This provider's $4.0M in total Medicare payments ranks in the 95th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 648% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 178% in 2015
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 | $493.67 | $117.76 | 4.19x | $375.91 | $89.6K | 837 | 672 |
| 2015 | $591.06 | $153.96 | 3.84x | $437.10 | $249.3K | 2.5K | 1.9K |
| 2016 | $394.53 | $107.45 | 3.67x | $287.08 | $316.7K | 3.9K | 2.9K |
| 2017 | $385.43 | $107.58 | 3.58x | $277.85 | $359.2K | 4.3K | 3.5K |
| 2018 | $394.23 | $142.66 | 2.76x | $251.57 | $394.4K | 4.9K | 3.9K |
| 2019 | $270.34 | $134.31 | 2.01x | $136.03 | $437.7K | 5.6K | 4.5K |
| 2020 | $222.38 | $111.59 | 1.99x | $110.79 | $399.9K | 5.5K | 4.4K |
| 2021 | $265.10 | $125.16 | 2.12x | $139.94 | $536.4K | 7.0K | 5.5K |
| 2022 | $278.99 | $136.03 | 2.05x | $142.96 | $570.3K | 7.8K | 6.1K |
| 2023 | $258.31 | $125.93 | 2.05x | $132.38 | $670.0K | 9.0K | 7.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 1.3K | $669.7K | $509.26 | 3.48x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 5.2K | $509.0K | $97.73 | 2.16x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 6.3K | $445.8K | $70.23 | 2.01x |
| 92250 | Photography of the retina | 10.3K | $403.0K | $39.08 | 2.12x |
| 92083 | Measurement of field of vision during daylight conditions | 6.0K | $314.5K | $52.45 | 2.25x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 2.6K | $295.3K | $114.59 | 2.15x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.0K | $286.4K | $71.11 | 2.11x |
| 68761 | Closure of tear duct opening using plug | 2.2K | $213.8K | $96.22 | 2.48x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 691 | $200.5K | $290.18 | 1.88x |
| 92136 | Measurement of corneal curvature and depth of eye | 3.4K | $180.9K | $52.85 | 1.90x |
| 92134 | Diagnostic imaging of retina | 4.4K | $151.9K | $34.31 | 2.94x |
| 66982 | Removal of cataract with insertion of lens | 108 | $72.2K | $668.95 | 2.45x |
| 92133 | Diagnostic imaging of optic nerve of eye | 1.9K | $61.7K | $31.80 | 3.67x |
| 67700 | Incision and drainage of eyelid abscess | 171 | $43.7K | $255.43 | 1.99x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 159 | $36.2K | $227.61 | 3.03x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 342 | $31.0K | $90.58 | 2.35x |
| 68840 | Probing of nasal-tear duct | 188 | $28.8K | $153.09 | 1.87x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 433 | $19.2K | $44.35 | 2.08x |
| 67840 | Removal of eyelid growth | 41 | $10.0K | $244.05 | 2.02x |
| 68810 | Insertion of probe into the tear duct | 35 | $9.1K | $261.42 | 2.93x |
This provider submits charges 2.43 times higher than what Medicare actually pays.
A markup ratio of 2.43x means for every $100 Medicare pays, this provider initially charges $243. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Nathan Steinle, M.D. | Santa Barbara, CA | $63.1M | ✓ Clear |
| Stephen Couvillion, MD | Santa Barbara, CA | $47.7M | ✓ Clear |
| Margaret Chang, M.D. | Sacramento, CA | $47.6M | ✓ Clear |
| David Boyer, MD | Los Angeles, CA | $47.5M | ✓ Clear |
| Alessandro Castellarin, M.D. | Santa Barbara, CA | $46.9M | ✓ 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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