This provider averages 125 services per working day
Based on 313.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $47.5M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 125 services per working day raises questions about billing patterns.
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 | $554.57 | $160.02 | 3.47x | $394.55 | $5.0M | 31.3K | 24 |
| 2015 | $605.14 | $174.75 | 3.46x | $430.39 | $4.8M | 27.7K | 26 |
| 2016 | $555.12 | $157.64 | 3.52x | $397.48 | $4.8M | 30.5K | 29 |
| 2017 | $552.59 | $156.37 | 3.53x | $396.22 | $4.8M | 30.5K | 26 |
| 2018 | $632.45 | $175.59 | 3.60x | $456.86 | $4.8M | 27.6K | 25 |
| 2019 | $603.08 | $163.31 | 3.69x | $439.77 | $4.6M | 28.1K | 26 |
| 2020 | $638.27 | $169.93 | 3.76x | $468.34 | $4.1M | 24.3K | 22 |
| 2021 | $638.55 | $172.30 | 3.71x | $466.25 | $4.6M | 26.5K | 20 |
| 2022 | $600.05 | $157.68 | 3.81x | $442.37 | $4.4M | 27.9K | 19 |
| 2023 | $342.50 | $94.10 | 3.64x | $248.40 | $5.6M | 59.3K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 28.0K | $20.8M | $742.14 | 3.36x |
| J2778 | Injection, ranibizumab, 0.1 mg | 37.9K | $10.8M | $284.40 | 3.52x |
| 67028 | Injection of drug into eye | 33.9K | $3.2M | $94.07 | 7.68x |
| 92134 | Imaging of retina | 66.7K | $2.4M | $35.27 | 4.25x |
| 92014 | Established patient complete exam of visual system | 22.2K | $2.2M | $98.22 | 2.59x |
| 92012 | Established patient problem focused exam of visual system | 18.5K | $1.3M | $72.58 | 2.70x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 7.7K | $1.2M | $157.43 | 1.59x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 38.0K | $1.1M | $29.09 | 2.92x |
| J3490 | Unclassified drugs | 389 | $670.9K | $1.7K | 2.85x |
| 92004 | New patient complete exam of visual system | 5.1K | $598.0K | $118.35 | 2.24x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 4.8K | $433.3K | $89.72 | 3.06x |
| J7999 | Compounded drug, not otherwise classified | 5.7K | $337.3K | $59.64 | 1.83x |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | 1.5K | $323.7K | $216.49 | 3.23x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 2.7K | $321.4K | $120.36 | 3.32x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 530 | $234.1K | $441.79 | 4.30x |
| 67042 | Removal of membrane from the retina, pars plana approach with removal of internal limiting membrane of retina | 220 | $225.1K | $1.0K | 6.06x |
| J9035 | Injection, bevacizumab, 10 mg | 4.0K | $213.5K | $54.02 | 3.33x |
| 92250 | Photography of the retina | 3.4K | $165.1K | $48.13 | 2.26x |
| 76512 | 2d ultrasound scan of eye tissue and structures | 2.0K | $123.8K | $62.73 | 2.97x |
| 67210 | Destruction of growth of retina using a laser | 267 | $121.2K | $453.90 | 3.97x |
This provider submits charges 3.61 times higher than what Medicare actually pays.
A markup ratio of 3.61x means for every $100 Medicare pays, this provider initially charges $361. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Nathan Steinle, M.D. | Santa Barbara, CA | $63.1M | ✓ Clear |
| Stephen Couvillion, MD | Santa Barbara, CA | $47.7M | ✓ Clear |
| Margaret Chang, M.D. | Sacramento, CA | $47.6M | ✓ Clear |
| Alessandro Castellarin, M.D. | Santa Barbara, CA | $46.9M | ✓ Clear |
| Robert Wendel, M.D. | Sacramento, CA | $40.6M | ✓ 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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