This provider averages 59 services per working day
Based on 147.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $18.2M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 59 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 6454% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1411% in 2015
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 | $285.79 | $67.66 | 4.22x | $218.13 | $62.0K | 916 | 8 |
| 2015 | $377.04 | $135.61 | 2.78x | $241.43 | $936.1K | 6.9K | 16 |
| 2016 | $352.35 | $128.85 | 2.73x | $223.50 | $1.2M | 9.1K | 14 |
| 2017 | $286.28 | $104.56 | 2.74x | $181.72 | $601.0K | 5.7K | 14 |
| 2018 | $285.48 | $118.85 | 2.40x | $166.63 | $1.1M | 9.2K | 17 |
| 2019 | $325.99 | $137.86 | 2.36x | $188.13 | $1.8M | 13.1K | 16 |
| 2020 | $401.32 | $179.64 | 2.23x | $221.68 | $2.3M | 13.0K | 14 |
| 2021 | $422.44 | $196.22 | 2.15x | $226.22 | $2.7M | 13.8K | 13 |
| 2022 | $368.91 | $174.65 | 2.11x | $194.26 | $3.4M | 19.6K | 15 |
| 2023 | $149.66 | $72.96 | 2.05x | $76.70 | $4.1M | 55.7K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 13.9K | $10.2M | $729.65 | 1.72x |
| 67028 | Injection of drug into eye | 17.9K | $1.5M | $86.56 | 4.64x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 45.0K | $1.3M | $29.05 | 1.72x |
| 92014 | Established patient complete exam of visual system | 12.5K | $1.1M | $87.04 | 2.40x |
| J2778 | Injection, ranibizumab, 0.1 mg | 3.5K | $936.5K | $268.26 | 1.92x |
| 92134 | Imaging of retina | 26.3K | $811.2K | $30.87 | 2.93x |
| J7999 | Compounded drug, not otherwise classified | 11.5K | $768.3K | $66.94 | 4.69x |
| 92004 | New patient complete exam of visual system | 4.2K | $437.4K | $103.06 | 2.52x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 1.2K | $197.6K | $158.59 | 1.61x |
| J3490 | Unclassified drugs | 106 | $187.3K | $1.8K | 1.53x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 1.8K | $133.7K | $75.60 | 2.29x |
| 67042 | Removal of membrane from the retina, pars plana approach with removal of internal limiting membrane of retina | 146 | $128.8K | $882.37 | 3.15x |
| 92250 | Photography of the retina | 2.4K | $91.0K | $38.49 | 3.89x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 190 | $74.2K | $390.67 | 3.30x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 615 | $74.0K | $120.36 | 1.50x |
| J9035 | Injection, bevacizumab, 10 mg | 891 | $47.9K | $53.75 | 2.27x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 44 | $46.3K | $1.1K | 2.56x |
| 67041 | Removal of membrane of retina | 41 | $36.2K | $881.79 | 3.52x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 54 | $33.7K | $624.21 | 4.38x |
| 92240 | Examination of eye using an endoscope | 101 | $18.9K | $186.95 | 1.71x |
This provider submits charges 2.27 times higher than what Medicare actually pays.
A markup ratio of 2.27x means for every $100 Medicare pays, this provider initially charges $227. This is higher than the national average.
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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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