This provider averages 68 services per working day
Based on 171.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $20.3M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 68 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 284% 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 | $191.59 | $69.73 | 2.75x | $121.86 | $850.9K | 12.2K | 15 |
| 2015 | $176.71 | $65.02 | 2.72x | $111.69 | $936.5K | 14.4K | 12 |
| 2016 | $204.36 | $81.86 | 2.50x | $122.50 | $1.3M | 15.3K | 15 |
| 2017 | $242.42 | $101.97 | 2.38x | $140.45 | $1.8M | 17.6K | 14 |
| 2018 | $268.92 | $116.40 | 2.31x | $152.52 | $2.1M | 18.5K | 15 |
| 2019 | $304.71 | $137.09 | 2.22x | $167.62 | $2.4M | 17.7K | 13 |
| 2020 | $335.81 | $151.80 | 2.21x | $184.01 | $2.4M | 15.8K | 14 |
| 2021 | $336.93 | $154.15 | 2.19x | $182.78 | $2.5M | 16.4K | 11 |
| 2022 | $399.74 | $185.05 | 2.16x | $214.69 | $2.7M | 14.5K | 12 |
| 2023 | $241.37 | $114.08 | 2.12x | $127.29 | $3.3M | 28.7K | 12 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 16.6K | $12.1M | $730.15 | 1.68x |
| 92014 | Established patient complete exam of visual system | 38.0K | $3.2M | $83.80 | 1.55x |
| 67028 | Injection of drug into eye | 24.3K | $1.9M | $76.51 | 6.38x |
| 92134 | Imaging of retina | 39.4K | $1.1M | $27.61 | 5.12x |
| J3590 | Unclassified biologics | 15.1K | $740.4K | $48.95 | 1.61x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 13.6K | $392.2K | $28.92 | 1.70x |
| 67041 | Removal of membrane of retina | 306 | $264.2K | $863.54 | 1.70x |
| 92004 | New patient complete exam of visual system | 2.0K | $202.6K | $99.22 | 1.51x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 96 | $91.6K | $954.07 | 1.67x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 126 | $81.8K | $649.05 | 1.71x |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | 18.8K | $55.8K | $2.97 | 2.14x |
| 67042 | Removal of membrane from the retina, pars plana approach | 53 | $48.5K | $914.38 | 1.62x |
| 92250 | Photography of the retina | 1.4K | $46.8K | $34.65 | 2.45x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 203 | $30.9K | $152.24 | 1.33x |
| 92012 | Established patient problem focused exam of visual system | 518 | $29.5K | $56.96 | 1.62x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 225 | $27.1K | $120.36 | 1.57x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 23 | $17.2K | $746.78 | 2.10x |
| 76512 | Ultrasound of eye disease, growth, or structure | 113 | $5.9K | $52.10 | 3.36x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 113 | $5.5K | $48.55 | 1.66x |
| 92235 | Examination of retinal blood vessels by ophthalmoscope | 31 | $4.3K | $137.24 | 2.06x |
This provider submits charges 2.28 times higher than what Medicare actually pays.
A markup ratio of 2.28x means for every $100 Medicare pays, this provider initially charges $228. 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 KY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Inder Singal, MD | Louisville, KY | $35.2M | ✓ 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