This provider's $4.6M in total Medicare payments ranks in the 96th percentile of Ophthalmology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $854.99 | $153.93 | 5.55x | $701.06 | $565.8K | 5.9K | 5.0K |
| 2015 | $903.24 | $151.65 | 5.96x | $751.59 | $496.4K | 5.0K | 4.4K |
| 2016 | $497.35 | $148.00 | 3.36x | $349.35 | $511.1K | 5.3K | 4.6K |
| 2017 | $540.33 | $154.76 | 3.49x | $385.57 | $468.8K | 5.1K | 4.5K |
| 2018 | $540.33 | $168.08 | 3.21x | $372.25 | $499.9K | 5.1K | 4.5K |
| 2019 | $666.24 | $170.19 | 3.91x | $496.05 | $463.4K | 5.0K | 4.5K |
| 2020 | $666.43 | $162.58 | 4.10x | $503.85 | $390.6K | 4.2K | 3.7K |
| 2021 | $638.51 | $158.95 | 4.02x | $479.56 | $401.7K | 4.3K | 3.8K |
| 2022 | $530.82 | $154.26 | 3.44x | $376.56 | $401.3K | 4.6K | 4.1K |
| 2023 | $487.15 | $151.05 | 3.23x | $336.10 | $379.0K | 4.6K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 1.7K | $862.4K | $517.00 | 4.32x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 7.6K | $692.4K | $91.31 | 2.54x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 2.8K | $530.2K | $191.74 | 5.02x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.0K | $515.1K | $262.94 | 3.91x |
| 66982 | Removal of cataract with insertion of lens | 393 | $266.4K | $677.81 | 4.48x |
| 92083 | Measurement of field of vision during daylight conditions | 5.2K | $256.4K | $48.90 | 3.57x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 2.5K | $242.7K | $96.82 | 3.21x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 3.5K | $225.4K | $63.68 | 2.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.6K | $220.8K | $61.84 | 3.17x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.7K | $175.5K | $106.17 | 2.83x |
| 92134 | Diagnostic imaging of retina | 4.8K | $153.1K | $32.05 | 4.35x |
| 92133 | Diagnostic imaging of optic nerve of eye | 4.8K | $140.8K | $29.38 | 4.74x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 5.0K | $103.3K | $20.52 | 3.89x |
| 92136 | Measurement of corneal curvature and depth of eye | 2.1K | $94.7K | $44.42 | 6.64x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 307 | $61.2K | $199.32 | 5.54x |
| 83861 | Microfluid analysis of tears | 897 | $19.8K | $22.09 | 1.58x |
| 68761 | Closure of tear duct opening using plug | 95 | $10.0K | $105.62 | 2.91x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 81 | $5.8K | $71.00 | 2.06x |
| 68841 | Insertion of drug delivery implant into tear duct of eye | 85 | $1.2K | $13.61 | 7.10x |
| 76514 | Ultrasound of corneal structure and measurement | 84 | $1.0K | $12.06 | 5.15x |
This provider submits charges 3.84 times higher than what Medicare actually pays.
A markup ratio of 3.84x means for every $100 Medicare pays, this provider initially charges $384. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Sohail Hasan, MD | Harvey, IL | $37.2M | ✓ Clear |
| Michael Mcclintock, M.D. | Chicago, IL | $34.3M | ✓ 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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