This provider's $3.9M in total Medicare payments ranks in the 95th 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 | $618.55 | $155.97 | 3.97x | $462.58 | $433.8K | 3.7K | 3.2K |
| 2015 | $605.00 | $136.89 | 4.42x | $468.11 | $348.1K | 3.1K | 2.8K |
| 2016 | $520.94 | $125.19 | 4.16x | $395.75 | $353.3K | 3.2K | 2.9K |
| 2017 | $583.64 | $138.73 | 4.21x | $444.91 | $395.3K | 3.4K | 3.0K |
| 2018 | $430.42 | $112.07 | 3.84x | $318.35 | $410.6K | 3.5K | 3.1K |
| 2019 | $524.44 | $128.27 | 4.09x | $396.17 | $417.3K | 3.5K | 3.1K |
| 2020 | $789.00 | $177.06 | 4.46x | $611.94 | $362.5K | 3.0K | 2.6K |
| 2021 | $789.00 | $178.43 | 4.42x | $610.57 | $360.2K | 2.9K | 2.6K |
| 2022 | $164.00 | $77.82 | 2.11x | $86.18 | $367.1K | 3.1K | 2.8K |
| 2023 | $164.00 | $76.06 | 2.16x | $87.94 | $460.9K | 4.0K | 3.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 12.7K | $1.7M | $135.92 | 1.47x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 14.4K | $1.6M | $112.47 | 1.51x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 4.4K | $354.3K | $79.97 | 1.56x |
| 66984 | Removal of cataract with insertion of lens | 209 | $120.4K | $576.05 | 5.56x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 217 | $26.6K | $122.47 | 1.84x |
| 76519 | Ultrasound of eye for determination of lens power | 565 | $17.4K | $30.75 | 8.13x |
| 92250 | Photography of the retina | 186 | $12.2K | $65.52 | 2.67x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 32 | $10.1K | $315.34 | 5.71x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 368 | $8.7K | $23.65 | 3.96x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 25 | $7.5K | $298.32 | 5.23x |
| 92002 | Eye and medical examination for diagnosis and treatment, new patient | 42 | $3.1K | $74.08 | 2.85x |
| 76514 | Ultrasound of corneal structure and measurement | 287 | $2.5K | $8.74 | 28.62x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 13 | $2.4K | $181.05 | 1.38x |
| 92081 | Exam of visual field with limited testing | 43 | $933.76 | $21.72 | 3.45x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12 | $793.80 | $66.15 | 1.89x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 16 | $650.15 | $40.63 | 1.85x |
This provider submits charges 1.7 times higher than what Medicare actually pays.
A markup ratio of 1.7x means for every $100 Medicare pays, this provider initially charges $170. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jonathan Jonisch, MD | Great Neck, NY | $52.3M | ✓ Clear |
| Jeffrey Josef, M.D. | Suffern, NY | $52.2M | ✓ Clear |
| Brett Rosenblatt | Great Neck, NY | $50.0M | ✓ Clear |
| Kenneth Graham | Great Neck, NY | $47.1M | ✓ Clear |
| Glenn Stoller, M.D. | Rockville Centre, NY | $46.4M | ✓ 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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