This provider's $4.4M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 56718% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1676% 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 | $210.00 | $57.50 | 3.65x | $152.50 | $1.9K | 33 | 12 |
| 2015 | $343.75 | $94.61 | 3.63x | $249.14 | $33.4K | 318 | 176 |
| 2016 | $418.33 | $113.38 | 3.69x | $304.95 | $13.3K | 112 | 66 |
| 2020 | $615.62 | $167.76 | 3.67x | $447.86 | $93.4K | 839 | 686 |
| 2021 | $822.33 | $252.05 | 3.26x | $570.28 | $1.7M | 9.3K | 4.5K |
| 2022 | $848.42 | $241.40 | 3.51x | $607.02 | $1.6M | 8.6K | 3.8K |
| 2023 | $950.39 | $241.51 | 3.94x | $708.88 | $1.1M | 6.3K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 65778 | Insertion of amniotic membrane to eye surface | 1.8K | $2.0M | $1.1K | 3.55x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 1.6K | $634.5K | $405.71 | 3.46x |
| 68761 | Closure of tear duct opening using plug | 2.6K | $404.8K | $153.93 | 2.57x |
| 68840 | Probing of nasal-tear duct | 2.6K | $200.0K | $76.09 | 6.80x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.4K | $155.9K | $65.57 | 1.98x |
| 65400 | Removal of growth of cornea | 229 | $143.7K | $627.33 | 2.84x |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | 2.3K | $99.9K | $43.32 | 2.19x |
| 92134 | Diagnostic imaging of retina | 3.1K | $97.3K | $31.42 | 4.40x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 423 | $82.3K | $194.49 | 3.82x |
| 68340 | Release of scar tissue from eyelids without a graft | 143 | $74.0K | $517.18 | 2.73x |
| 67031 | Laser release of scar tissue between the lens and retina | 227 | $69.3K | $305.48 | 2.47x |
| 92273 | Full field recording of retinal electrical responses to external stimuli with interpretation and report | 646 | $66.4K | $102.78 | 3.89x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 3.3K | $58.6K | $18.03 | 2.94x |
| 66250 | Revision or repair of operative wound of eye | 76 | $56.6K | $744.35 | 3.07x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 390 | $41.3K | $106.02 | 3.17x |
| 67904 | Repair of tendon of upper eyelid | 42 | $36.8K | $877.08 | 3.42x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 221 | $29.8K | $135.00 | 4.34x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 155 | $27.6K | $177.83 | 3.68x |
| 17106 | Destruction of skin growth (less than 10 sq centimeters) | 83 | $22.4K | $269.56 | 3.15x |
| 92285 | Photography of content of eyes | 1.3K | $22.3K | $17.76 | 6.25x |
This provider submits charges 3.54 times higher than what Medicare actually pays.
A markup ratio of 3.54x means for every $100 Medicare pays, this provider initially charges $354. This is higher 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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