This provider's $8.8M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 121% 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 | $477.35 | $181.86 | 2.62x | $295.49 | $518.5K | 5.6K | 4.3K |
| 2015 | $502.87 | $182.10 | 2.76x | $320.77 | $538.4K | 6.2K | 4.6K |
| 2016 | $468.64 | $170.43 | 2.75x | $298.21 | $502.6K | 6.2K | 4.7K |
| 2017 | $497.81 | $167.16 | 2.98x | $330.65 | $735.8K | 9.6K | 7.5K |
| 2018 | $618.25 | $195.49 | 3.16x | $422.76 | $1.1M | 13.2K | 10.4K |
| 2019 | $482.27 | $161.26 | 2.99x | $321.01 | $931.0K | 11.0K | 8.9K |
| 2020 | $439.02 | $155.90 | 2.82x | $283.12 | $998.6K | 11.9K | 9.8K |
| 2021 | $499.61 | $189.64 | 2.63x | $309.97 | $1.3M | 13.3K | 9.8K |
| 2022 | $655.64 | $234.94 | 2.79x | $420.70 | $1.1M | 11.8K | 8.7K |
| 2023 | $684.09 | $206.65 | 3.31x | $477.44 | $1.1M | 14.1K | 10.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 67938 | Removal of embedded foreign body in eyelid | 4.0K | $1.4M | $353.62 | 1.97x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 7.1K | $768.6K | $108.14 | 1.71x |
| 68761 | Closure of tear duct opening using plug | 8.1K | $727.5K | $89.83 | 2.79x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 7.3K | $550.9K | $75.84 | 2.11x |
| 66984 | Removal of cataract with insertion of lens | 1.0K | $542.4K | $523.54 | 3.82x |
| 92250 | Photography of the retina | 11.9K | $518.4K | $43.50 | 4.60x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.7K | $496.5K | $135.31 | 2.26x |
| 92025 | Computerized mapping of corneal curvature | 15.2K | $484.8K | $31.82 | 2.04x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.7K | $431.2K | $248.53 | 1.97x |
| 92134 | Diagnostic imaging of retina | 10.6K | $361.6K | $34.20 | 4.39x |
| 66982 | Removal of cataract with insertion of lens | 352 | $236.7K | $672.45 | 3.76x |
| 92083 | Measurement of field of vision during daylight conditions | 3.5K | $198.6K | $56.91 | 2.64x |
| 67031 | Laser release of scar tissue between the lens and retina | 578 | $198.3K | $343.10 | 2.62x |
| 67904 | Repair of tendon of upper eyelid | 231 | $193.9K | $839.20 | 2.03x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.2K | $143.9K | $121.10 | 2.06x |
| 68810 | Insertion of probe into the tear duct | 596 | $143.6K | $240.94 | 2.90x |
| 65778 | Insertion of amniotic membrane to eye surface | 101 | $136.7K | $1.4K | 1.62x |
| 65772 | Incisions to cornea to correct astigmatism | 717 | $132.0K | $184.08 | 7.16x |
| 92100 | Multiple measurements of eye fluid pressure over an extended time period, same day | 1.3K | $94.5K | $74.08 | 1.55x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 231 | $87.0K | $376.66 | 3.85x |
This provider submits charges 2.74 times higher than what Medicare actually pays.
A markup ratio of 2.74x means for every $100 Medicare pays, this provider initially charges $274. 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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