This provider's $3.9M in total Medicare payments ranks in the 95th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 167% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 300% in 2018
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 | $146.07 | $106.15 | 1.38x | $39.92 | $157.4K | 1.7K | 1.5K |
| 2015 | $144.78 | $105.02 | 1.38x | $39.76 | $165.1K | 1.8K | 1.6K |
| 2016 | $146.56 | $100.96 | 1.45x | $45.60 | $145.0K | 1.7K | 1.5K |
| 2017 | $151.59 | $104.64 | 1.45x | $46.95 | $136.8K | 1.5K | 1.3K |
| 2018 | $192.62 | $149.34 | 1.29x | $43.28 | $546.5K | 3.1K | 2.0K |
| 2019 | $205.29 | $150.97 | 1.36x | $54.32 | $642.6K | 3.4K | 2.0K |
| 2020 | $207.08 | $152.15 | 1.36x | $54.93 | $583.2K | 3.1K | 1.8K |
| 2021 | $194.62 | $145.56 | 1.34x | $49.06 | $546.1K | 3.1K | 1.8K |
| 2022 | $198.20 | $141.16 | 1.40x | $57.04 | $565.1K | 3.5K | 1.9K |
| 2023 | $177.32 | $126.49 | 1.40x | $50.83 | $421.0K | 3.7K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 2.7K | $2.0M | $733.63 | 1.36x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 6.7K | $543.2K | $81.65 | 1.56x |
| 67028 | Injection of drug into eye | 3.4K | $323.0K | $95.01 | 1.27x |
| 66984 | Removal of cataract with insertion of lens | 642 | $316.3K | $492.73 | 1.29x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 3.1K | $191.9K | $62.54 | 1.42x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.6K | $161.2K | $99.68 | 1.53x |
| 92134 | Diagnostic imaging of retina | 4.1K | $125.5K | $30.61 | 1.36x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 289 | $75.5K | $261.41 | 1.33x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 962 | $38.0K | $39.46 | 1.37x |
| 92083 | Measurement of field of vision during daylight conditions | 791 | $35.2K | $44.50 | 1.47x |
| J3590 | Unclassified biologics | 75 | $22.9K | $304.86 | 1.27x |
| 92133 | Diagnostic imaging of optic nerve of eye | 628 | $16.9K | $26.96 | 1.78x |
| 92136 | Measurement of corneal curvature and depth of eye | 467 | $13.9K | $29.70 | 1.49x |
| 92002 | Eye and medical examination for diagnosis and treatment, new patient | 220 | $12.5K | $56.83 | 1.51x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 269 | $7.8K | $29.13 | 1.30x |
| 76514 | Ultrasound of corneal structure and measurement | 488 | $4.9K | $10.01 | 1.56x |
| J7999 | Compounded drug, not otherwise classified | 115 | $4.1K | $35.93 | 1.32x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 11 | $2.0K | $178.27 | 1.20x |
| J9035 | Injection, bevacizumab, 10 mg | 32 | $1.7K | $52.47 | 1.81x |
This provider submits charges 1.39 times higher than what Medicare actually pays.
A markup ratio of 1.39x means for every $100 Medicare pays, this provider initially charges $139. This is lower than the national average.
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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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