This provider's $17.2M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 432% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 70% in 2021
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 | $296.11 | $122.24 | 2.42x | $173.87 | $594.0K | 4.9K | 15 |
| 2015 | $316.40 | $133.84 | 2.36x | $182.56 | $564.0K | 4.2K | 15 |
| 2016 | $340.95 | $141.35 | 2.41x | $199.60 | $675.1K | 4.8K | 13 |
| 2017 | $329.66 | $141.79 | 2.32x | $187.87 | $765.0K | 5.4K | 16 |
| 2018 | $325.17 | $160.05 | 2.03x | $165.12 | $1.1M | 6.7K | 16 |
| 2019 | $368.63 | $181.28 | 2.03x | $187.35 | $1.5M | 8.3K | 20 |
| 2020 | $464.22 | $236.69 | 1.96x | $227.53 | $2.1M | 8.9K | 22 |
| 2021 | $529.01 | $275.62 | 1.92x | $253.39 | $3.6M | 13.0K | 18 |
| 2022 | $439.56 | $219.64 | 2.00x | $219.92 | $3.2M | 14.7K | 17 |
| 2023 | $196.60 | $94.24 | 2.09x | $102.36 | $3.2M | 33.6K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 13.6K | $9.9M | $727.37 | 1.72x |
| J2778 | Injection, ranibizumab, 0.1 mg | 8.7K | $2.2M | $250.73 | 2.00x |
| 67028 | Injection of drug into eye | 11.6K | $999.9K | $86.41 | 4.04x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 28.0K | $814.5K | $29.13 | 1.96x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 6.3K | $501.7K | $79.22 | 2.12x |
| 92134 | Imaging of retina | 16.2K | $464.6K | $28.76 | 2.42x |
| 92014 | Established patient complete exam of visual system | 5.6K | $457.8K | $81.42 | 2.27x |
| 67041 | Removal of membrane of retina | 309 | $278.5K | $901.32 | 3.01x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 4.7K | $251.3K | $53.53 | 2.12x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 155 | $166.4K | $1.1K | 2.95x |
| J0179 | Injection, brolucizumab-dbll, 1 mg | 564 | $141.7K | $251.27 | 1.66x |
| J9035 | Injection, bevacizumab, 10 mg | 2.5K | $139.6K | $56.58 | 2.82x |
| 67040 | Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser | 162 | $134.2K | $828.54 | 2.96x |
| J7999 | Compounded drug, not otherwise classified | 1.8K | $117.1K | $65.28 | 4.54x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 112 | $98.2K | $876.59 | 2.91x |
| 92012 | Established patient problem focused exam of visual system | 1.7K | $97.5K | $58.39 | 2.06x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 623 | $96.8K | $155.30 | 1.75x |
| J3590 | Unclassified biologics | 40 | $89.0K | $2.2K | 1.86x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 213 | $74.8K | $351.08 | 4.60x |
| 92004 | New patient complete exam of visual system | 630 | $58.3K | $92.48 | 2.40x |
This provider submits charges 2.06 times higher than what Medicare actually pays.
A markup ratio of 2.06x means for every $100 Medicare pays, this provider initially charges $206. 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.
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