This provider's $7.2M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $932.90 | $238.88 | 3.91x | $694.02 | $739.8K | 11.1K | 8.4K |
| 2015 | $745.90 | $194.00 | 3.84x | $551.90 | $740.4K | 11.1K | 8.6K |
| 2016 | $785.32 | $190.99 | 4.11x | $594.33 | $792.6K | 13.2K | 10.1K |
| 2017 | $932.02 | $226.02 | 4.12x | $706.00 | $829.1K | 13.6K | 10.5K |
| 2018 | $872.15 | $211.87 | 4.12x | $660.28 | $848.1K | 14.3K | 10.2K |
| 2019 | $921.62 | $241.79 | 3.81x | $679.83 | $767.2K | 13.0K | 9.5K |
| 2020 | $881.43 | $220.92 | 3.99x | $660.51 | $670.9K | 11.7K | 8.6K |
| 2021 | $1.0K | $276.61 | 3.73x | $754.96 | $674.6K | 11.3K | 8.2K |
| 2022 | $870.17 | $219.11 | 3.97x | $651.06 | $560.9K | 9.8K | 7.2K |
| 2023 | $965.81 | $240.12 | 4.02x | $725.69 | $562.6K | 9.6K | 7.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 24.0K | $2.0M | $83.22 | 3.60x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 4.6K | $917.6K | $197.56 | 6.38x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.1K | $632.6K | $78.42 | 3.63x |
| 92083 | Measurement of field of vision during daylight conditions | 14.1K | $624.4K | $44.36 | 4.62x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.9K | $484.2K | $54.21 | 3.48x |
| 92250 | Photography of the retina | 9.7K | $388.0K | $39.93 | 4.63x |
| 92133 | Diagnostic imaging of optic nerve of eye | 11.8K | $322.2K | $27.40 | 5.84x |
| 66172 | Creation of eye fluid drainage tract | 336 | $320.1K | $952.72 | 3.91x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 14.4K | $281.7K | $19.60 | 4.49x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 3.5K | $207.0K | $59.74 | 3.52x |
| 92145 | Corneal hysteresis determination | 13.9K | $139.1K | $10.03 | 4.98x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.2K | $116.8K | $100.66 | 3.77x |
| 66170 | Creation of eye fluid drainage tract | 139 | $115.6K | $831.34 | 3.63x |
| 66183 | Insertion of eye fluid drainage device | 124 | $99.0K | $798.70 | 3.26x |
| 65820 | Incision to improve eye fluid flow | 156 | $92.9K | $595.65 | 3.19x |
| 66179 | Creation of shunt to improve eye fluid flow | 113 | $85.1K | $753.41 | 3.45x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 322 | $69.9K | $217.13 | 6.28x |
| 66250 | Revision or repair of operative wound of eye | 174 | $68.4K | $393.11 | 4.71x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 578 | $58.7K | $101.57 | 3.94x |
| 66710 | Destruction of lens tissue using laser | 185 | $56.1K | $303.02 | 3.65x |
This provider submits charges 4.31 times higher than what Medicare actually pays.
A markup ratio of 4.31x means for every $100 Medicare pays, this provider initially charges $431. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jason Ysasaga, M.D. | Amarillo, TX | $61.5M | ✓ Clear |
| Harshivinderjit Bains, MD | Tyler, TX | $53.9M | ✓ Clear |
| Ryan Rush, MD | Amarillo, TX | $53.6M | ✓ Clear |
| Tien Wong, M.D. | Houston, TX | $51.2M | ✓ Clear |
| Thomas Bochow, M.D., M.P.H. | Tyler, TX | $49.4M | ✓ 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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