This provider's $14.6M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Their average markup ratio of 5.96x is significantly above the specialty median of 2.9x.
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 | $662.03 | $167.11 | 3.96x | $494.92 | $1.3M | 11.6K | 7.6K |
| 2015 | $776.54 | $176.52 | 4.40x | $600.02 | $1.5M | 12.9K | 8.2K |
| 2016 | $844.05 | $182.96 | 4.61x | $661.09 | $1.6M | 13.6K | 8.7K |
| 2017 | $615.97 | $147.12 | 4.19x | $468.85 | $1.4M | 13.2K | 8.7K |
| 2018 | $932.93 | $185.96 | 5.02x | $746.97 | $1.5M | 12.3K | 8.3K |
| 2019 | $1.0K | $193.75 | 5.27x | $827.93 | $1.6M | 12.5K | 8.2K |
| 2020 | $816.41 | $160.37 | 5.09x | $656.04 | $1.5M | 11.6K | 8.2K |
| 2021 | $772.74 | $122.63 | 6.30x | $650.11 | $1.6M | 10.8K | 7.5K |
| 2022 | $1.0K | $171.02 | 6.08x | $869.48 | $1.4M | 9.1K | 6.0K |
| 2023 | $789.06 | $129.58 | 6.09x | $659.48 | $1.2M | 8.0K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 13.6K | $6.1M | $448.36 | 7.56x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 21.2K | $1.7M | $80.95 | 2.49x |
| J0178 | Injection, aflibercept, 1 mg | 2.2K | $1.6M | $744.86 | 1.34x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 4.6K | $1.6M | $340.78 | 7.82x |
| 92134 | Diagnostic imaging of retina | 18.7K | $554.5K | $29.58 | 8.92x |
| 67028 | Injection of drug into eye | 5.9K | $508.7K | $86.27 | 12.24x |
| 92136 | Measurement of corneal curvature and depth of eye | 13.4K | $492.3K | $36.74 | 5.01x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 8.1K | $474.2K | $58.45 | 2.38x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 11.7K | $214.1K | $18.25 | 4.40x |
| J9035 | Injection, bevacizumab, 10 mg | 2.9K | $164.4K | $56.12 | 4.52x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 257 | $155.1K | $603.42 | 3.37x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 317 | $153.0K | $482.72 | 4.94x |
| 65778 | Insertion of amniotic membrane to eye surface | 117 | $121.2K | $1.0K | 2.41x |
| 66982 | Removal of cataract with insertion of lens | 189 | $114.9K | $607.73 | 5.15x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 987 | $84.7K | $85.77 | 2.86x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 230 | $62.9K | $273.41 | 13.35x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 2.4K | $47.7K | $20.27 | 4.36x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 86 | $43.9K | $510.76 | 6.46x |
| 92083 | Measurement of field of vision during daylight conditions | 1.0K | $42.7K | $41.73 | 3.35x |
| J2778 | Injection, ranibizumab, 0.1 mg | 129 | $39.9K | $309.17 | 1.48x |
This provider submits charges 5.96 times higher than what Medicare actually pays.
A markup ratio of 5.96x means for every $100 Medicare pays, this provider initially charges $596. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Sohail Hasan, MD | Harvey, IL | $37.2M | ✓ Clear |
| Michael Mcclintock, M.D. | Chicago, IL | $34.3M | ✓ 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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