This provider's $9.7M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
64% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of lens).
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 | $485.75 | $321.54 | 1.51x | $164.21 | $1.1M | 4.3K | 3.4K |
| 2015 | $511.58 | $331.97 | 1.54x | $179.61 | $1.1M | 4.2K | 3.2K |
| 2016 | $521.81 | $340.25 | 1.53x | $181.56 | $1.1M | 4.0K | 3.0K |
| 2017 | $549.73 | $338.96 | 1.62x | $210.77 | $1.1M | 4.0K | 3.0K |
| 2018 | $395.04 | $263.55 | 1.50x | $131.49 | $1.1M | 4.2K | 3.1K |
| 2019 | $393.49 | $262.34 | 1.50x | $131.15 | $1.1M | 4.3K | 3.2K |
| 2020 | $387.37 | $257.82 | 1.50x | $129.55 | $739.6K | 3.1K | 2.3K |
| 2021 | $393.93 | $265.49 | 1.48x | $128.44 | $815.3K | 3.4K | 2.6K |
| 2022 | $458.18 | $301.74 | 1.52x | $156.44 | $766.5K | 3.4K | 2.6K |
| 2023 | $446.45 | $301.19 | 1.48x | $145.26 | $755.7K | 3.3K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 11.4K | $6.3M | $549.08 | 1.51x |
| 66982 | Removal of cataract with insertion of lens | 1.5K | $1.1M | $700.54 | 1.50x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 7.9K | $982.8K | $124.28 | 1.64x |
| 92136 | Measurement of corneal curvature and depth of eye | 13.8K | $738.0K | $53.37 | 1.52x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 779 | $227.9K | $292.62 | 1.51x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 1.9K | $196.8K | $103.77 | 1.65x |
| 0191T | Internal insertion of eye fluid drainage device | 336 | $165.5K | $492.60 | 1.56x |
| 66986 | Exchange of lens prosthesis | 28 | $22.8K | $813.18 | 1.47x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 35 | $21.8K | $623.00 | 1.51x |
| 92134 | Diagnostic imaging of retina | 309 | $11.1K | $35.85 | 1.57x |
| 66825 | Repositioning of lens prosthesis | 11 | $7.6K | $687.38 | 1.49x |
| 67010 | Partial removal of eye fluid between the lens and retina | 12 | $3.0K | $249.30 | 1.81x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 27 | $2.1K | $76.82 | 1.51x |
| 92083 | Measurement of field of vision during daylight conditions | 30 | $1.7K | $56.62 | 1.57x |
| 92133 | Diagnostic imaging of optic nerve of eye | 19 | $712.55 | $37.50 | 1.42x |
This provider submits charges 1.53 times higher than what Medicare actually pays.
A markup ratio of 1.53x means for every $100 Medicare pays, this provider initially charges $153. 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 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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