This provider's $5.7M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $378.49 | $147.76 | 2.56x | $230.73 | $577.2K | 6.9K | 5.7K |
| 2015 | $417.91 | $160.98 | 2.60x | $256.93 | $534.9K | 6.6K | 5.5K |
| 2016 | $393.75 | $147.55 | 2.67x | $246.20 | $568.7K | 7.5K | 6.3K |
| 2017 | $432.81 | $150.22 | 2.88x | $282.59 | $565.7K | 7.5K | 6.3K |
| 2018 | $613.98 | $225.45 | 2.72x | $388.53 | $623.1K | 7.6K | 6.3K |
| 2019 | $640.91 | $220.34 | 2.91x | $420.57 | $648.2K | 7.6K | 6.4K |
| 2020 | $572.50 | $193.67 | 2.96x | $378.83 | $498.8K | 6.3K | 5.3K |
| 2021 | $492.19 | $192.28 | 2.56x | $299.91 | $533.2K | 6.7K | 5.7K |
| 2022 | $622.06 | $219.52 | 2.83x | $402.54 | $572.5K | 7.3K | 6.0K |
| 2023 | $708.33 | $270.70 | 2.62x | $437.63 | $605.9K | 7.5K | 6.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 2.3K | $1.2M | $511.43 | 3.52x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 16.9K | $1.2M | $70.04 | 1.43x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 11.7K | $1.2M | $98.43 | 1.78x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 3.5K | $393.3K | $113.87 | 1.54x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 14.1K | $313.4K | $22.30 | 3.36x |
| 92133 | Diagnostic imaging of optic nerve of eye | 9.3K | $298.6K | $32.22 | 3.88x |
| 92250 | Photography of the retina | 3.9K | $225.3K | $57.97 | 3.02x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 684 | $197.5K | $288.73 | 2.08x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 228 | $180.0K | $789.37 | 2.53x |
| 92134 | Diagnostic imaging of retina | 4.1K | $142.4K | $35.11 | 3.56x |
| 66174 | Dilation to improve eye fluid flow | 176 | $128.6K | $730.69 | 2.46x |
| 68761 | Closure of tear duct opening using plug | 1.2K | $119.2K | $98.75 | 1.80x |
| 92136 | Measurement of corneal curvature and depth of eye | 1.6K | $49.0K | $30.82 | 4.87x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 207 | $44.5K | $215.13 | 3.72x |
| 65778 | Placement of amniotic membrane on eye surface for wound healing | 18 | $22.9K | $1.3K | 1.73x |
| 92083 | Measurement of field of vision during daylight conditions | 271 | $14.8K | $54.46 | 2.75x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 50 | $13.4K | $267.19 | 2.99x |
| 76514 | Ultrasound of corneal structure and measurement | 1.0K | $11.2K | $11.05 | 11.05x |
| 66710 | Destruction of lens tissue using laser | 32 | $11.0K | $343.67 | 3.49x |
| 65820 | Incision to improve eye fluid flow | 31 | $10.8K | $347.40 | 5.18x |
This provider submits charges 2.47 times higher than what Medicare actually pays.
A markup ratio of 2.47x means for every $100 Medicare pays, this provider initially charges $247. 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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