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 | $320.24 | $120.58 | 2.66x | $199.66 | $434.8K | 6.1K | 5.0K |
| 2015 | $345.22 | $129.89 | 2.66x | $215.33 | $417.3K | 6.5K | 5.4K |
| 2016 | $342.33 | $129.63 | 2.64x | $212.70 | $476.9K | 7.1K | 5.8K |
| 2017 | $324.71 | $121.80 | 2.67x | $202.91 | $484.0K | 7.1K | 5.8K |
| 2018 | $293.24 | $111.21 | 2.64x | $182.03 | $462.6K | 6.7K | 5.6K |
| 2019 | $321.18 | $119.42 | 2.69x | $201.76 | $448.7K | 6.8K | 5.6K |
| 2020 | $346.04 | $132.94 | 2.60x | $213.10 | $441.4K | 7.5K | 6.1K |
| 2021 | $320.04 | $124.65 | 2.57x | $195.39 | $476.8K | 7.6K | 6.0K |
| 2022 | $285.02 | $105.02 | 2.71x | $180.00 | $464.2K | 7.4K | 5.9K |
| 2023 | $303.43 | $112.53 | 2.70x | $190.90 | $460.3K | 7.5K | 5.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 15.2K | $1.4M | $90.24 | 2.88x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 13.8K | $915.3K | $66.33 | 2.75x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.3K | $387.2K | $52.93 | 2.90x |
| 66984 | Removal of cataract with insertion of lens | 708 | $356.7K | $503.77 | 2.56x |
| 92133 | Diagnostic imaging of optic nerve of eye | 9.7K | $287.7K | $29.58 | 2.72x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 2.7K | $283.0K | $104.64 | 2.96x |
| 92134 | Diagnostic imaging of retina | 7.2K | $230.8K | $32.21 | 2.71x |
| 66982 | Removal of cataract with insertion of lens | 273 | $177.7K | $650.87 | 2.54x |
| 92083 | Measurement of field of vision during daylight conditions | 3.5K | $165.5K | $47.63 | 2.77x |
| 92250 | Photography of the retina | 2.5K | $99.6K | $39.52 | 2.67x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 3.2K | $67.3K | $20.93 | 2.68x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 729 | $56.1K | $76.99 | 2.97x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 189 | $48.4K | $255.94 | 2.56x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 576 | $46.3K | $80.42 | 2.80x |
| 92136 | Measurement of corneal curvature and depth of eye | 1.1K | $30.0K | $27.79 | 2.73x |
| 67820 | Removal of eyelashes by forceps | 490 | $14.8K | $30.15 | 2.65x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 114 | $13.8K | $121.07 | 2.89x |
| 76514 | Ultrasound of corneal structure and measurement | 652 | $6.0K | $9.13 | 2.80x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 142 | $2.9K | $20.52 | 2.76x |
| 92060 | Measurement of eye muscles to detect deviation of eyeball | 40 | $2.1K | $52.53 | 2.60x |
This provider submits charges 2.79 times higher than what Medicare actually pays.
A markup ratio of 2.79x means for every $100 Medicare pays, this provider initially charges $279. 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 |
| Sunil Gupta, M.D. | Pensacola, FL | $86.1M | ✓ 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 |
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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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