This provider's $8.3M in total Medicare payments ranks in the 98th 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 74% in 2017
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 | $357.26 | $147.34 | 2.42x | $209.92 | $997.8K | 5.6K | 4.2K |
| 2015 | $329.93 | $138.59 | 2.38x | $191.34 | $823.8K | 5.0K | 3.7K |
| 2016 | $291.34 | $124.04 | 2.35x | $167.30 | $396.5K | 2.5K | 2.0K |
| 2017 | $298.28 | $122.92 | 2.43x | $175.36 | $689.4K | 5.8K | 5.0K |
| 2018 | $291.91 | $135.02 | 2.16x | $156.89 | $1.0M | 7.5K | 5.9K |
| 2019 | $268.82 | $124.90 | 2.15x | $143.92 | $1.1M | 7.8K | 6.1K |
| 2020 | $338.37 | $150.52 | 2.25x | $187.85 | $640.4K | 5.0K | 4.1K |
| 2021 | $332.44 | $140.92 | 2.36x | $191.52 | $933.9K | 6.5K | 5.3K |
| 2022 | $365.24 | $162.18 | 2.25x | $203.06 | $903.7K | 6.3K | 5.1K |
| 2023 | $365.92 | $157.47 | 2.32x | $208.45 | $787.2K | 5.1K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 12.3K | $4.9M | $398.82 | 2.58x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.7K | $650.1K | $239.46 | 2.29x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 4.2K | $420.8K | $100.07 | 2.08x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 5.0K | $410.0K | $82.27 | 2.12x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.0K | $348.4K | $115.15 | 2.03x |
| 92136 | Measurement of corneal curvature and depth of eye | 9.1K | $289.6K | $31.74 | 3.25x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 4.9K | $283.8K | $58.25 | 2.09x |
| 65756 | Transplant of outer layer of corneal tissue | 254 | $221.2K | $870.84 | 2.00x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.8K | $156.4K | $85.66 | 1.80x |
| 92134 | Diagnostic imaging of retina | 5.4K | $151.1K | $27.81 | 2.34x |
| 66982 | Removal of cataract with insertion of lens | 216 | $108.4K | $501.82 | 2.62x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.1K | $61.7K | $57.74 | 1.73x |
| 68761 | Closure of tear duct opening using plug | 535 | $59.9K | $112.01 | 2.53x |
| 92133 | Diagnostic imaging of optic nerve of eye | 1.7K | $42.2K | $24.57 | 2.60x |
| 92083 | Measurement of field of vision during daylight conditions | 973 | $42.0K | $43.14 | 2.13x |
| 92002 | Eye and medical examination for diagnosis and treatment, new patient | 532 | $30.0K | $56.43 | 2.07x |
| 92025 | Computerized mapping of corneal curvature | 885 | $22.4K | $25.36 | 2.15x |
| 92286 | Microscopic evaluation of deep cells of the eye | 777 | $20.2K | $25.94 | 3.39x |
| 76514 | Ultrasound of corneal structure and measurement | 756 | $6.8K | $9.06 | 2.83x |
| 65420 | Removal or relocation of corneal conjunctiva | 17 | $5.3K | $309.19 | 2.44x |
This provider submits charges 2.45 times higher than what Medicare actually pays.
A markup ratio of 2.45x means for every $100 Medicare pays, this provider initially charges $245. 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 SC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Eric Jablon, M.D. | Charleston, SC | $49.1M | ✓ Clear |
| John Wells, MD | West Columbia, SC | $38.6M | ✓ Clear |
| John Payne, MD | West Columbia, SC | $37.4M | ✓ Clear |
| John Kerrison, M.D. | Charleston, SC | $35.7M | ✓ Clear |
| David Johnson, MD | West Columbia, SC | $34.8M | ✓ 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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