This provider's $7.3M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 118% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 60% in 2016
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 | $908.68 | $296.19 | 3.07x | $612.49 | $410.4K | 2.2K | 1.7K |
| 2015 | $617.74 | $227.73 | 2.71x | $390.01 | $551.5K | 2.3K | 1.7K |
| 2016 | $1.1K | $304.35 | 3.57x | $783.58 | $880.9K | 2.8K | 1.8K |
| 2017 | $441.19 | $198.97 | 2.22x | $242.22 | $763.1K | 2.8K | 1.8K |
| 2018 | $523.18 | $187.18 | 2.80x | $336.00 | $735.6K | 2.7K | 1.8K |
| 2019 | $454.08 | $201.26 | 2.26x | $252.82 | $868.2K | 3.1K | 2.1K |
| 2020 | $439.39 | $201.18 | 2.18x | $238.21 | $639.9K | 2.1K | 1.5K |
| 2021 | $508.29 | $226.51 | 2.24x | $281.78 | $779.3K | 2.4K | 1.7K |
| 2022 | $466.49 | $224.88 | 2.07x | $241.61 | $734.2K | 2.4K | 1.6K |
| 2023 | $523.85 | $240.49 | 2.18x | $283.36 | $893.9K | 3.2K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 65778 | Insertion of amniotic membrane to eye surface | 3.3K | $4.3M | $1.3K | 1.36x |
| 67700 | Incision and drainage of eyelid abscess | 3.0K | $722.7K | $242.21 | 3.10x |
| 65400 | Removal of growth of cornea | 1.1K | $668.7K | $593.91 | 1.88x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.7K | $371.0K | $65.02 | 5.00x |
| 76513 | Ultrasound of eye using water bath method | 2.0K | $291.8K | $144.73 | 1.38x |
| 76512 | Ultrasound of eye disease, growth, or structure | 1.7K | $200.9K | $115.11 | 1.74x |
| 68130 | Removal of growth of sclera | 294 | $138.6K | $471.31 | 2.12x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 647 | $111.6K | $172.53 | 2.89x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 820 | $72.0K | $87.79 | 3.99x |
| 92286 | Microscopic evaluation of deep cells of the eye | 2.0K | $61.8K | $31.24 | 6.40x |
| 68810 | Insertion of probe into the tear duct | 218 | $45.6K | $209.31 | 2.06x |
| 65710 | Transplantation of tissue from one cornea to other cornea | 40 | $38.1K | $953.10 | 8.00x |
| 92285 | Photography of content of eyes | 2.0K | $33.5K | $16.50 | 12.11x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 621 | $30.2K | $48.65 | 5.90x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 665 | $26.9K | $40.40 | 4.95x |
| 68761 | Closure of tear duct opening using plug | 232 | $24.2K | $104.29 | 4.12x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 208 | $23.9K | $114.78 | 3.27x |
| 66762 | Creation of openings in iris for eye fluid drainage using laser, 1 or more sessions | 55 | $19.4K | $352.47 | 4.23x |
| 68801 | Dilation of tear-drainage opening | 223 | $13.8K | $61.88 | 2.83x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 255 | $11.7K | $45.97 | 4.34x |
This provider submits charges 2.06 times higher than what Medicare actually pays.
A markup ratio of 2.06x means for every $100 Medicare pays, this provider initially charges $206. 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 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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