This provider averages 58 services per working day
Based on 145.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.0M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 58 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 4268% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 504% in 2016
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 | $430.25 | $129.05 | 3.33x | $301.20 | $46.4K | 346 | 340 |
| 2015 | $446.32 | $153.15 | 2.91x | $293.17 | $151.9K | 1.8K | 1.3K |
| 2016 | $833.91 | $311.85 | 2.67x | $522.06 | $917.8K | 9.6K | 5.3K |
| 2017 | $1.0K | $302.21 | 3.47x | $747.57 | $1.3M | 14.8K | 7.6K |
| 2018 | $1.1K | $331.84 | 3.45x | $812.58 | $1.5M | 16.4K | 8.1K |
| 2019 | $1.1K | $300.00 | 3.51x | $752.98 | $1.8M | 20.2K | 10.1K |
| 2020 | $1.1K | $329.28 | 3.43x | $801.57 | $1.6M | 18.7K | 9.8K |
| 2021 | $1.2K | $327.98 | 3.53x | $828.31 | $1.8M | 19.9K | 9.8K |
| 2022 | $1.2K | $325.60 | 3.69x | $875.03 | $1.9M | 21.0K | 9.9K |
| 2023 | $1.1K | $309.87 | 3.68x | $831.43 | $2.0M | 22.6K | 10.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 67028 | Injection of drug into eye | 23.4K | $2.0M | $86.01 | 4.01x |
| J0178 | Injection, aflibercept, 1 mg | 2.0K | $1.5M | $742.65 | 1.98x |
| 92134 | Diagnostic imaging of retina | 42.0K | $1.3M | $29.82 | 3.33x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 11.9K | $1.0M | $87.18 | 3.50x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.6K | $766.7K | $60.85 | 2.96x |
| 92235 | Examination of retinal blood vessels by ophthalmoscope | 8.7K | $713.2K | $82.04 | 2.53x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 1.4K | $597.6K | $424.45 | 3.42x |
| 67041 | Removal of membrane from the retina | 640 | $557.5K | $871.10 | 3.14x |
| J7999 | Compounded drug, not otherwise classified | 8.6K | $539.3K | $63.06 | 4.68x |
| 67042 | Removal of membrane from the retina, pars plana approach | 634 | $526.0K | $829.70 | 3.13x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 4.2K | $507.9K | $121.93 | 3.22x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 1.5K | $435.9K | $291.01 | 7.42x |
| J9035 | Injection, bevacizumab, 10 mg | 5.3K | $308.7K | $57.70 | 5.03x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 336 | $280.5K | $834.85 | 3.20x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.2K | $271.6K | $84.37 | 3.08x |
| J3490 | Unclassified drugs | 6.7K | $257.3K | $38.36 | 7.51x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 272 | $256.4K | $942.78 | 3.26x |
| 67145 | Preventive retinal detachment treatment by heat or laser, 1 or more sessions | 638 | $207.9K | $325.80 | 4.02x |
| 92250 | Photography of the retina | 5.8K | $205.8K | $35.77 | 4.39x |
| 67039 | Laser destruction of eye fluid (vitreous) between the lens and retina | 295 | $201.0K | $681.36 | 3.19x |
This provider submits charges 3.55 times higher than what Medicare actually pays.
A markup ratio of 3.55x means for every $100 Medicare pays, this provider initially charges $355. 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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