This provider averages 134 services per working day
Based on 336.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $73.8M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 134 services per working day raises questions about billing patterns.
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 | $500.22 | $234.94 | 2.13x | $265.28 | $7.3M | 30.9K | 19 |
| 2015 | $518.40 | $245.46 | 2.11x | $272.94 | $7.7M | 31.6K | 20 |
| 2016 | $552.72 | $256.96 | 2.15x | $295.76 | $8.3M | 32.3K | 21 |
| 2017 | $571.63 | $264.31 | 2.16x | $307.32 | $8.1M | 30.6K | 17 |
| 2018 | $553.53 | $252.45 | 2.19x | $301.08 | $8.1M | 32.2K | 16 |
| 2019 | $583.97 | $265.79 | 2.20x | $318.18 | $8.2M | 31.0K | 15 |
| 2020 | $580.53 | $257.98 | 2.25x | $322.55 | $7.5M | 28.9K | 16 |
| 2021 | $580.48 | $256.44 | 2.26x | $324.04 | $8.6M | 33.7K | 18 |
| 2022 | $480.33 | $195.63 | 2.46x | $284.70 | $6.5M | 33.2K | 17 |
| 2023 | $188.23 | $66.58 | 2.83x | $121.65 | $3.4M | 51.5K | 17 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 55.4K | $41.6M | $751.26 | 1.66x |
| J2778 | Injection, ranibizumab, 0.1 mg | 78.1K | $21.4M | $274.12 | 1.90x |
| 67028 | Injection of drug into eye | 52.7K | $4.1M | $78.75 | 8.50x |
| 92134 | Imaging of retina | 60.6K | $1.8M | $29.80 | 3.69x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 43.7K | $1.3M | $29.15 | 2.57x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17.2K | $1.3M | $73.11 | 2.52x |
| J3590 | Unclassified biologics | 12.8K | $1.0M | $81.27 | 3.40x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 2.2K | $344.6K | $157.30 | 1.59x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 4.8K | $266.6K | $54.98 | 2.40x |
| 92014 | Established patient complete exam of visual system | 2.1K | $173.0K | $84.24 | 3.40x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 706 | $78.6K | $111.34 | 2.47x |
| J0179 | Injection, brolucizumab-dbll, 1 mg | 288 | $71.6K | $248.47 | 2.41x |
| 92004 | New patient complete exam of visual system | 548 | $55.8K | $101.85 | 3.15x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 685 | $52.1K | $76.00 | 3.38x |
| J7999 | Compounded drug, not otherwise classified | 1.2K | $45.0K | $38.72 | 6.46x |
| 92012 | Established patient problem focused exam of visual system | 626 | $38.6K | $61.63 | 3.14x |
| 92250 | Photography of the retina | 672 | $26.1K | $38.87 | 4.50x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 47 | $25.9K | $551.33 | 4.15x |
| 92083 | Exam of visual field with extended testing | 349 | $15.8K | $45.13 | 3.87x |
| Q9977 | Compounded Drug, Not Otherwise Classified | 237 | $9.3K | $39.37 | 1.90x |
This provider submits charges 2.24 times higher than what Medicare actually pays.
A markup ratio of 2.24x means for every $100 Medicare pays, this provider initially charges $224. 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 IA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Kyle Alliman, M.D. | West Des Moines, IA | $83.3M | ✓ Clear |
| Jared Nielsen, M.D., M.S. | West Des Moines, IA | $68.1M | ✓ Clear |
| Alex Kartvelishvili, M.D. | Iowa City, IA | $45.0M | ✓ Clear |
| Michael Wadzinski, M.D. | Sioux City, IA | $37.7M | ✓ Clear |
Share this provider's Medicare payment information
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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