This provider's $7.5M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 191% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 123% in 2018
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 | $525.50 | $227.74 | 2.31x | $297.76 | $360.2K | 3.1K | 2.1K |
| 2015 | $691.60 | $278.20 | 2.49x | $413.40 | $497.1K | 4.3K | 2.1K |
| 2016 | $649.86 | $205.97 | 3.16x | $443.89 | $414.8K | 4.1K | 2.1K |
| 2017 | $321.74 | $105.05 | 3.06x | $216.69 | $203.2K | 2.9K | 1.5K |
| 2018 | $525.34 | $190.73 | 2.75x | $334.61 | $452.7K | 5.1K | 2.8K |
| 2019 | $655.28 | $238.05 | 2.75x | $417.23 | $940.5K | 9.9K | 4.6K |
| 2020 | $620.26 | $224.93 | 2.76x | $395.33 | $1.2M | 11.7K | 5.1K |
| 2021 | $779.49 | $295.95 | 2.63x | $483.54 | $1.2M | 11.5K | 5.1K |
| 2022 | $653.72 | $232.65 | 2.81x | $421.07 | $1.1M | 11.3K | 4.7K |
| 2023 | $540.43 | $189.93 | 2.85x | $350.50 | $1.0M | 11.0K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 13.2K | $1.3M | $102.28 | 2.60x |
| J2778 | Injection, ranibizumab, 0.1 mg | 5.4K | $1.3M | $243.16 | 2.69x |
| 67028 | Injection of drug into eye | 10.2K | $913.1K | $89.90 | 5.24x |
| 92235 | Examination of retinal blood vessels by ophthalmoscope | 7.5K | $646.2K | $86.24 | 2.87x |
| 92134 | Diagnostic imaging of retina | 15.8K | $526.7K | $33.39 | 2.77x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 1.1K | $411.5K | $385.34 | 3.91x |
| J0178 | Injection, aflibercept, 1 mg | 493 | $364.6K | $739.55 | 2.58x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 4.7K | $358.5K | $76.99 | 2.53x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 697 | $309.0K | $443.40 | 2.55x |
| 92250 | Photography of the retina | 7.1K | $241.3K | $34.20 | 3.02x |
| 92242 | Imaging of blood vessels in back of eye using fluorescein and indocyanine-green dye | 877 | $185.7K | $211.77 | 2.63x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 132 | $134.1K | $1.0K | 2.49x |
| J9035 | Injection, bevacizumab, 10 mg | 2.2K | $127.4K | $56.87 | 1.59x |
| 67042 | Removal of membrane from the retina, pars plana approach | 136 | $122.3K | $899.59 | 2.46x |
| 92240 | Examination of eye using an endoscope | 539 | $112.0K | $207.81 | 2.17x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 831 | $103.8K | $124.95 | 2.63x |
| J7999 | Compounded drug, not otherwise classified | 1.2K | $85.9K | $69.91 | 1.75x |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | 188 | $40.3K | $214.31 | 2.47x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 55 | $36.4K | $662.40 | 2.55x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 383 | $30.4K | $79.45 | 2.57x |
This provider submits charges 3.02 times higher than what Medicare actually pays.
A markup ratio of 3.02x means for every $100 Medicare pays, this provider initially charges $302. 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 |
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