This provider's $6.4M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 68% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 60% in 2020
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 | $397.94 | $167.47 | 2.38x | $230.47 | $464.7K | 6.8K | 4.4K |
| 2015 | $338.78 | $118.18 | 2.87x | $220.60 | $474.4K | 7.1K | 5.3K |
| 2016 | $419.65 | $147.94 | 2.84x | $271.71 | $459.9K | 6.9K | 5.1K |
| 2017 | $388.57 | $142.32 | 2.73x | $246.25 | $483.4K | 7.1K | 5.3K |
| 2018 | $293.68 | $103.94 | 2.83x | $189.74 | $510.4K | 7.7K | 5.9K |
| 2019 | $549.45 | $203.18 | 2.70x | $346.27 | $531.0K | 7.6K | 6.3K |
| 2020 | $478.71 | $155.16 | 3.09x | $323.55 | $847.8K | 8.7K | 6.9K |
| 2021 | $430.92 | $148.64 | 2.90x | $282.28 | $955.4K | 9.8K | 7.5K |
| 2022 | $491.78 | $167.17 | 2.94x | $324.61 | $931.4K | 9.6K | 7.3K |
| 2023 | $525.90 | $149.27 | 3.52x | $376.63 | $782.6K | 8.8K | 6.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 22.2K | $1.6M | $70.07 | 2.92x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 7.5K | $743.8K | $99.56 | 2.96x |
| 66984 | Removal of cataract with insertion of lens | 2.0K | $716.4K | $356.08 | 3.41x |
| 65820 | Incision to improve eye fluid flow | 730 | $529.8K | $725.70 | 2.46x |
| 92083 | Measurement of field of vision during daylight conditions | 9.4K | $501.4K | $53.41 | 2.82x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 1.9K | $450.1K | $233.70 | 2.58x |
| 92133 | Diagnostic imaging of optic nerve of eye | 11.2K | $359.3K | $32.09 | 2.92x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.2K | $341.4K | $287.87 | 2.73x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.9K | $219.6K | $56.86 | 2.38x |
| 92250 | Photography of the retina | 5.2K | $214.7K | $41.11 | 3.02x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.2K | $133.5K | $111.91 | 3.10x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.5K | $127.2K | $83.53 | 2.74x |
| 92136 | Measurement of corneal curvature and depth of eye | 2.2K | $93.9K | $43.46 | 3.59x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 4.0K | $93.6K | $23.53 | 2.61x |
| 66982 | Removal of cataract with insertion of lens | 189 | $92.1K | $487.49 | 3.28x |
| 66030 | Injection of medication into eye | 892 | $84.1K | $94.33 | 4.39x |
| 65850 | Insertion of eye fluid drainage tube | 54 | $40.1K | $741.92 | 2.48x |
| 66710 | Destruction of lens tissue using laser | 72 | $24.4K | $339.32 | 3.38x |
| 76514 | Ultrasound of corneal structure and measurement | 2.1K | $23.8K | $11.46 | 3.05x |
| 92134 | Diagnostic imaging of retina | 696 | $23.0K | $32.99 | 2.93x |
This provider submits charges 2.96 times higher than what Medicare actually pays.
A markup ratio of 2.96x means for every $100 Medicare pays, this provider initially charges $296. 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 |
| David Boyer, MD | Los Angeles, CA | $47.5M | ✓ Clear |
| Alessandro Castellarin, M.D. | Santa Barbara, CA | $46.9M | ✓ 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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