This provider's $21.0M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 288% 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 | $266.99 | $81.33 | 3.28x | $185.66 | $839.7K | 10.3K | 16 |
| 2015 | $313.15 | $108.70 | 2.88x | $204.45 | $1.2M | 10.8K | 15 |
| 2016 | $341.28 | $128.48 | 2.66x | $212.80 | $1.3M | 10.0K | 15 |
| 2017 | $380.57 | $151.95 | 2.50x | $228.62 | $1.7M | 11.4K | 16 |
| 2018 | $407.21 | $162.67 | 2.50x | $244.54 | $1.8M | 11.0K | 15 |
| 2019 | $449.53 | $181.84 | 2.47x | $267.69 | $2.2M | 12.0K | 14 |
| 2020 | $488.64 | $206.40 | 2.37x | $282.24 | $2.4M | 11.7K | 12 |
| 2021 | $535.36 | $222.24 | 2.41x | $313.12 | $3.0M | 13.7K | 13 |
| 2022 | $632.99 | $225.94 | 2.80x | $407.05 | $3.3M | 14.4K | 16 |
| 2023 | $559.75 | $168.10 | 3.33x | $391.65 | $3.3M | 19.4K | 14 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 15.4K | $11.2M | $727.76 | 1.81x |
| J2778 | Injection, ranibizumab, 0.1 mg | 16.0K | $4.0M | $251.19 | 2.00x |
| 67028 | Injection of drug into eye | 19.5K | $1.7M | $84.77 | 10.22x |
| 92012 | Established patient problem focused exam of visual system | 22.6K | $1.3M | $59.02 | 1.77x |
| 92134 | Imaging of retina | 22.1K | $648.7K | $29.33 | 3.09x |
| J9035 | Injection, bevacizumab, 10 mg | 6.5K | $384.8K | $59.15 | 1.87x |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | 1.5K | $315.9K | $216.99 | 6.05x |
| J3590 | Unclassified biologics | 5.4K | $294.3K | $54.06 | 1.85x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.8K | $197.6K | $112.33 | 1.81x |
| 92250 | Photography of the retina | 4.7K | $183.4K | $39.01 | 3.09x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 5.5K | $160.3K | $29.04 | 3.79x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 180 | $154.5K | $858.14 | 6.32x |
| 92014 | Established patient complete exam of visual system | 1.9K | $147.5K | $78.93 | 1.73x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 218 | $83.0K | $380.79 | 3.45x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 153 | $66.7K | $435.98 | 3.42x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 588 | $43.6K | $74.20 | 4.04x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 39 | $33.9K | $868.76 | 6.22x |
| J3490 | Unclassified drugs | 27 | $30.6K | $1.1K | 3.93x |
| 76512 | 2d ultrasound scan of eye tissue and structures | 369 | $17.9K | $48.54 | 5.82x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 12 | $13.8K | $1.1K | 6.67x |
This provider submits charges 2.71 times higher than what Medicare actually pays.
A markup ratio of 2.71x means for every $100 Medicare pays, this provider initially charges $271. 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 SC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Eric Jablon, M.D. | Charleston, SC | $49.1M | ✓ Clear |
| John Wells, MD | West Columbia, SC | $38.6M | ✓ Clear |
| John Payne, MD | West Columbia, SC | $37.4M | ✓ Clear |
| John Kerrison, M.D. | Charleston, SC | $35.7M | ✓ Clear |
| David Johnson, MD | West Columbia, SC | $34.8M | ✓ 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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