This provider's $7.1M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
Their average markup ratio of 5.39x is significantly above the specialty median of 2.9x.
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 | $1.2K | $217.78 | 5.45x | $968.44 | $799.2K | 8.9K | 7.9K |
| 2015 | $1.5K | $256.80 | 5.76x | $1.2K | $846.4K | 9.1K | 7.8K |
| 2016 | $1.4K | $211.91 | 6.59x | $1.2K | $751.9K | 8.8K | 7.5K |
| 2017 | $1.5K | $186.69 | 7.77x | $1.3K | $743.2K | 8.6K | 7.3K |
| 2018 | $1.5K | $187.50 | 8.05x | $1.3K | $732.7K | 8.8K | 7.4K |
| 2019 | $1.4K | $206.57 | 6.81x | $1.2K | $761.2K | 8.8K | 7.1K |
| 2020 | $1.7K | $246.60 | 6.75x | $1.4K | $596.3K | 7.3K | 5.9K |
| 2021 | $1.1K | $135.16 | 8.19x | $971.35 | $621.9K | 7.6K | 6.2K |
| 2022 | $1.3K | $221.04 | 5.75x | $1.1K | $662.1K | 7.9K | 6.0K |
| 2023 | $1.2K | $200.45 | 5.81x | $964.89 | $594.1K | 7.1K | 5.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 3.5K | $1.6M | $463.51 | 10.01x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 15.1K | $1.2M | $79.55 | 1.87x |
| 92083 | Measurement of field of vision during daylight conditions | 16.5K | $731.5K | $44.39 | 3.46x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 12.2K | $721.1K | $59.02 | 1.66x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 4.6K | $398.4K | $86.59 | 2.10x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 1.7K | $378.7K | $217.00 | 12.95x |
| 92133 | Diagnostic imaging of optic nerve of eye | 12.3K | $332.8K | $27.15 | 5.86x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.0K | $287.0K | $57.95 | 1.91x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 969 | $267.1K | $275.61 | 5.08x |
| 66982 | Removal of cataract with insertion of lens | 381 | $222.9K | $584.93 | 9.96x |
| 0191T | Internal insertion of eye fluid drainage device | 415 | $174.1K | $419.53 | 6.17x |
| 92136 | Measurement of corneal curvature and depth of eye | 3.9K | $156.2K | $40.41 | 4.21x |
| 66183 | Insertion of eye fluid drainage device | 185 | $151.1K | $816.70 | 3.54x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.4K | $125.5K | $91.64 | 2.17x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 94 | $47.9K | $509.42 | 4.20x |
| 66710 | Destruction of lens tissue using laser | 142 | $44.4K | $312.67 | 6.83x |
| 65820 | Incision to improve eye fluid flow | 60 | $36.7K | $611.89 | 3.47x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 327 | $34.5K | $105.38 | 2.27x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.1K | $33.4K | $29.86 | 2.01x |
| 68761 | Closure of tear duct opening using plug | 269 | $30.1K | $111.96 | 4.48x |
This provider submits charges 5.39 times higher than what Medicare actually pays.
A markup ratio of 5.39x means for every $100 Medicare pays, this provider initially charges $539. 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 WY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Douglas Holmes, M.D. | Casper, WY | $33.8M | ✓ 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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