This provider's $5.2M in total Medicare payments ranks in the 99th percentile of Optometry providers nationally.
Medicare payments to this provider grew 71% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 185% in 2021
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 | $81.45 | $52.80 | 1.54x | $28.65 | $456.7K | 6.5K | 4.4K |
| 2015 | $85.87 | $51.33 | 1.67x | $34.54 | $440.4K | 6.2K | 4.5K |
| 2016 | $91.87 | $48.35 | 1.90x | $43.52 | $394.4K | 5.9K | 4.4K |
| 2017 | $119.42 | $52.21 | 2.29x | $67.21 | $389.4K | 6.4K | 4.7K |
| 2018 | $125.00 | $57.13 | 2.19x | $67.87 | $454.3K | 7.0K | 5.3K |
| 2019 | $110.03 | $57.83 | 1.90x | $52.20 | $427.1K | 6.4K | 4.7K |
| 2020 | $137.50 | $66.92 | 2.05x | $70.58 | $283.8K | 4.2K | 3.9K |
| 2021 | $232.39 | $135.49 | 1.72x | $96.90 | $808.4K | 11.1K | 8.9K |
| 2022 | $238.69 | $130.17 | 1.83x | $108.52 | $718.5K | 11.4K | 9.3K |
| 2023 | $102.45 | $47.79 | 2.14x | $54.66 | $779.4K | 12.4K | 10.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 18.8K | $1.6M | $87.63 | 1.86x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 20.6K | $1.3M | $61.86 | 1.74x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 9.8K | $1.1M | $107.27 | 1.77x |
| 92250 | Photography of the retina | 21.1K | $736.7K | $34.99 | 2.84x |
| 92273 | Full field recording of retinal electrical responses to external stimuli with interpretation and report | 2.4K | $223.8K | $94.39 | 1.72x |
| 92275 | Recording of retinal electrical responses to external stimuli | 566 | $58.4K | $103.18 | 1.89x |
| 65778 | Insertion of amniotic membrane to eye surface | 45 | $51.1K | $1.1K | 1.63x |
| 67820 | Removal of eyelashes by forceps | 1.4K | $40.8K | $28.28 | 2.17x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 1.1K | $21.9K | $20.35 | 2.03x |
| 68761 | Closure of tear duct opening using plug | 78 | $11.7K | $149.38 | 1.88x |
| 92002 | Eye and medical examination for diagnosis and treatment, new patient | 115 | $7.2K | $62.91 | 1.97x |
| 92071 | Fitting of contact lens for treatment of ocular surface disease | 252 | $7.2K | $28.52 | 2.09x |
| 76512 | Ultrasound of eye disease, growth, or structure | 220 | $7.2K | $32.56 | 2.57x |
| 65222 | Removal of foreign body, external eye, cornea with slit lamp examination | 123 | $6.1K | $49.47 | 1.55x |
| 76514 | Ultrasound of corneal structure and measurement | 699 | $5.9K | $8.37 | 2.39x |
| 92285 | Photography of content of eyes | 209 | $3.1K | $14.98 | 2.29x |
| 65205 | Removal of foreign body in external eye, conjunctiva | 13 | $525.14 | $40.40 | 1.83x |
This provider submits charges 1.95 times higher than what Medicare actually pays.
A markup ratio of 1.95x means for every $100 Medicare pays, this provider initially charges $195. This is lower than the national average.
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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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