This provider averages 77 services per working day
Based on 114.9K total services over 6 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.3M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Averaging 77 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 163481% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2007% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $380.00 | $101.27 | 3.75x | $278.73 | $2.4K | 24 | 1 |
| 2019 | $343.71 | $72.36 | 4.75x | $271.35 | $10.9K | 151 | 4 |
| 2020 | $681.17 | $254.42 | 2.68x | $426.75 | $230.3K | 905 | 9 |
| 2021 | $669.67 | $279.46 | 2.40x | $390.21 | $2.3M | 8.4K | 17 |
| 2022 | $386.98 | $145.56 | 2.66x | $241.42 | $3.7M | 25.6K | 17 |
| 2023 | $171.07 | $49.79 | 3.44x | $121.28 | $4.0M | 79.8K | 19 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 6.6K | $4.7M | $714.30 | 2.17x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 85.6K | $2.5M | $29.25 | 3.60x |
| J2778 | Injection, ranibizumab, 0.1 mg | 3.8K | $858.1K | $227.99 | 3.08x |
| J3590 | Unclassified biologics | 667 | $684.4K | $1.0K | 3.06x |
| 67028 | Injection of drug into eye | 5.2K | $467.4K | $90.52 | 6.66x |
| J3490 | Unclassified drugs | 146 | $266.6K | $1.8K | 1.27x |
| 92134 | Imaging of retina | 6.6K | $174.6K | $26.55 | 3.42x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1.6K | $137.0K | $85.32 | 2.30x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 873 | $95.5K | $109.40 | 2.28x |
| 92014 | Established patient complete exam of visual system | 761 | $62.5K | $82.09 | 2.45x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 58 | $50.7K | $874.34 | 4.12x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 58 | $50.2K | $865.62 | 3.37x |
| 92250 | Photography of the retina | 1.7K | $43.7K | $26.13 | 4.82x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 248 | $22.5K | $90.92 | 2.19x |
| 92012 | Established patient problem focused exam of visual system | 385 | $22.4K | $58.20 | 2.11x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 140 | $22.1K | $157.98 | 2.36x |
| 67041 | Removal of membrane of retina | 25 | $21.8K | $872.53 | 3.36x |
| J9035 | Injection, bevacizumab, 10 mg | 306 | $16.4K | $53.60 | 2.68x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 65 | $15.9K | $244.53 | 7.44x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 17 | $10.9K | $640.97 | 4.68x |
This provider submits charges 2.9 times higher than what Medicare actually pays.
A markup ratio of 2.9x means for every $100 Medicare pays, this provider initially charges $290. 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 KS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| David Dyer, M.D. | Lenexa, KS | $67.5M | ✓ Clear |
| Ryan Christensen, M.D. | Lenexa, KS | $45.1M | ✓ Clear |
| Beatty Suiter, M.D. | Lenexa, KS | $41.7M | ✓ Clear |
| Kumar Dalla, M.D. | Wichita, KS | $39.9M | ✓ Clear |
| Gregory Fox, M.D. | Lenexa, KS | $39.0M | ✓ 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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