This provider's $5.7M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $342.04 | $137.53 | 2.49x | $204.51 | $483.8K | 4.6K | 2.9K |
| 2015 | $421.88 | $187.95 | 2.24x | $233.93 | $508.2K | 4.5K | 2.9K |
| 2016 | $431.60 | $185.80 | 2.32x | $245.80 | $568.6K | 4.9K | 3.1K |
| 2017 | $527.27 | $228.06 | 2.31x | $299.21 | $589.5K | 5.1K | 3.2K |
| 2018 | $589.56 | $224.98 | 2.62x | $364.58 | $640.5K | 5.5K | 3.5K |
| 2019 | $579.63 | $228.98 | 2.53x | $350.65 | $659.9K | 5.8K | 3.6K |
| 2020 | $595.14 | $227.71 | 2.61x | $367.43 | $573.3K | 5.1K | 3.2K |
| 2021 | $352.72 | $124.99 | 2.82x | $227.73 | $591.2K | 5.8K | 3.5K |
| 2022 | $344.50 | $118.20 | 2.91x | $226.30 | $559.0K | 5.8K | 3.5K |
| 2023 | $353.24 | $121.96 | 2.90x | $231.28 | $548.8K | 5.8K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 3.0K | $1.6M | $517.03 | 3.38x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 20.3K | $1.4M | $68.99 | 1.77x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 9.6K | $888.3K | $92.91 | 1.88x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.6K | $446.3K | $286.24 | 2.16x |
| 68761 | Closure of tear duct opening using plug | 3.3K | $254.3K | $78.19 | 2.69x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 2.2K | $239.5K | $107.66 | 1.93x |
| 65778 | Insertion of amniotic membrane to eye surface | 167 | $219.1K | $1.3K | 1.61x |
| 92083 | Measurement of field of vision during daylight conditions | 2.3K | $114.5K | $49.11 | 3.03x |
| 92136 | Measurement of corneal curvature and depth of eye | 3.2K | $95.7K | $30.15 | 3.36x |
| 0191T | Internal insertion of eye fluid drainage device | 165 | $93.0K | $563.90 | 2.66x |
| 92250 | Photography of the retina | 2.1K | $92.8K | $43.49 | 2.90x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 297 | $64.3K | $216.45 | 3.66x |
| 92002 | Eye and medical examination for diagnosis and treatment, new patient | 850 | $52.5K | $61.80 | 2.26x |
| 67820 | Removal of eyelashes by forceps | 1.9K | $50.2K | $26.45 | 3.93x |
| 67840 | Removal of eyelid growth | 187 | $48.0K | $256.80 | 1.70x |
| 92071 | Fitting of contact lens for treatment of ocular surface disease | 1.3K | $39.4K | $31.29 | 3.06x |
| 66982 | Removal of cataract with insertion of lens | 40 | $27.2K | $678.95 | 3.00x |
| 68810 | Insertion of probe into the tear duct | 73 | $12.5K | $171.90 | 2.57x |
| 68440 | Snip incision of tear-drainage opening at inner corner of the eye | 47 | $4.8K | $102.42 | 3.63x |
| 65210 | Removal of foreign body in external eye, conjunctiva or sclera | 114 | $4.2K | $36.83 | 3.76x |
This provider submits charges 2.45 times higher than what Medicare actually pays.
A markup ratio of 2.45x means for every $100 Medicare pays, this provider initially charges $245. 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