This provider averages 72 services per working day
Based on 181.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.1M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Their average markup ratio of 14.38x is significantly above the specialty median of 2.9x.
Averaging 72 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 | $2.3K | $171.78 | 13.51x | $2.1K | $1.5M | 18.3K | 12.6K |
| 2015 | $2.3K | $174.33 | 13.31x | $2.1K | $1.5M | 19.7K | 13.6K |
| 2016 | $3.6K | $170.69 | 20.99x | $3.4K | $1.4M | 20.1K | 14.2K |
| 2017 | $3.3K | $163.57 | 19.95x | $3.1K | $1.3M | 19.5K | 13.8K |
| 2018 | $3.2K | $158.54 | 20.20x | $3.0K | $1.3M | 19.7K | 13.9K |
| 2019 | $3.8K | $188.18 | 20.44x | $3.7K | $1.4M | 19.6K | 14.1K |
| 2020 | $3.1K | $138.07 | 22.40x | $3.0K | $864.0K | 13.6K | 10.5K |
| 2021 | $3.9K | $171.76 | 22.90x | $3.8K | $1.2M | 15.9K | 12.1K |
| 2022 | $3.9K | $208.06 | 18.74x | $3.7K | $1.3M | 16.6K | 12.6K |
| 2023 | $4.4K | $207.89 | 21.19x | $4.2K | $1.4M | 17.9K | 13.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 44.9K | $3.2M | $70.72 | 6.69x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 14.8K | $1.5M | $100.52 | 5.89x |
| 92083 | Measurement of field of vision during daylight conditions | 21.2K | $1.2M | $55.04 | 13.54x |
| 66984 | Removal of cataract with insertion of lens | 2.1K | $978.7K | $476.95 | 37.76x |
| 92133 | Diagnostic imaging of optic nerve of eye | 22.7K | $737.4K | $32.49 | 27.52x |
| 66982 | Removal of cataract with insertion of lens | 995 | $687.9K | $691.38 | 22.06x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 16.5K | $650.4K | $39.40 | 4.98x |
| 68760 | Repair duct opening | 1.8K | $465.0K | $263.30 | 11.28x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.4K | $412.3K | $290.16 | 21.46x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 17.6K | $397.0K | $22.61 | 12.69x |
| 92250 | Photography of the retina | 8.9K | $394.6K | $44.31 | 15.81x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 1.5K | $389.5K | $255.93 | 24.86x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 2.3K | $275.9K | $118.17 | 6.80x |
| 65820 | Incision to improve eye fluid flow | 388 | $264.1K | $680.59 | 12.60x |
| 67700 | Incision and drainage of eyelid abscess | 1.0K | $256.8K | $249.81 | 8.01x |
| 68761 | Closure of tear duct opening using plug | 1.1K | $198.6K | $187.22 | 11.68x |
| 92201 | Extended examination of eye with drawing of retina | 6.4K | $132.6K | $20.64 | 24.22x |
| 92136 | Measurement of corneal curvature and depth of eye | 2.0K | $123.4K | $62.19 | 21.17x |
| 65778 | Placement of amniotic membrane on eye surface for wound healing | 94 | $118.4K | $1.3K | 2.82x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 471 | $114.1K | $242.18 | 23.02x |
This provider submits charges 14.38 times higher than what Medicare actually pays.
A markup ratio of 14.38x means for every $100 Medicare pays, this provider initially charges $1438. 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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