This provider averages 71 services per working day
Based on 178.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $33.1M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 71 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 330% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 157% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $314.31 | $129.24 | 2.43x | $185.07 | $1.4M | 10.9K | 23 |
| 2015 | $434.11 | $171.02 | 2.54x | $263.09 | $2.3M | 13.3K | 26 |
| 2016 | $411.18 | $147.28 | 2.79x | $263.90 | $1.6M | 11.2K | 21 |
| 2017 | $421.88 | $159.60 | 2.64x | $262.28 | $2.1M | 13.2K | 17 |
| 2018 | $261.59 | $97.13 | 2.69x | $164.46 | $1.3M | 13.5K | 18 |
| 2019 | $326.75 | $180.20 | 1.81x | $146.55 | $3.4M | 18.7K | 16 |
| 2020 | $374.11 | $211.52 | 1.77x | $162.59 | $4.3M | 20.3K | 13 |
| 2021 | $502.36 | $224.87 | 2.23x | $277.49 | $5.0M | 22.1K | 14 |
| 2022 | $740.32 | $231.08 | 3.20x | $509.24 | $5.6M | 24.4K | 13 |
| 2023 | $808.28 | $198.05 | 4.08x | $610.23 | $6.1M | 30.6K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 23.9K | $17.1M | $715.51 | 2.53x |
| J2778 | Injection, ranibizumab, 0.1 mg | 23.1K | $6.1M | $261.92 | 2.13x |
| 92014 | Established patient complete exam of visual system | 30.2K | $2.9M | $97.25 | 2.28x |
| 67028 | Injection of drug into eye | 23.6K | $2.1M | $87.81 | 5.49x |
| 92134 | Imaging of retina | 37.1K | $1.2M | $32.15 | 4.76x |
| J9035 | Injection, bevacizumab, 10 mg | 6.7K | $383.7K | $57.36 | 1.69x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 839 | $354.2K | $422.17 | 3.09x |
| 92012 | Established patient problem focused exam of visual system | 4.3K | $309.3K | $71.70 | 1.39x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 1.9K | $293.8K | $150.97 | 1.91x |
| 92235 | Imaging of blood vessels in back of eye using fluorescein dye | 3.5K | $269.5K | $77.55 | 2.54x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 2.1K | $254.7K | $120.36 | 3.07x |
| J3590 | Unclassified biologics | 110 | $240.1K | $2.2K | 3.03x |
| J3490 | Unclassified drugs | 132 | $233.4K | $1.8K | 3.14x |
| 92004 | New patient complete exam of visual system | 1.6K | $183.2K | $115.37 | 1.96x |
| 65800 | Aspiration of eye fluid | 2.0K | $181.6K | $92.29 | 3.24x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 5.2K | $151.1K | $28.95 | 4.32x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.0K | $127.4K | $124.93 | 2.55x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 201 | $109.7K | $545.55 | 3.12x |
| 67042 | Removal of membrane from the retina, pars plana approach | 105 | $104.5K | $995.07 | 4.18x |
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 6.4K | $83.3K | $12.99 | 7.71x |
This provider submits charges 2.74 times higher than what Medicare actually pays.
A markup ratio of 2.74x means for every $100 Medicare pays, this provider initially charges $274. 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 MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Michael Elman, M.D. | Baltimore, MD | $68.5M | ✓ Clear |
| David Warrow, M.D. | Hagerstown, MD | $65.5M | ✓ Clear |
| Raymond Sjaarda, M.D. | Baltimore, MD | $47.2M | ✓ Clear |
| Allen Hu, MD | Hagerstown, MD | $45.7M | ✓ Clear |
| James Rial, M.D. | Salisbury, MD | $45.2M | ✓ 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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