This provider averages 63 services per working day
Based on 156.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $15.3M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 63 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 | $1.1K | $263.54 | 4.32x | $874.20 | $1.5M | 13.8K | 10.2K |
| 2015 | $1.2K | $256.07 | 4.55x | $909.83 | $1.7M | 15.6K | 11.5K |
| 2016 | $919.83 | $229.63 | 4.01x | $690.20 | $1.6M | 15.9K | 11.7K |
| 2017 | $924.98 | $236.31 | 3.91x | $688.67 | $1.5M | 16.1K | 11.8K |
| 2018 | $1.0K | $252.93 | 4.06x | $772.79 | $1.7M | 17.9K | 13.0K |
| 2019 | $1.1K | $270.45 | 3.89x | $780.25 | $1.8M | 17.4K | 12.9K |
| 2020 | $1.1K | $295.14 | 3.85x | $840.50 | $1.2M | 12.6K | 9.8K |
| 2021 | $1.0K | $270.25 | 3.77x | $747.96 | $1.5M | 15.4K | 11.5K |
| 2022 | $972.44 | $244.94 | 3.97x | $727.50 | $1.4M | 15.5K | 11.6K |
| 2023 | $965.70 | $263.66 | 3.66x | $702.04 | $1.4M | 16.7K | 12.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 20.3K | $1.6M | $79.57 | 1.57x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 11.1K | $1.2M | $111.58 | 1.57x |
| 66984 | Removal of cataract with insertion of lens | 2.5K | $1.2M | $481.40 | 5.71x |
| 92083 | Measurement of field of vision during daylight conditions | 18.5K | $1.1M | $58.27 | 3.43x |
| 68761 | Closure of tear duct opening using plug | 4.9K | $1.0M | $203.71 | 1.45x |
| 66982 | Removal of cataract with insertion of lens | 1.4K | $909.0K | $665.94 | 3.95x |
| 66172 | Creation of eye fluid drainage tract | 763 | $890.4K | $1.2K | 3.39x |
| 66250 | Revision or repair of operative wound of eye | 1.1K | $776.6K | $708.58 | 2.58x |
| 92133 | Diagnostic imaging of optic nerve of eye | 15.5K | $528.1K | $33.98 | 7.36x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.7K | $523.0K | $310.37 | 3.35x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 12.4K | $518.0K | $41.72 | 5.93x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 3.8K | $503.8K | $132.93 | 1.88x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 20.6K | $503.8K | $24.47 | 3.88x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 1.2K | $339.4K | $278.19 | 4.44x |
| 65820 | Incision to improve eye fluid flow | 554 | $322.8K | $582.68 | 6.90x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 754 | $316.0K | $419.09 | 4.77x |
| 92134 | Diagnostic imaging of retina | 8.1K | $295.8K | $36.57 | 6.84x |
| 66762 | Creation of openings in iris for eye fluid drainage using laser, 1 or more sessions | 539 | $238.4K | $442.36 | 3.63x |
| 76519 | Ultrasound of eye for determination of lens power | 3.0K | $205.7K | $68.80 | 3.63x |
| 66180 | Creation of shunt to improve eye fluid flow | 188 | $191.3K | $1.0K | 3.02x |
This provider submits charges 3.74 times higher than what Medicare actually pays.
A markup ratio of 3.74x means for every $100 Medicare pays, this provider initially charges $374. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jonathan Jonisch, MD | Great Neck, NY | $52.3M | ✓ Clear |
| Jeffrey Josef, M.D. | Suffern, NY | $52.2M | ✓ Clear |
| Brett Rosenblatt | Great Neck, NY | $50.0M | ✓ Clear |
| Kenneth Graham | Great Neck, NY | $47.1M | ✓ Clear |
| Glenn Stoller, M.D. | Rockville Centre, NY | $46.4M | ✓ 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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