This provider averages 58 services per working day
Based on 144.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.2M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Averaging 58 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 50% in 2019
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 | $617.67 | $102.67 | 6.02x | $515.00 | $784.5K | 11.2K | 8.3K |
| 2015 | $579.30 | $102.00 | 5.68x | $477.30 | $854.6K | 13.4K | 9.4K |
| 2016 | $709.18 | $108.82 | 6.52x | $600.36 | $863.8K | 13.7K | 9.7K |
| 2017 | $945.59 | $133.09 | 7.10x | $812.50 | $894.1K | 14.6K | 10.5K |
| 2018 | $824.25 | $127.66 | 6.46x | $696.59 | $1.2M | 17.5K | 12.8K |
| 2019 | $866.24 | $140.98 | 6.14x | $725.26 | $1.8M | 22.4K | 17.0K |
| 2020 | $659.71 | $110.35 | 5.98x | $549.36 | $555.7K | 8.4K | 6.9K |
| 2021 | $1.1K | $142.67 | 7.48x | $925.11 | $709.2K | 11.6K | 8.4K |
| 2022 | $924.85 | $115.94 | 7.98x | $808.91 | $814.7K | 16.3K | 11.2K |
| 2023 | $671.34 | $96.53 | 6.95x | $574.81 | $780.2K | 15.2K | 10.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 24.6K | $2.5M | $100.78 | 1.74x |
| 92250 | Photography of the retina | 24.5K | $1.3M | $51.47 | 1.94x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 10.4K | $761.7K | $73.02 | 2.05x |
| 66984 | Removal of cataract with insertion of lens | 1.3K | $706.1K | $559.50 | 8.15x |
| 92134 | Diagnostic imaging of retina | 19.5K | $687.2K | $35.30 | 2.83x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 15.0K | $631.8K | $42.24 | 5.05x |
| 83861 | Microfluid analysis of tears | 17.8K | $392.4K | $22.03 | 2.27x |
| 92286 | Microscopic evaluation of deep cells of the eye | 9.3K | $331.3K | $35.72 | 7.00x |
| 93890 | Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain) | 1.5K | $318.9K | $211.62 | 2.36x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 1.5K | $311.9K | $206.96 | 2.42x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 2.7K | $310.3K | $114.86 | 1.96x |
| 92083 | Measurement of field of vision during daylight conditions | 3.7K | $210.6K | $56.22 | 2.22x |
| 93892 | Ultrasound scanning for blood clot detection in head and neck vessel blood flow (inside the brain) | 1.5K | $210.3K | $139.55 | 3.58x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 456 | $138.3K | $303.37 | 11.73x |
| 92133 | Diagnostic imaging of optic nerve of eye | 4.2K | $128.6K | $30.56 | 6.54x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 1.8K | $82.5K | $46.00 | 5.19x |
| 66982 | Removal of cataract with insertion of lens | 66 | $47.3K | $716.65 | 7.54x |
| 92132 | Diagnostic imaging of eyes | 1.6K | $41.7K | $26.28 | 3.80x |
| 76519 | Ultrasound of eye for determination of lens power | 423 | $28.3K | $66.96 | 3.73x |
| 92002 | Eye and medical examination for diagnosis and treatment, new patient | 421 | $27.7K | $65.74 | 2.43x |
This provider submits charges 3.27 times higher than what Medicare actually pays.
A markup ratio of 3.27x means for every $100 Medicare pays, this provider initially charges $327. 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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