This provider's $6.0M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 60% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 65% in 2020
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 | $242.82 | $108.50 | 2.24x | $134.32 | $735.3K | 9.5K | 5.5K |
| 2015 | $306.14 | $146.37 | 2.09x | $159.77 | $761.1K | 10.1K | 5.6K |
| 2016 | $254.75 | $116.69 | 2.18x | $138.06 | $621.1K | 9.0K | 4.8K |
| 2019 | $428.09 | $152.33 | 2.81x | $275.76 | $401.1K | 5.0K | 3.6K |
| 2020 | $302.18 | $110.39 | 2.74x | $191.79 | $663.6K | 8.7K | 4.5K |
| 2021 | $344.17 | $120.16 | 2.86x | $224.01 | $784.1K | 10.1K | 4.9K |
| 2022 | $336.42 | $109.17 | 3.08x | $227.25 | $853.8K | 11.4K | 5.9K |
| 2023 | $419.48 | $153.72 | 2.73x | $265.76 | $1.2M | 13.2K | 6.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 13.6K | $1.0M | $73.86 | 2.68x |
| J0178 | Injection, aflibercept, 1 mg | 1.3K | $889.9K | $699.60 | 1.48x |
| 66984 | Removal of cataract with insertion of lens | 1.4K | $674.5K | $493.43 | 2.65x |
| 92134 | Diagnostic imaging of retina | 8.7K | $309.6K | $35.38 | 3.12x |
| 67028 | Injection of drug into eye | 3.3K | $296.9K | $89.74 | 6.68x |
| 67700 | Incision and drainage of eyelid abscess | 1.2K | $289.2K | $238.98 | 1.62x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 2.7K | $280.7K | $103.82 | 1.50x |
| 76511 | Ultrasound of eye disease or growth | 4.0K | $239.9K | $60.10 | 2.72x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.8K | $211.8K | $120.20 | 1.72x |
| 67515 | Injection of medication or substance into membrane covering eyeball | 3.3K | $162.3K | $49.72 | 3.95x |
| 92083 | Measurement of field of vision during daylight conditions | 3.0K | $157.2K | $52.97 | 3.56x |
| 92250 | Photography of the retina | 3.5K | $152.3K | $43.49 | 3.45x |
| 68761 | Closure of tear duct opening using plug | 1.6K | $149.8K | $96.47 | 2.02x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 511 | $132.4K | $259.06 | 1.56x |
| 92235 | Examination of retinal blood vessels by ophthalmoscope | 1.2K | $121.6K | $102.17 | 1.71x |
| J9035 | Injection, bevacizumab, 10 mg | 1.9K | $106.4K | $56.53 | 2.65x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 4.8K | $101.0K | $21.07 | 4.74x |
| 92136 | Measurement of corneal curvature and depth of eye | 1.5K | $89.6K | $59.73 | 2.36x |
| 92133 | Diagnostic imaging of optic nerve of eye | 2.8K | $89.3K | $32.35 | 3.02x |
| 65778 | Placement of amniotic membrane on eye surface for wound healing | 71 | $84.0K | $1.2K | 1.69x |
This provider submits charges 2.71 times higher than what Medicare actually pays.
A markup ratio of 2.71x means for every $100 Medicare pays, this provider initially charges $271. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Nathan Steinle, M.D. | Santa Barbara, CA | $63.1M | ✓ Clear |
| Stephen Couvillion, MD | Santa Barbara, CA | $47.7M | ✓ Clear |
| Margaret Chang, M.D. | Sacramento, CA | $47.6M | ✓ Clear |
| David Boyer, MD | Los Angeles, CA | $47.5M | ✓ Clear |
| Alessandro Castellarin, M.D. | Santa Barbara, CA | $46.9M | ✓ 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