This provider's $4.7M in total Medicare payments ranks in the 96th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 6746% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 351% in 2018
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $481.33 | $85.53 | 5.63x | $395.80 | $17.8K | 220 | 192 |
| 2016 | $588.84 | $94.00 | 6.26x | $494.84 | $43.0K | 544 | 507 |
| 2017 | $590.89 | $124.03 | 4.76x | $466.86 | $87.1K | 1.2K | 804 |
| 2018 | $759.58 | $212.97 | 3.57x | $546.61 | $392.9K | 4.3K | 1.9K |
| 2019 | $629.67 | $187.03 | 3.37x | $442.64 | $491.6K | 5.6K | 2.2K |
| 2020 | $434.27 | $139.19 | 3.12x | $295.08 | $740.6K | 7.6K | 2.7K |
| 2021 | $397.28 | $129.23 | 3.07x | $268.05 | $796.0K | 8.0K | 2.7K |
| 2022 | $378.35 | $122.30 | 3.09x | $256.05 | $918.5K | 8.1K | 2.9K |
| 2023 | $650.41 | $160.20 | 4.06x | $490.21 | $1.2M | 9.3K | 3.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 2.9K | $2.1M | $715.93 | 2.77x |
| 67028 | Injection of drug into eye | 9.4K | $805.8K | $86.17 | 5.50x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 8.0K | $675.0K | $84.70 | 2.87x |
| 92134 | Diagnostic imaging of retina | 14.8K | $416.0K | $28.15 | 6.97x |
| J9035 | Injection, bevacizumab, 10 mg | 6.1K | $350.6K | $57.71 | 2.18x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $124.8K | $111.89 | 2.51x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 709 | $53.1K | $74.87 | 1.94x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 75 | $37.6K | $501.98 | 5.76x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 343 | $34.3K | $99.86 | 2.98x |
| 67041 | Removal of membrane from the retina | 57 | $32.0K | $561.37 | 4.28x |
| 99284 | Emergency department visit, problem of high severity | 205 | $16.2K | $78.81 | 2.43x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 97 | $13.0K | $134.17 | 8.73x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 196 | $10.8K | $55.20 | 2.24x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 305 | $8.8K | $28.97 | 2.29x |
| 92235 | Imaging of blood vessels in back of eye using fluorescein dye | 92 | $6.8K | $74.45 | 3.29x |
| 76512 | Ultrasound of eye disease, growth, or structure | 162 | $5.3K | $32.94 | 7.01x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 138 | $5.1K | $36.85 | 2.44x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 19 | $4.0K | $209.82 | 5.64x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 41 | $3.2K | $79.03 | 2.26x |
| 92250 | Photography of the retina | 89 | $3.2K | $36.41 | 3.42x |
This provider submits charges 3.62 times higher than what Medicare actually pays.
A markup ratio of 3.62x means for every $100 Medicare pays, this provider initially charges $362. 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.
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