This provider's $7.3M 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.
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 | $591.70 | $148.38 | 3.99x | $443.32 | $732.7K | 5.1K | 4.4K |
| 2015 | $466.70 | $114.95 | 4.06x | $351.75 | $701.9K | 4.6K | 3.9K |
| 2016 | $679.84 | $178.48 | 3.81x | $501.36 | $782.4K | 5.2K | 4.4K |
| 2017 | $667.70 | $166.94 | 4.00x | $500.76 | $852.1K | 5.9K | 5.0K |
| 2018 | $630.94 | $148.58 | 4.25x | $482.36 | $866.8K | 5.6K | 4.7K |
| 2019 | $623.52 | $117.90 | 5.29x | $505.62 | $813.3K | 5.3K | 4.4K |
| 2020 | $602.92 | $113.16 | 5.33x | $489.76 | $592.9K | 3.9K | 3.2K |
| 2021 | $614.08 | $126.17 | 4.87x | $487.91 | $617.5K | 4.0K | 3.4K |
| 2022 | $645.02 | $135.04 | 4.78x | $509.98 | $636.1K | 4.2K | 3.6K |
| 2023 | $620.17 | $121.52 | 5.10x | $498.65 | $719.6K | 4.8K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 9.4K | $4.0M | $424.70 | 5.17x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 3.3K | $770.1K | $234.65 | 3.89x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 5.1K | $541.4K | $106.90 | 2.33x |
| 92136 | Measurement of corneal curvature and depth of eye | 10.9K | $468.2K | $42.79 | 5.47x |
| 66982 | Removal of cataract with insertion of lens | 538 | $294.1K | $546.68 | 5.55x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 3.5K | $214.5K | $60.69 | 2.10x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 1.7K | $137.5K | $82.45 | 2.15x |
| 0191T | Internal insertion of eye fluid drainage device | 255 | $123.3K | $483.71 | 6.28x |
| 92250 | Photography of the retina | 2.8K | $94.7K | $34.12 | 5.89x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.1K | $88.4K | $78.23 | 2.52x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 374 | $68.2K | $182.39 | 4.34x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 630 | $60.2K | $95.61 | 2.30x |
| 65400 | Removal of growth of cornea | 124 | $56.3K | $453.67 | 4.19x |
| 65756 | Transplant of outer layer of corneal tissue | 62 | $55.8K | $899.65 | 3.61x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 2.6K | $53.7K | $20.97 | 3.61x |
| 92134 | Diagnostic imaging of retina | 1.3K | $39.0K | $29.20 | 4.42x |
| 92083 | Measurement of field of vision during daylight conditions | 797 | $37.3K | $46.80 | 5.31x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 693 | $35.6K | $51.44 | 2.14x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 94 | $33.6K | $357.54 | 7.29x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 451 | $31.9K | $70.71 | 2.19x |
This provider submits charges 4.6 times higher than what Medicare actually pays.
A markup ratio of 4.6x means for every $100 Medicare pays, this provider initially charges $460. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jason Ysasaga, M.D. | Amarillo, TX | $61.5M | ✓ Clear |
| Harshivinderjit Bains, MD | Tyler, TX | $53.9M | ✓ Clear |
| Ryan Rush, MD | Amarillo, TX | $53.6M | ✓ Clear |
| Tien Wong, M.D. | Houston, TX | $51.2M | ✓ Clear |
| Thomas Bochow, M.D., M.P.H. | Tyler, TX | $49.4M | ✓ 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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