This provider's $3.8M in total Medicare payments ranks in the 95th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 1094% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 544% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $402.00 | $96.93 | 4.15x | $305.07 | $73.2K | 755 | 698 |
| 2019 | $437.46 | $105.87 | 4.13x | $331.59 | $471.2K | 5.8K | 4.9K |
| 2020 | $276.26 | $97.57 | 2.83x | $178.69 | $705.3K | 9.3K | 7.2K |
| 2021 | $288.21 | $104.69 | 2.75x | $183.52 | $859.8K | 11.5K | 8.2K |
| 2022 | $291.20 | $106.31 | 2.74x | $184.89 | $797.4K | 11.0K | 7.6K |
| 2023 | $335.19 | $122.15 | 2.74x | $213.04 | $873.6K | 12.4K | 8.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 8.5K | $774.2K | $90.78 | 3.04x |
| 68761 | Closure of tear duct opening using plug | 3.7K | $637.0K | $172.73 | 3.65x |
| 66984 | Removal of cataract with insertion of lens | 1.2K | $532.8K | $456.56 | 2.95x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 6.7K | $443.7K | $66.63 | 2.94x |
| 92134 | Diagnostic imaging of retina | 9.1K | $277.9K | $30.39 | 2.87x |
| 92083 | Measurement of field of vision during daylight conditions | 3.8K | $180.3K | $47.52 | 2.95x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 535 | $143.8K | $268.83 | 2.64x |
| 66982 | Removal of cataract with insertion of lens | 207 | $127.2K | $614.31 | 2.76x |
| 92273 | Full field recording of retinal electrical responses to external stimuli with interpretation and report | 929 | $96.0K | $103.37 | 2.60x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 861 | $82.8K | $96.19 | 4.07x |
| 83861 | Microfluid analysis of tears | 3.4K | $74.8K | $22.17 | 2.35x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 546 | $66.0K | $120.92 | 2.90x |
| 92133 | Diagnostic imaging of optic nerve of eye | 2.3K | $64.4K | $27.49 | 3.14x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 282 | $54.7K | $193.96 | 2.75x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 155 | $37.0K | $239.01 | 2.61x |
| 92202 | Extended examination of eye with drawing of optic nerve and surrounding area (macula) | 3.0K | $36.7K | $12.43 | 2.60x |
| 76512 | Ultrasound of eye disease, growth, or structure | 766 | $29.1K | $37.95 | 2.90x |
| 92136 | Measurement of corneal curvature and depth of eye | 802 | $18.6K | $23.16 | 3.96x |
| 65820 | Incision to improve eye fluid flow | 27 | $18.1K | $671.16 | 2.51x |
| 76514 | Ultrasound of corneal structure and measurement | 1.8K | $16.0K | $9.02 | 3.49x |
This provider submits charges 3.07 times higher than what Medicare actually pays.
A markup ratio of 3.07x means for every $100 Medicare pays, this provider initially charges $307. 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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