This provider averages 59 services per working day
Based on 147.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $23.3M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 59 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 154% from 2014 to 2023.
64% of their billing comes from a single procedure code (J0178 — Injection, aflibercept, 1 mg).
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 | $426.34 | $155.95 | 2.73x | $270.39 | $1.2M | 7.8K | 28 |
| 2015 | $460.19 | $177.87 | 2.59x | $282.32 | $1.6M | 8.9K | 27 |
| 2016 | $476.69 | $193.60 | 2.46x | $283.09 | $1.9M | 9.8K | 21 |
| 2017 | $484.71 | $198.59 | 2.44x | $286.12 | $2.0M | 10.3K | 20 |
| 2018 | $495.56 | $203.90 | 2.43x | $291.66 | $2.3M | 11.5K | 19 |
| 2019 | $495.74 | $206.61 | 2.40x | $289.13 | $2.6M | 12.7K | 18 |
| 2020 | $539.58 | $218.40 | 2.47x | $321.18 | $2.7M | 12.4K | 18 |
| 2021 | $519.62 | $217.95 | 2.38x | $301.67 | $2.8M | 12.8K | 18 |
| 2022 | $469.43 | $190.08 | 2.47x | $279.35 | $2.9M | 15.3K | 18 |
| 2023 | $190.95 | $67.21 | 2.84x | $123.74 | $3.1M | 46.2K | 19 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 20.0K | $14.8M | $741.44 | 1.87x |
| 92014 | Established patient complete exam of visual system | 18.5K | $1.7M | $93.31 | 3.09x |
| J2778 | Injection, ranibizumab, 0.1 mg | 4.9K | $1.3M | $259.40 | 1.93x |
| 67028 | Injection of drug into eye | 12.7K | $1.2M | $92.73 | 5.12x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 36.9K | $1.1M | $29.10 | 3.08x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 10.3K | $975.9K | $94.55 | 3.14x |
| 92134 | Imaging of retina | 23.4K | $722.1K | $30.86 | 5.34x |
| J3490 | Unclassified drugs | 3.0K | $216.7K | $72.06 | 4.61x |
| J0179 | Injection, brolucizumab-dbll, 1 mg | 870 | $213.6K | $245.49 | 3.77x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.4K | $170.0K | $121.89 | 4.00x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2.9K | $152.4K | $52.41 | 3.49x |
| 92004 | New patient complete exam of visual system | 1.5K | $151.3K | $102.48 | 3.55x |
| 92250 | Photography of the retina | 4.2K | $148.3K | $35.34 | 7.82x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 313 | $81.9K | $261.62 | 4.25x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 683 | $70.9K | $103.74 | 4.04x |
| 92083 | Exam of visual field with extended testing | 1.5K | $67.0K | $44.73 | 4.75x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 1.3K | $51.3K | $38.99 | 2.54x |
| 76512 | 2d ultrasound scan of eye tissue and structures | 693 | $46.0K | $66.37 | 5.68x |
| 92133 | Imaging of optic nerve | 1.5K | $41.6K | $27.96 | 5.89x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 93 | $34.0K | $365.66 | 5.24x |
This provider submits charges 2.52 times higher than what Medicare actually pays.
A markup ratio of 2.52x means for every $100 Medicare pays, this provider initially charges $252. 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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