This provider averages 68 services per working day
Based on 169.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $17.8M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 68 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 | $323.26 | $145.15 | 2.23x | $178.11 | $2.0M | 20.0K | 14.3K |
| 2015 | $362.37 | $152.09 | 2.38x | $210.28 | $2.0M | 19.6K | 13.5K |
| 2016 | $411.63 | $146.13 | 2.82x | $265.50 | $1.9M | 19.0K | 13.3K |
| 2017 | $397.39 | $144.17 | 2.76x | $253.22 | $1.7M | 18.5K | 12.8K |
| 2018 | $461.12 | $168.19 | 2.74x | $292.93 | $1.7M | 18.8K | 12.2K |
| 2019 | $408.44 | $144.59 | 2.82x | $263.85 | $2.1M | 20.4K | 12.7K |
| 2020 | $520.89 | $221.85 | 2.35x | $299.04 | $1.5M | 14.1K | 9.0K |
| 2021 | $411.79 | $164.74 | 2.50x | $247.05 | $1.8M | 14.8K | 8.9K |
| 2022 | $500.45 | $197.07 | 2.54x | $303.38 | $1.7M | 13.0K | 8.1K |
| 2023 | $502.42 | $186.45 | 2.69x | $315.97 | $1.5M | 10.9K | 6.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 68761 | Closure of tear duct opening using plug | 12.7K | $2.2M | $171.08 | 1.58x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 30.6K | $2.2M | $70.52 | 1.70x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 17.0K | $1.6M | $95.97 | 1.67x |
| J0178 | Injection, aflibercept, 1 mg | 2.0K | $1.4M | $722.40 | 2.54x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 6.4K | $1.4M | $220.26 | 2.73x |
| 68840 | Probing of nasal-tear duct | 7.9K | $1.2M | $149.98 | 1.83x |
| 92250 | Photography of the retina | 17.5K | $822.4K | $47.11 | 2.54x |
| 66984 | Removal of cataract with insertion of lens | 1.5K | $730.0K | $484.74 | 3.30x |
| 92083 | Measurement of field of vision during daylight conditions | 11.9K | $619.1K | $52.00 | 2.31x |
| 92235 | Examination of retinal blood vessels by ophthalmoscope | 6.2K | $567.4K | $91.52 | 2.19x |
| 65800 | Aspiration of eye fluid | 4.7K | $475.2K | $100.74 | 2.98x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.7K | $472.4K | $283.57 | 1.95x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 636 | $419.2K | $659.12 | 2.13x |
| 92134 | Diagnostic imaging of retina | 8.4K | $306.0K | $36.25 | 2.76x |
| 65210 | Removal of foreign body in external eye, conjunctiva or sclera | 5.1K | $305.1K | $59.62 | 3.46x |
| 66174 | Dilation to improve eye fluid flow | 384 | $295.2K | $768.63 | 1.95x |
| 67028 | Injection of drug into eye | 5.1K | $267.7K | $52.55 | 9.35x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 587 | $260.1K | $443.14 | 2.49x |
| 76513 | Ultrasound of eye using water bath method | 2.4K | $194.6K | $79.96 | 2.53x |
| 67820 | Removal of eyelashes by forceps | 6.3K | $193.3K | $30.53 | 4.72x |
This provider submits charges 2.35 times higher than what Medicare actually pays.
A markup ratio of 2.35x means for every $100 Medicare pays, this provider initially charges $235. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Nathan Steinle, M.D. | Santa Barbara, CA | $63.1M | ✓ Clear |
| Stephen Couvillion, MD | Santa Barbara, CA | $47.7M | ✓ Clear |
| Margaret Chang, M.D. | Sacramento, CA | $47.6M | ✓ Clear |
| David Boyer, MD | Los Angeles, CA | $47.5M | ✓ Clear |
| Alessandro Castellarin, M.D. | Santa Barbara, CA | $46.9M | ✓ 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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