This provider averages 61 services per working day
Based on 153.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $14.8M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 61 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 71% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 63% 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 | $793.64 | $297.50 | 2.67x | $496.14 | $983.1K | 11.7K | 5.9K |
| 2015 | $719.23 | $249.14 | 2.89x | $470.09 | $894.6K | 10.8K | 5.6K |
| 2016 | $711.94 | $213.66 | 3.33x | $498.28 | $1.1M | 13.7K | 6.6K |
| 2017 | $443.95 | $191.60 | 2.32x | $252.35 | $1.3M | 18.5K | 8.2K |
| 2018 | $392.14 | $166.72 | 2.35x | $225.42 | $2.1M | 21.7K | 10.0K |
| 2019 | $435.11 | $184.44 | 2.36x | $250.67 | $1.8M | 19.7K | 8.6K |
| 2020 | $626.22 | $255.20 | 2.45x | $371.02 | $1.6M | 14.5K | 7.3K |
| 2021 | $517.96 | $234.30 | 2.21x | $283.66 | $1.8M | 14.6K | 6.4K |
| 2022 | $579.94 | $237.01 | 2.45x | $342.93 | $1.6M | 13.7K | 6.5K |
| 2023 | $615.24 | $252.62 | 2.44x | $362.62 | $1.7M | 14.4K | 6.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 5.6K | $4.1M | $731.77 | 3.39x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 19.1K | $1.8M | $95.32 | 2.07x |
| 92240 | Examination of eye using an endoscope | 6.7K | $1.1M | $162.60 | 2.47x |
| 92250 | Photography of the retina | 24.8K | $993.0K | $40.01 | 3.03x |
| 92242 | Imaging of blood vessels in back of eye using fluorescein and indocyanine-green dye | 4.7K | $899.7K | $190.93 | 2.27x |
| 67028 | Injection of drug into eye | 8.9K | $781.1K | $87.38 | 2.46x |
| 92235 | Examination of retinal blood vessels by ophthalmoscope | 10.1K | $777.0K | $77.03 | 2.75x |
| 92134 | Diagnostic imaging of retina | 23.0K | $706.2K | $30.75 | 2.33x |
| 92273 | Full field recording of retinal electrical responses to external stimuli with interpretation and report | 5.2K | $469.0K | $90.82 | 3.14x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 6.9K | $460.8K | $66.59 | 2.01x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 2.9K | $320.2K | $110.01 | 2.24x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 16.2K | $314.1K | $19.39 | 2.28x |
| 95930 | Measurement and recording of nerve conduction patterns using visually-evoked stimulation | 5.4K | $301.4K | $55.59 | 3.43x |
| 67041 | Removal of membrane from the retina | 215 | $209.6K | $974.86 | 2.50x |
| 67042 | Removal of membrane from the retina, pars plana approach | 187 | $168.9K | $903.37 | 2.17x |
| 76512 | Ultrasound of eye disease, growth, or structure | 2.8K | $165.2K | $59.85 | 3.75x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 331 | $165.1K | $498.83 | 3.72x |
| 92275 | Recording of retinal electrical responses to external stimuli | 1.3K | $133.8K | $106.51 | 2.09x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 115 | $131.7K | $1.1K | 2.44x |
| 67145 | Preventive retinal detachment treatment by heat or laser, 1 or more sessions | 317 | $113.1K | $356.70 | 2.42x |
This provider submits charges 2.77 times higher than what Medicare actually pays.
A markup ratio of 2.77x means for every $100 Medicare pays, this provider initially charges $277. 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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