This provider's $7.1M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
Their average markup ratio of 5.37x is significantly above the specialty median of 2.9x.
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 | $609.56 | $138.37 | 4.41x | $471.19 | $1.0M | 7.7K | 5.9K |
| 2015 | $484.41 | $89.83 | 5.39x | $394.58 | $805.8K | 9.3K | 7.4K |
| 2016 | $613.96 | $109.21 | 5.62x | $504.75 | $837.7K | 9.7K | 7.7K |
| 2017 | $486.19 | $88.52 | 5.49x | $397.67 | $719.3K | 9.5K | 7.5K |
| 2018 | $573.29 | $109.06 | 5.26x | $464.23 | $715.0K | 9.4K | 7.5K |
| 2019 | $456.20 | $80.89 | 5.64x | $375.31 | $693.0K | 9.2K | 7.3K |
| 2020 | $414.49 | $78.38 | 5.29x | $336.11 | $475.8K | 6.3K | 5.2K |
| 2021 | $462.90 | $79.35 | 5.83x | $383.55 | $595.5K | 7.8K | 6.2K |
| 2022 | $464.00 | $83.90 | 5.53x | $380.10 | $547.9K | 7.4K | 5.9K |
| 2023 | $480.80 | $84.47 | 5.69x | $396.33 | $620.8K | 7.5K | 5.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 15.1K | $1.9M | $127.62 | 6.74x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 15.7K | $1.4M | $87.44 | 4.31x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 9.9K | $679.7K | $68.79 | 3.99x |
| 92136 | Measurement of corneal curvature and depth of eye | 15.9K | $678.5K | $42.69 | 6.77x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 3.0K | $668.5K | $226.39 | 4.82x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 5.5K | $637.8K | $115.03 | 4.88x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.4K | $240.1K | $54.09 | 3.89x |
| 92083 | Measurement of field of vision during daylight conditions | 3.9K | $181.3K | $46.87 | 6.16x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.6K | $173.0K | $107.01 | 4.03x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.9K | $150.9K | $77.88 | 3.54x |
| 92133 | Diagnostic imaging of optic nerve of eye | 3.9K | $112.9K | $29.18 | 5.50x |
| 66982 | Removal of cataract with insertion of lens | 315 | $82.2K | $260.88 | 5.85x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 359 | $71.1K | $198.17 | 7.47x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 115 | $22.2K | $192.92 | 7.32x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 741 | $15.8K | $21.34 | 3.96x |
| 92134 | Diagnostic imaging of retina | 276 | $8.7K | $31.68 | 5.05x |
| 76514 | Ultrasound of corneal structure and measurement | 647 | $7.4K | $11.36 | 7.45x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 188 | $5.6K | $29.74 | 3.47x |
| 92002 | Eye and medical examination for diagnosis and treatment, new patient | 78 | $4.5K | $57.77 | 4.59x |
| 92132 | Imaging of front third of eye | 169 | $4.0K | $23.64 | 9.39x |
This provider submits charges 5.37 times higher than what Medicare actually pays.
A markup ratio of 5.37x means for every $100 Medicare pays, this provider initially charges $537. 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 MA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Torsten Wiegand, MD | Boston, MA | $49.8M | ✓ Clear |
| David Reed, M.D. | Plymouth, MA | $44.2M | ✓ Clear |
| Chirag Shah, MD | Boston, MA | $34.3M | ✓ 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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