This provider averages 75 services per working day
Based on 131.4K total services over 7 years (250 working days/year). Learn about impossible service volumes →
This provider's $16.2M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 75 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 89439% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 6256% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $627.50 | $141.22 | 4.44x | $486.28 | $5.6K | 40 | 2 |
| 2018 | $605.71 | $139.22 | 4.35x | $466.49 | $14.6K | 105 | 4 |
| 2019 | $438.08 | $216.63 | 2.02x | $221.45 | $929.1K | 4.3K | 18 |
| 2020 | $560.23 | $231.39 | 2.42x | $328.84 | $2.7M | 11.9K | 22 |
| 2021 | $611.43 | $260.12 | 2.35x | $351.31 | $3.2M | 12.4K | 20 |
| 2022 | $446.87 | $179.40 | 2.49x | $267.47 | $4.2M | 23.4K | 23 |
| 2023 | $162.29 | $63.73 | 2.55x | $98.56 | $5.1M | 79.4K | 23 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 11.8K | $8.4M | $712.73 | 2.14x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 76.1K | $2.2M | $29.03 | 2.44x |
| J0179 | Injection, brolucizumab-dbll, 1 mg | 4.4K | $1.1M | $245.83 | 3.19x |
| J2778 | Injection, ranibizumab, 0.1 mg | 3.8K | $939.7K | $248.07 | 2.52x |
| 67028 | Injection of drug into eye | 9.2K | $887.4K | $96.40 | 3.78x |
| J3590 | Unclassified biologics | 262 | $485.9K | $1.9K | 2.32x |
| 92014 | Established patient complete exam of visual system | 4.2K | $399.3K | $95.03 | 1.99x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 2.3K | $350.6K | $155.84 | 1.96x |
| 92134 | Imaging of retina | 10.3K | $324.4K | $31.65 | 3.71x |
| J3490 | Unclassified drugs | 86 | $150.5K | $1.8K | 1.60x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 228 | $132.8K | $582.61 | 3.32x |
| 92012 | Established patient problem focused exam of visual system | 1.5K | $103.7K | $68.21 | 1.90x |
| J7999 | Compounded drug, not otherwise classified | 1.3K | $90.7K | $71.28 | 3.38x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 687 | $84.5K | $122.96 | 2.27x |
| 92242 | Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye | 411 | $80.8K | $196.71 | 1.60x |
| 92250 | Photography of the retina | 2.6K | $79.7K | $30.69 | 3.71x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 263 | $69.3K | $263.60 | 7.48x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 555 | $66.8K | $120.36 | 1.92x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 480 | $43.9K | $91.54 | 2.18x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 70 | $36.6K | $522.32 | 2.77x |
This provider submits charges 2.44 times higher than what Medicare actually pays.
A markup ratio of 2.44x means for every $100 Medicare pays, this provider initially charges $244. 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 WA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Charles Sung, MD | Kennewick, WA | $38.3M | ✓ Clear |
| David Spinak, MD | Silverdale, WA | $34.8M | ✓ Clear |
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