This provider averages 56 services per working day
Based on 112.7K total services over 8 years (250 working days/year). Learn about impossible service volumes →
This provider's $12.7M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Averaging 56 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 73092% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1286% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $1.4K | $139.58 | 10.15x | $1.3K | $5.2K | 37 | 2 |
| 2017 | $308.84 | $70.67 | 4.37x | $238.17 | $19.4K | 274 | 7 |
| 2018 | $255.24 | $50.10 | 5.09x | $205.14 | $40.6K | 810 | 6 |
| 2019 | $272.61 | $173.64 | 1.57x | $98.97 | $562.2K | 3.2K | 16 |
| 2020 | $306.76 | $215.57 | 1.42x | $91.19 | $2.0M | 9.2K | 17 |
| 2021 | $327.53 | $228.94 | 1.43x | $98.59 | $2.6M | 11.5K | 19 |
| 2022 | $238.37 | $168.16 | 1.42x | $70.21 | $3.7M | 22.0K | 18 |
| 2023 | $81.96 | $57.64 | 1.42x | $24.32 | $3.8M | 65.6K | 12 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 8.2K | $5.8M | $710.82 | 1.40x |
| J2778 | Injection, ranibizumab, 0.1 mg | 10.2K | $2.5M | $249.31 | 1.61x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 65.3K | $1.9M | $29.14 | 1.33x |
| 67028 | Injection of drug into eye | 6.6K | $617.2K | $93.02 | 1.62x |
| 92014 | Established patient complete exam of visual system | 4.2K | $383.9K | $91.06 | 1.41x |
| 92134 | Imaging of retina | 10.6K | $316.6K | $29.92 | 1.56x |
| J3590 | Unclassified biologics | 313 | $274.5K | $876.84 | 1.34x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 1.4K | $224.8K | $156.51 | 1.32x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1.5K | $127.6K | $87.32 | 1.64x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 1.1K | $94.2K | $87.53 | 1.33x |
| 67041 | Removal of membrane of retina | 124 | $84.3K | $680.23 | 1.70x |
| 67042 | Removal of membrane from the retina, pars plana approach with removal of internal limiting membrane of retina | 60 | $45.8K | $763.12 | 1.42x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 94 | $44.8K | $476.61 | 1.90x |
| 92004 | New patient complete exam of visual system | 352 | $37.4K | $106.14 | 1.45x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 283 | $34.9K | $123.30 | 1.39x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 37 | $34.6K | $936.46 | 1.29x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 555 | $30.5K | $54.89 | 2.12x |
| 92250 | Photography of the retina | 767 | $26.1K | $34.01 | 1.45x |
| 67145 | Preventive retinal detachment treatment by heat or laser, 1 or more sessions | 48 | $20.2K | $419.89 | 1.34x |
| 92012 | Established patient problem focused exam of visual system | 228 | $14.8K | $64.80 | 1.42x |
This provider submits charges 1.45 times higher than what Medicare actually pays.
A markup ratio of 1.45x means for every $100 Medicare pays, this provider initially charges $145. This is lower 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 KY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Inder Singal, MD | Louisville, KY | $35.2M | ✓ 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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