This provider averages 72 services per working day
Based on 180.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $26.2M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 72 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 500% from 2014 to 2023.
63% of their billing comes from a single procedure code (J0178 — Injection, aflibercept, 1 mg).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 87% in 2015
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 | $405.35 | $171.99 | 2.36x | $233.36 | $692.1K | 4.0K | 14 |
| 2015 | $536.72 | $205.62 | 2.61x | $331.10 | $1.3M | 6.3K | 18 |
| 2016 | $540.47 | $203.50 | 2.66x | $336.97 | $1.7M | 8.5K | 19 |
| 2017 | $620.20 | $225.30 | 2.75x | $394.90 | $2.0M | 8.8K | 16 |
| 2018 | $592.80 | $233.49 | 2.54x | $359.31 | $2.7M | 11.6K | 21 |
| 2019 | $553.24 | $257.43 | 2.15x | $295.81 | $3.3M | 13.0K | 17 |
| 2020 | $495.51 | $236.64 | 2.09x | $258.87 | $3.1M | 13.1K | 14 |
| 2021 | $507.90 | $244.50 | 2.08x | $263.40 | $3.6M | 14.9K | 15 |
| 2022 | $415.19 | $198.69 | 2.09x | $216.50 | $3.5M | 17.6K | 19 |
| 2023 | $96.51 | $50.14 | 1.92x | $46.37 | $4.2M | 82.9K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 22.4K | $16.4M | $735.46 | 1.96x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 75.4K | $2.2M | $28.91 | 1.44x |
| 92014 | Established patient complete exam of visual system | 18.8K | $1.7M | $91.66 | 2.14x |
| J2778 | Injection, ranibizumab, 0.1 mg | 5.0K | $1.5M | $297.61 | 1.68x |
| 67028 | Injection of drug into eye | 15.5K | $1.3M | $84.59 | 5.96x |
| 92134 | Imaging of retina | 21.5K | $673.1K | $31.28 | 4.47x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 2.8K | $422.5K | $153.12 | 2.61x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 2.3K | $277.0K | $121.74 | 2.03x |
| J3490 | Unclassified drugs | 144 | $259.4K | $1.8K | 1.65x |
| 92012 | Established patient problem focused exam of visual system | 3.2K | $200.8K | $62.43 | 2.00x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 182 | $174.5K | $958.54 | 2.98x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 1.1K | $130.6K | $120.36 | 1.66x |
| 92250 | Photography of the retina | 3.1K | $130.0K | $42.32 | 4.73x |
| J3590 | Unclassified biologics | 70 | $123.8K | $1.8K | 1.41x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 1.5K | $120.2K | $80.29 | 2.49x |
| 92004 | New patient complete exam of visual system | 901 | $100.7K | $111.75 | 2.22x |
| 67210 | Destruction of growth of retina using a laser | 234 | $97.1K | $415.11 | 3.63x |
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 4.4K | $54.1K | $12.32 | 6.16x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 75 | $49.0K | $653.52 | 3.83x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 100 | $34.4K | $344.19 | 4.79x |
This provider submits charges 2.24 times higher than what Medicare actually pays.
A markup ratio of 2.24x means for every $100 Medicare pays, this provider initially charges $224. 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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