This provider's $10.9M in total Medicare payments ranks in the 98th 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 | $681.59 | $178.96 | 3.81x | $502.63 | $1.0M | 11.7K | 6.6K |
| 2015 | $650.61 | $163.46 | 3.98x | $487.15 | $1.0M | 11.5K | 6.7K |
| 2016 | $656.91 | $167.62 | 3.92x | $489.29 | $1.0M | 11.0K | 6.7K |
| 2017 | $680.79 | $169.94 | 4.01x | $510.85 | $1.1M | 11.3K | 6.8K |
| 2018 | $765.01 | $182.20 | 4.20x | $582.81 | $1.1M | 11.7K | 7.5K |
| 2019 | $758.76 | $184.21 | 4.12x | $574.55 | $1.1M | 12.2K | 7.7K |
| 2020 | $701.28 | $162.39 | 4.32x | $538.89 | $981.8K | 11.5K | 7.3K |
| 2021 | $515.08 | $166.90 | 3.09x | $348.18 | $1.1M | 12.9K | 8.2K |
| 2022 | $441.49 | $172.48 | 2.56x | $269.01 | $1.2M | 13.6K | 8.6K |
| 2023 | $448.42 | $179.54 | 2.50x | $268.88 | $1.2M | 12.9K | 8.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 27.1K | $2.5M | $92.24 | 1.64x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 28.9K | $1.9M | $66.30 | 1.56x |
| 66984 | Removal of cataract with insertion of lens | 2.6K | $1.3M | $486.85 | 5.26x |
| J0178 | Injection, aflibercept, 1 mg | 1.2K | $856.8K | $740.53 | 2.86x |
| 67028 | Injection of drug into eye | 4.8K | $458.4K | $95.58 | 7.61x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 3.1K | $319.1K | $104.55 | 1.55x |
| 92134 | Diagnostic imaging of retina | 9.6K | $313.7K | $32.52 | 3.63x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.5K | $278.5K | $61.44 | 1.64x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.1K | $273.4K | $255.56 | 4.23x |
| 68761 | Closure of tear duct opening using plug | 1.8K | $272.4K | $155.54 | 2.77x |
| 92250 | Photography of the retina | 6.7K | $248.0K | $36.94 | 3.59x |
| 66982 | Removal of cataract with insertion of lens | 399 | $246.7K | $618.19 | 3.91x |
| 92083 | Measurement of field of vision during daylight conditions | 4.8K | $232.1K | $48.59 | 2.77x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 275 | $205.9K | $748.91 | 3.50x |
| 92136 | Measurement of corneal curvature and depth of eye | 2.8K | $152.5K | $53.76 | 9.50x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $145.8K | $114.55 | 1.85x |
| 66183 | Insertion of eye fluid drainage device | 144 | $123.9K | $860.34 | 3.95x |
| 92133 | Diagnostic imaging of optic nerve of eye | 3.9K | $119.0K | $30.86 | 4.15x |
| J7999 | Compounded drug, not otherwise classified | 1.5K | $96.7K | $62.65 | 3.37x |
| 68801 | Dilation of tear-drainage opening | 889 | $90.3K | $101.53 | 3.57x |
This provider submits charges 3.05 times higher than what Medicare actually pays.
A markup ratio of 3.05x means for every $100 Medicare pays, this provider initially charges $305. 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 |
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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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