x |
| 92134 | Imaging of retina | 67.0K | $2.1M | $32.06 | 2.79x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 70.9K | $2.1M | $29.08 | 3.23x |
| J3490 | Unclassified drugs | 11.1K | $1.4M | $126.35 | 3.64x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 49.2K | $933.4K | $18.97 | 2.82x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 7.0K | $839.7K | $119.88 | 3.04x |
| J0179 | Injection, brolucizumab-dbll, 1 mg | 2.0K | $498.6K | $248.82 | 2.97x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 4.1K | $478.1K | $116.57 | 2.77x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 5.6K | $458.2K | $81.52 | 3.16x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 479 | $452.5K | $944.64 | 3.21x |
| J3590 | Unclassified biologics | 204 | $364.3K | $1.8K | 3.20x |
| 92012 | Established patient problem focused exam of visual system | 4.5K | $275.7K | $61.84 | 2.60x |
| 92250 | Photography of the retina | 6.4K | $250.2K | $39.28 | 3.69x |
| J7999 | Compounded drug, not otherwise classified | 4.0K | $192.9K | $47.78 | 4.25x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 220 | $146.4K | $665.23 | 2.88x |
| J7316 | Injection, ocriplasmin, 0.125 mg | 140 | $114.9K | $820.64 | 2.80x |
This provider submits charges 3.26 times higher than what Medicare actually pays.
A markup ratio of 3.26x means for every $100 Medicare pays, this provider initially charges $326. 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 |
| 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 |
| Keye Wong, M.D. | Sarasota, FL | $55.2M | ✓ 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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