This provider averages 66 services per working day
Based on 166.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $15.4M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 66 services per working day raises questions about billing patterns.
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 | $439.72 | $301.65 | 1.46x | $138.07 | $1.8M | 19.1K | 9.1K |
| 2015 | $500.63 | $361.83 | 1.38x | $138.80 | $1.6M | 17.7K | 8.9K |
| 2016 | $413.27 | $290.84 | 1.42x | $122.43 | $1.6M | 18.7K | 9.0K |
| 2017 | $358.30 | $260.57 | 1.38x | $97.73 | $1.5M | 18.6K | 8.8K |
| 2018 | $336.43 | $244.68 | 1.37x | $91.75 | $1.6M | 18.8K | 9.2K |
| 2019 | $353.20 | $262.71 | 1.34x | $90.49 | $1.5M | 17.8K | 8.6K |
| 2020 | $361.07 | $274.11 | 1.32x | $86.96 | $1.4M | 14.2K | 6.5K |
| 2021 | $310.57 | $239.89 | 1.29x | $70.68 | $1.5M | 14.3K | 6.5K |
| 2022 | $305.18 | $223.95 | 1.36x | $81.23 | $1.4M | 13.2K | 6.1K |
| 2023 | $315.64 | $226.13 | 1.40x | $89.51 | $1.4M | 13.6K | 6.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 34.3K | $3.4M | $98.49 | 1.35x |
| J0178 | Injection, aflibercept, 1 mg | 3.0K | $2.2M | $730.09 | 1.28x |
| 67028 | Injection of drug into eye | 16.7K | $1.6M | $94.69 | 1.42x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 3.4K | $1.5M | $437.64 | 1.35x |
| 92134 | Diagnostic imaging of retina | 27.8K | $950.7K | $34.16 | 1.33x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 1.9K | $837.2K | $434.01 | 1.37x |
| J9035 | Injection, bevacizumab, 10 mg | 13.3K | $722.5K | $54.20 | 1.35x |
| 92235 | Examination of retinal blood vessels by ophthalmoscope | 8.7K | $719.8K | $82.30 | 1.35x |
| 92250 | Photography of the retina | 10.9K | $525.8K | $48.13 | 1.42x |
| 67145 | Preventive retinal detachment treatment by heat or laser, 1 or more sessions | 1.2K | $489.4K | $408.21 | 1.31x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 318 | $379.1K | $1.2K | 1.38x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 15.6K | $321.7K | $20.62 | 1.29x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.0K | $268.0K | $134.13 | 1.34x |
| 67042 | Removal of membrane from the retina, pars plana approach | 213 | $221.5K | $1.0K | 1.32x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 8.4K | $189.1K | $22.43 | 1.32x |
| 76512 | Ultrasound of eye disease, growth, or structure | 3.5K | $188.7K | $53.20 | 1.36x |
| 67105 | Repair of detached retina, 1 or more sessions | 327 | $159.3K | $487.05 | 1.44x |
| 92201 | Extended examination of eye with drawing of retina | 7.3K | $146.1K | $20.07 | 1.32x |
| 67220 | Destruction of vascular growth between retina and sclera, 1 or more sessions | 320 | $144.3K | $451.03 | 1.30x |
| 76510 | Ultrasound of eye tissue and structures | 794 | $74.5K | $93.85 | 1.31x |
This provider submits charges 1.35 times higher than what Medicare actually pays.
A markup ratio of 1.35x means for every $100 Medicare pays, this provider initially charges $135. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Sohail Hasan, MD | Harvey, IL | $37.2M | ✓ Clear |
| Michael Mcclintock, M.D. | Chicago, IL | $34.3M | ✓ 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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