This provider averages 103 services per working day
Based on 257.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $20.9M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 103 services per working day raises questions about billing patterns.
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 | $321.80 | $211.68 | 1.52x | $110.12 | $2.5M | 27.1K | 11.6K |
| 2015 | $307.08 | $197.49 | 1.55x | $109.59 | $2.7M | 28.5K | 11.8K |
| 2016 | $264.45 | $157.11 | 1.68x | $107.34 | $3.1M | 31.7K | 14.1K |
| 2017 | $255.87 | $151.27 | 1.69x | $104.60 | $2.5M | 31.0K | 14.6K |
| 2018 | $268.23 | $153.40 | 1.75x | $114.83 | $2.4M | 29.3K | 13.4K |
| 2019 | $356.81 | $146.95 | 2.43x | $209.86 | $2.1M | 26.1K | 11.5K |
| 2020 | $567.30 | $137.95 | 4.11x | $429.35 | $1.3M | 19.7K | 9.8K |
| 2021 | $584.41 | $146.30 | 3.99x | $438.11 | $1.4M | 21.1K | 9.8K |
| 2022 | $570.83 | $147.09 | 3.88x | $423.74 | $1.5M | 21.7K | 9.4K |
| 2023 | $511.15 | $134.85 | 3.79x | $376.30 | $1.5M | 21.5K | 9.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 28.6K | $3.0M | $106.76 | 1.44x |
| 92134 | Diagnostic imaging of retina | 55.5K | $2.1M | $37.17 | 2.55x |
| J2778 | Injection, ranibizumab, 0.1 mg | 6.7K | $2.0M | $297.64 | 2.12x |
| 67028 | Injection of drug into eye | 15.0K | $1.5M | $102.61 | 6.89x |
| J0178 | Injection, aflibercept, 1 mg | 2.0K | $1.5M | $740.93 | 1.75x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.6K | $1.3M | $100.79 | 1.65x |
| 92235 | Examination of retinal blood vessels by ophthalmoscope | 9.4K | $1.2M | $133.14 | 2.60x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 34.5K | $1.2M | $33.60 | 1.79x |
| 92242 | Imaging of blood vessels in back of eye using fluorescein and indocyanine-green dye | 4.0K | $893.5K | $220.94 | 2.20x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 9.1K | $705.4K | $77.73 | 1.54x |
| 92250 | Photography of the retina | 10.0K | $659.7K | $65.76 | 1.43x |
| 92240 | Examination of eye using an endoscope | 1.3K | $549.7K | $430.09 | 1.30x |
| 76512 | Ultrasound of eye disease, growth, or structure | 6.4K | $501.8K | $78.01 | 2.44x |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | 4.5K | $375.9K | $82.75 | 1.99x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 899 | $328.2K | $365.13 | 4.77x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 12.9K | $317.2K | $24.61 | 1.82x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 655 | $310.6K | $474.22 | 2.27x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.1K | $299.1K | $142.62 | 1.46x |
| 95930 | Measurement and recording of nerve conduction patterns using visually-evoked stimulation | 2.7K | $298.2K | $108.92 | 1.88x |
| 92201 | Extended examination of eye with drawing of retina | 13.0K | $289.2K | $22.30 | 6.73x |
This provider submits charges 2.45 times higher than what Medicare actually pays.
A markup ratio of 2.45x means for every $100 Medicare pays, this provider initially charges $245. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jonathan Jonisch, MD | Great Neck, NY | $52.3M | ✓ Clear |
| Jeffrey Josef, M.D. | Suffern, NY | $52.2M | ✓ Clear |
| Brett Rosenblatt | Great Neck, NY | $50.0M | ✓ Clear |
| Kenneth Graham | Great Neck, NY | $47.1M | ✓ Clear |
| Glenn Stoller, M.D. | Rockville Centre, NY | $46.4M | ✓ 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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