This provider's $6.0M 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.
Notable: Payments increased 59% in 2021
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 | $385.66 | $140.57 | 2.74x | $245.09 | $606.1K | 7.4K | 6.2K |
| 2015 | $399.31 | $136.64 | 2.92x | $262.67 | $526.7K | 7.1K | 6.2K |
| 2016 | $402.20 | $136.87 | 2.94x | $265.33 | $557.4K | 7.5K | 6.6K |
| 2017 | $379.19 | $127.85 | 2.97x | $251.34 | $557.3K | 7.9K | 7.1K |
| 2018 | $373.36 | $124.60 | 3.00x | $248.76 | $583.0K | 8.5K | 7.5K |
| 2019 | $373.94 | $127.70 | 2.93x | $246.24 | $659.9K | 9.2K | 8.2K |
| 2020 | $354.24 | $117.51 | 3.01x | $236.73 | $420.4K | 6.0K | 5.4K |
| 2021 | $389.35 | $130.72 | 2.98x | $258.63 | $666.8K | 8.7K | 7.9K |
| 2022 | $412.26 | $134.15 | 3.07x | $278.11 | $722.4K | 9.8K | 8.5K |
| 2023 | $396.14 | $120.74 | 3.28x | $275.40 | $687.1K | 9.9K | 8.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 14.4K | $1.3M | $87.19 | 3.11x |
| 66982 | Removal of cataract with insertion of lens | 1.3K | $778.2K | $609.84 | 2.71x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 11.6K | $742.7K | $63.96 | 2.94x |
| 66984 | Removal of cataract with insertion of lens | 1.4K | $664.7K | $475.11 | 2.80x |
| 92083 | Measurement of field of vision during daylight conditions | 12.2K | $587.1K | $48.18 | 2.99x |
| 92250 | Photography of the retina | 13.6K | $541.6K | $39.97 | 3.90x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 4.1K | $417.2K | $102.80 | 3.15x |
| 92133 | Diagnostic imaging of optic nerve of eye | 6.8K | $201.9K | $29.75 | 3.26x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 681 | $176.8K | $259.58 | 2.87x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 6.7K | $145.4K | $21.78 | 2.71x |
| 92136 | Measurement of corneal curvature and depth of eye | 2.8K | $129.4K | $46.36 | 3.68x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 492 | $95.2K | $193.55 | 3.45x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 278 | $62.9K | $226.41 | 3.36x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.0K | $52.4K | $51.50 | 3.03x |
| 92134 | Diagnostic imaging of retina | 1.5K | $49.3K | $32.49 | 3.05x |
| 92002 | Eye and medical examination for diagnosis and treatment, new patient | 574 | $33.2K | $57.92 | 3.08x |
| 76514 | Ultrasound of corneal structure and measurement | 2.1K | $21.2K | $10.28 | 3.21x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 150 | $17.6K | $117.11 | 3.00x |
| 92100 | Multiple measurements of eye fluid pressure over an extended time period, same day | 93 | $6.0K | $64.76 | 2.73x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 57 | $4.4K | $77.68 | 2.93x |
This provider submits charges 3.07 times higher than what Medicare actually pays.
A markup ratio of 3.07x means for every $100 Medicare pays, this provider initially charges $307. 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 MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Michael Elman, M.D. | Baltimore, MD | $68.5M | ✓ Clear |
| David Warrow, M.D. | Hagerstown, MD | $65.5M | ✓ Clear |
| Raymond Sjaarda, M.D. | Baltimore, MD | $47.2M | ✓ Clear |
| Allen Hu, MD | Hagerstown, MD | $45.7M | ✓ Clear |
| James Rial, M.D. | Salisbury, MD | $45.2M | ✓ 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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