This provider's $5.4M in total Medicare payments ranks in the 96th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 192% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 87% 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 | $492.85 | $135.21 | 3.65x | $357.64 | $297.5K | 2.5K | 1.9K |
| 2015 | $392.59 | $103.31 | 3.80x | $289.28 | $320.9K | 3.5K | 2.5K |
| 2016 | $394.26 | $108.76 | 3.63x | $285.50 | $387.4K | 4.2K | 2.9K |
| 2017 | $364.82 | $121.30 | 3.01x | $243.52 | $469.7K | 5.2K | 3.6K |
| 2018 | $349.56 | $118.13 | 2.96x | $231.43 | $452.8K | 5.7K | 4.1K |
| 2019 | $436.97 | $158.98 | 2.75x | $277.99 | $381.0K | 4.1K | 3.1K |
| 2020 | $406.50 | $156.60 | 2.60x | $249.90 | $713.7K | 4.4K | 3.0K |
| 2021 | $587.26 | $177.23 | 3.31x | $410.03 | $753.8K | 4.1K | 2.9K |
| 2022 | $891.60 | $208.91 | 4.27x | $682.69 | $769.1K | 3.5K | 2.4K |
| 2023 | $1.0K | $206.38 | 4.90x | $804.36 | $869.9K | 3.7K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 65778 | Insertion of amniotic membrane to eye surface | 1.4K | $1.7M | $1.2K | 2.12x |
| 66984 | Removal of cataract with insertion of lens | 1.6K | $672.0K | $422.89 | 4.48x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.5K | $448.2K | $289.88 | 3.46x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 4.3K | $347.7K | $80.78 | 1.85x |
| 66982 | Removal of cataract with insertion of lens | 522 | $317.2K | $607.74 | 3.26x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 4.9K | $308.7K | $62.51 | 2.02x |
| 92134 | Diagnostic imaging of retina | 7.4K | $217.4K | $29.33 | 3.01x |
| 65400 | Removal of growth of cornea | 366 | $183.5K | $501.37 | 2.97x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $150.6K | $106.97 | 1.97x |
| 92136 | Measurement of corneal curvature and depth of eye | 2.5K | $133.8K | $54.38 | 2.21x |
| 92025 | Computerized mapping of corneal curvature | 4.6K | $123.9K | $26.74 | 2.99x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 201 | $117.0K | $582.21 | 6.18x |
| 68326 | Reconstruction of conjunctiva with graft from outer eye or rearrangement | 357 | $95.6K | $267.71 | 5.03x |
| 67028 | Injection of drug into eye | 818 | $71.3K | $87.14 | 5.75x |
| 68761 | Closure of tear duct opening using plug | 952 | $67.2K | $70.58 | 2.19x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 884 | $66.8K | $75.56 | 1.67x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.5K | $57.0K | $37.32 | 1.68x |
| 67904 | Repair of tendon of upper eyelid | 43 | $35.6K | $828.99 | 3.42x |
| V2632 | Posterior chamber intraocular lens | 329 | $33.7K | $102.35 | 11.56x |
| J0178 | Injection, aflibercept, 1 mg | 46 | $32.5K | $705.65 | 3.68x |
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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Alexander Eaton, MD | Fort Myers, FL | $99.5M | ✓ Clear |
| Sunil Gupta, M.D. | Pensacola, FL | $86.1M | ✓ Clear |
| Hussein Wafapoor, M.D. | Fort Myers, FL | $70.9M | ✓ Clear |
| John Myers, M.D. | Pensacola, FL | $69.4M | ✓ Clear |
| Thomas Baudo, M.D. | Vero Beach, FL | $64.2M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data