This provider averages 62 services per working day
Based on 156.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $16.4M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 62 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 299% from 2014 to 2023.
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 | $362.48 | $133.83 | 2.71x | $228.65 | $962.1K | 7.2K | 24 |
| 2015 | $443.50 | $202.50 | 2.19x | $241.00 | $792.0K | 3.9K | 18 |
| 2016 | $409.37 | $176.88 | 2.31x | $232.49 | $1.1M | 6.5K | 20 |
| 2017 | $481.54 | $215.18 | 2.24x | $266.36 | $1.5M | 7.2K | 20 |
| 2018 | $455.55 | $212.90 | 2.14x | $242.65 | $914.4K | 4.3K | 16 |
| 2019 | $387.81 | $186.73 | 2.08x | $201.08 | $1.0M | 5.5K | 18 |
| 2020 | $455.26 | $211.89 | 2.15x | $243.37 | $1.4M | 6.7K | 22 |
| 2021 | $528.56 | $233.66 | 2.26x | $294.90 | $2.1M | 8.9K | 19 |
| 2022 | $292.27 | $120.45 | 2.43x | $171.82 | $2.6M | 21.9K | 20 |
| 2023 | $137.16 | $45.72 | 3.00x | $91.44 | $3.8M | 84.1K | 19 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 9.1K | $6.7M | $736.08 | 2.11x |
| J2778 | Injection, ranibizumab, 0.1 mg | 10.4K | $2.8M | $271.54 | 2.26x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 86.6K | $2.5M | $29.09 | 2.80x |
| 67028 | Injection of drug into eye | 9.8K | $883.9K | $89.89 | 3.30x |
| 92134 | Imaging of retina | 13.6K | $421.5K | $30.95 | 2.48x |
| J3490 | Unclassified drugs | 228 | $404.1K | $1.8K | 5.36x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 4.3K | $381.2K | $88.23 | 1.78x |
| J3590 | Unclassified biologics | 428 | $306.8K | $716.86 | 2.53x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 1.9K | $232.9K | $120.36 | 4.32x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 3.8K | $213.9K | $56.25 | 2.46x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 2.4K | $186.2K | $77.40 | 3.39x |
| J7999 | Compounded drug, not otherwise classified | 2.4K | $154.6K | $64.52 | 1.90x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 938 | $148.4K | $158.25 | 1.90x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 160 | $141.7K | $885.84 | 2.21x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 1.4K | $122.9K | $87.41 | 2.59x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 892 | $102.4K | $114.79 | 2.54x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 1.5K | $97.0K | $63.46 | 2.12x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 125 | $82.7K | $661.50 | 1.49x |
| 92250 | Photography of the retina | 1.8K | $70.8K | $40.45 | 2.72x |
| 92004 | New patient complete exam of visual system | 578 | $62.0K | $107.28 | 1.56x |
This provider submits charges 2.46 times higher than what Medicare actually pays.
A markup ratio of 2.46x means for every $100 Medicare pays, this provider initially charges $246. 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 OR for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Yujen Wang, MD | Medford, OR | $35.4M | ✓ 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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