This provider's $6.9M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 54% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 200% in 2020
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 | $327.64 | $211.26 | 1.55x | $116.38 | $454.1K | 5.2K | 3.0K |
| 2015 | $310.26 | $179.65 | 1.73x | $130.61 | $396.4K | 5.5K | 3.6K |
| 2016 | $282.06 | $152.67 | 1.85x | $129.39 | $429.2K | 6.1K | 3.9K |
| 2017 | $247.80 | $140.00 | 1.77x | $107.80 | $387.1K | 5.7K | 3.9K |
| 2018 | $259.73 | $145.24 | 1.79x | $114.49 | $397.1K | 5.8K | 3.9K |
| 2019 | $261.12 | $147.15 | 1.77x | $113.97 | $430.1K | 6.7K | 4.1K |
| 2020 | $338.33 | $202.61 | 1.67x | $135.72 | $1.3M | 7.4K | 3.7K |
| 2021 | $459.98 | $184.48 | 2.49x | $275.50 | $1.3M | 7.5K | 4.7K |
| 2022 | $426.18 | $170.65 | 2.50x | $255.53 | $1.1M | 7.2K | 4.2K |
| 2023 | $408.20 | $168.42 | 2.42x | $239.78 | $699.9K | 6.7K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 65778 | Insertion of amniotic membrane to eye surface | 2.2K | $2.7M | $1.2K | 1.88x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 12.0K | $1.1M | $94.52 | 1.82x |
| 68761 | Closure of tear duct opening using plug | 6.2K | $488.0K | $79.06 | 2.14x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 4.5K | $443.5K | $97.96 | 2.82x |
| 66984 | Removal of cataract with insertion of lens | 511 | $259.3K | $507.47 | 1.86x |
| 92250 | Photography of the retina | 5.1K | $226.9K | $44.43 | 2.49x |
| 92083 | Measurement of field of vision during daylight conditions | 3.9K | $194.3K | $50.22 | 2.23x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 679 | $188.7K | $277.92 | 1.70x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 7.8K | $172.1K | $22.11 | 1.99x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $144.8K | $116.06 | 2.23x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 2.1K | $144.5K | $68.93 | 2.26x |
| 66982 | Removal of cataract with insertion of lens | 180 | $115.7K | $642.53 | 1.84x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 5.4K | $110.6K | $20.41 | 1.62x |
| 92134 | Diagnostic imaging of retina | 2.6K | $85.9K | $32.65 | 2.13x |
| 92201 | Extended examination of eye with drawing of retina | 3.7K | $72.3K | $19.78 | 2.57x |
| 92133 | Diagnostic imaging of optic nerve of eye | 2.1K | $63.6K | $29.85 | 2.29x |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | 697 | $51.8K | $74.35 | 2.62x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 52 | $44.5K | $855.83 | 1.52x |
| 76519 | Ultrasound of eye for determination of lens power | 827 | $37.1K | $44.91 | 2.10x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 78 | $32.5K | $416.21 | 1.51x |
This provider submits charges 2.01 times higher than what Medicare actually pays.
A markup ratio of 2.01x means for every $100 Medicare pays, this provider initially charges $201. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Sohail Hasan, MD | Harvey, IL | $37.2M | ✓ Clear |
| Michael Mcclintock, M.D. | Chicago, IL | $34.3M | ✓ 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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