This provider averages 71 services per working day
Based on 176.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $27.6M 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 183% from 2014 to 2023.
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 | $229.69 | $131.72 | 1.74x | $97.97 | $1.5M | 11.1K | 16 |
| 2015 | $222.70 | $128.16 | 1.74x | $94.54 | $1.8M | 14.3K | 21 |
| 2016 | $242.56 | $141.30 | 1.72x | $101.26 | $1.9M | 13.5K | 20 |
| 2017 | $269.78 | $152.19 | 1.77x | $117.59 | $2.2M | 14.5K | 22 |
| 2018 | $247.87 | $142.20 | 1.74x | $105.67 | $2.4M | 17.1K | 21 |
| 2019 | $252.75 | $143.60 | 1.76x | $109.15 | $3.3M | 23.0K | 25 |
| 2020 | $329.60 | $169.54 | 1.94x | $160.06 | $2.9M | 17.3K | 20 |
| 2021 | $473.62 | $181.83 | 2.60x | $291.79 | $3.6M | 19.9K | 24 |
| 2022 | $613.93 | $181.18 | 3.39x | $432.75 | $3.8M | 20.8K | 17 |
| 2023 | $718.29 | $166.51 | 4.31x | $551.78 | $4.1M | 24.8K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 18.2K | $13.2M | $724.61 | 2.12x |
| J2778 | Injection, ranibizumab, 0.1 mg | 21.2K | $5.7M | $268.71 | 2.07x |
| 92014 | Established patient complete exam of visual system | 24.3K | $2.5M | $104.04 | 1.99x |
| 67028 | Injection of drug into eye | 14.3K | $1.4M | $100.20 | 5.36x |
| 92134 | Imaging of retina | 27.5K | $993.9K | $36.13 | 5.06x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 21.8K | $482.2K | $22.12 | 2.16x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 4.3K | $421.4K | $96.99 | 2.05x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 4.2K | $363.8K | $87.62 | 2.63x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 2.2K | $296.8K | $133.52 | 1.92x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 1.5K | $232.8K | $157.63 | 2.24x |
| 92250 | Photography of the retina | 3.8K | $196.2K | $51.58 | 2.36x |
| 67041 | Removal of membrane of retina | 191 | $194.4K | $1.0K | 2.88x |
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 11.7K | $156.1K | $13.38 | 6.10x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 496 | $152.3K | $307.07 | 5.89x |
| 67042 | Removal of membrane from the retina, pars plana approach with removal of internal limiting membrane of retina | 136 | $145.6K | $1.1K | 2.87x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 5.0K | $145.2K | $29.15 | 4.29x |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | 565 | $120.8K | $213.88 | 4.68x |
| J3590 | Unclassified biologics | 39 | $95.4K | $2.4K | 3.07x |
| J3490 | Unclassified drugs | 44 | $87.2K | $2.0K | 3.24x |
| J9035 | Injection, bevacizumab, 10 mg | 1.5K | $85.3K | $57.69 | 1.86x |
This provider submits charges 2.49 times higher than what Medicare actually pays.
A markup ratio of 2.49x means for every $100 Medicare pays, this provider initially charges $249. 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 |
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.
Believe this data is inaccurate? Dispute this data