This provider's $7.1M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 568% from 2014 to 2023.
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 | $775.48 | $180.34 | 4.30x | $595.14 | $215.7K | 1.7K | 1.3K |
| 2015 | $687.94 | $164.29 | 4.19x | $523.65 | $240.3K | 2.2K | 1.7K |
| 2016 | $677.41 | $154.02 | 4.40x | $523.39 | $343.3K | 3.4K | 2.7K |
| 2017 | $505.16 | $130.92 | 3.86x | $374.24 | $421.9K | 4.0K | 3.2K |
| 2018 | $497.66 | $177.80 | 2.80x | $319.86 | $595.7K | 4.3K | 3.3K |
| 2019 | $470.24 | $157.38 | 2.99x | $312.86 | $852.8K | 6.4K | 4.7K |
| 2020 | $616.01 | $210.76 | 2.92x | $405.25 | $824.2K | 6.3K | 4.7K |
| 2021 | $599.92 | $210.85 | 2.85x | $389.07 | $966.4K | 6.7K | 4.8K |
| 2022 | $539.69 | $182.32 | 2.96x | $357.37 | $1.2M | 7.2K | 5.2K |
| 2023 | $574.96 | $193.18 | 2.98x | $381.78 | $1.4M | 7.0K | 5.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 11.4K | $1.1M | $99.17 | 2.63x |
| 65778 | Insertion of amniotic membrane to eye surface | 850 | $1.1M | $1.2K | 2.58x |
| 66984 | Removal of cataract with insertion of lens | 2.0K | $945.7K | $467.72 | 3.74x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.2K | $595.1K | $268.08 | 2.90x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 7.0K | $477.5K | $68.45 | 2.37x |
| 68761 | Closure of tear duct opening using plug | 3.1K | $460.5K | $149.66 | 4.27x |
| 68810 | Insertion of probe into the tear duct | 2.1K | $329.1K | $158.60 | 4.02x |
| 67031 | Laser release of scar tissue between the lens and retina | 1.0K | $319.3K | $311.78 | 2.77x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 2.1K | $222.2K | $106.37 | 2.53x |
| 67700 | Incision and drainage of eyelid abscess | 957 | $202.9K | $212.02 | 2.72x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 451 | $190.2K | $421.70 | 2.83x |
| 66174 | Dilation to improve eye fluid flow | 217 | $178.4K | $822.21 | 2.48x |
| 92136 | Measurement of corneal curvature and depth of eye | 2.3K | $114.9K | $49.36 | 2.31x |
| 67145 | Preventive retinal detachment treatment by heat or laser, 1 or more sessions | 276 | $97.4K | $352.81 | 2.68x |
| 65820 | Incision to improve eye fluid flow | 184 | $89.8K | $487.83 | 3.56x |
| 67938 | Removal of embedded foreign body in eyelid | 361 | $68.2K | $188.97 | 3.22x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 326 | $67.0K | $205.61 | 2.98x |
| 68020 | Incision and drainage of eye cyst | 848 | $64.3K | $75.85 | 3.64x |
| 66982 | Removal of cataract with insertion of lens | 95 | $62.1K | $653.73 | 4.85x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 86 | $57.0K | $662.43 | 4.45x |
This provider submits charges 3.05 times higher than what Medicare actually pays.
A markup ratio of 3.05x means for every $100 Medicare pays, this provider initially charges $305. 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 |
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