This provider averages 73 services per working day
Based on 182.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $28.6M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 73 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 171% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $501.71 | $190.33 | 2.64x | $311.38 | $5.0M | 26.1K | 30 |
| 2015 | $520.74 | $191.98 | 2.71x | $328.76 | $4.8M | 25.0K | 33 |
| 2016 | $569.18 | $206.74 | 2.75x | $362.44 | $3.6M | 17.6K | 27 |
| 2017 | $730.07 | $262.10 | 2.79x | $467.97 | $4.0M | 15.3K | 25 |
| 2018 | $656.44 | $221.84 | 2.96x | $434.60 | $3.7M | 16.8K | 23 |
| 2019 | $516.20 | $171.24 | 3.01x | $344.96 | $2.2M | 12.8K | 25 |
| 2020 | $179.66 | $67.66 | 2.66x | $112.00 | $389.8K | 5.8K | 24 |
| 2021 | $260.29 | $78.10 | 3.33x | $182.19 | $474.3K | 6.1K | 22 |
| 2022 | $598.04 | $172.21 | 3.47x | $425.83 | $1.2M | 7.0K | 15 |
| 2023 | $223.46 | $64.97 | 3.44x | $158.49 | $3.2M | 50.0K | 25 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2778 | Injection, ranibizumab, 0.1 mg | 46.5K | $14.0M | $300.21 | 2.12x |
| J0178 | Injection, aflibercept, 1 mg | 10.7K | $8.1M | $753.68 | 2.06x |
| 67028 | Injection of drug into eye | 19.3K | $1.6M | $81.38 | 12.02x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 35.0K | $1.0M | $28.79 | 3.31x |
| 92134 | Imaging of retina | 26.8K | $749.1K | $27.99 | 4.10x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 9.7K | $722.8K | $74.26 | 2.94x |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | 1.2K | $253.6K | $216.17 | 3.34x |
| J3490 | Unclassified drugs | 257 | $250.1K | $973.19 | 4.58x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 205 | $182.3K | $889.36 | 4.15x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 1.4K | $171.6K | $120.36 | 3.12x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 433 | $163.1K | $376.72 | 3.98x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 381 | $129.6K | $340.06 | 3.40x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 1.8K | $117.4K | $65.56 | 2.50x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 707 | $111.7K | $157.93 | 2.66x |
| J7999 | Compounded drug, not otherwise classified | 1.2K | $85.9K | $69.72 | 3.83x |
| 67210 | Destruction of growth of retina using a laser | 220 | $85.2K | $387.25 | 3.41x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 747 | $81.7K | $109.37 | 3.34x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 1.0K | $79.0K | $76.67 | 3.53x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 68 | $66.5K | $977.58 | 4.41x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1.3K | $66.5K | $49.67 | 2.61x |
This provider submits charges 2.89 times higher than what Medicare actually pays.
A markup ratio of 2.89x means for every $100 Medicare pays, this provider initially charges $289. 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 AZ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Derek Kunimoto, MD | Mesa, AZ | $68.3M | ✓ Clear |
| David Goldenberg, MD | Phoenix, AZ | $50.8M | ✓ Clear |
| Sachin Mehta, M.D. | Phoenix, AZ | $43.3M | ✓ Clear |
| Edward Quinlan, M.D. | Phoenix, AZ | $40.1M | ✓ 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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