This provider's $6.9M 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 | $869.80 | $183.32 | 4.74x | $686.48 | $808.6K | 7.6K | 6.9K |
| 2015 | $919.19 | $183.98 | 5.00x | $735.21 | $731.0K | 6.1K | 5.7K |
| 2016 | $893.37 | $185.49 | 4.82x | $707.88 | $762.7K | 6.9K | 6.5K |
| 2017 | $732.52 | $154.57 | 4.74x | $577.95 | $724.9K | 6.0K | 5.7K |
| 2018 | $793.79 | $160.13 | 4.96x | $633.66 | $657.2K | 5.5K | 5.2K |
| 2019 | $970.66 | $189.48 | 5.12x | $781.18 | $702.7K | 5.4K | 5.0K |
| 2020 | $900.21 | $169.11 | 5.32x | $731.10 | $655.2K | 6.4K | 5.8K |
| 2021 | $818.79 | $156.47 | 5.23x | $662.32 | $751.0K | 6.3K | 5.8K |
| 2022 | $719.14 | $134.34 | 5.35x | $584.80 | $649.4K | 5.4K | 5.1K |
| 2023 | $833.33 | $148.89 | 5.60x | $684.44 | $445.8K | 3.0K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 15823 | Removal of excessive skin and fat of upper eyelid | 2.7K | $1.7M | $641.37 | 4.63x |
| 66984 | Removal of cataract with insertion of lens | 3.6K | $1.7M | $465.10 | 6.28x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 9.1K | $730.9K | $80.18 | 2.46x |
| 66982 | Removal of cataract with insertion of lens | 576 | $342.3K | $594.33 | 6.53x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.2K | $284.7K | $233.01 | 4.72x |
| 92250 | Photography of the retina | 4.8K | $225.2K | $47.11 | 2.95x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 2.4K | $221.7K | $91.54 | 2.59x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 3.2K | $187.4K | $59.04 | 2.57x |
| 92083 | Measurement of field of vision during daylight conditions | 4.0K | $170.8K | $43.19 | 3.03x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $169.4K | $104.80 | 2.64x |
| 92134 | Diagnostic imaging of retina | 5.3K | $155.9K | $29.61 | 5.25x |
| 92136 | Measurement of corneal curvature and depth of eye | 2.6K | $138.4K | $52.52 | 7.49x |
| 93890 | Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain) | 577 | $101.6K | $176.14 | 2.27x |
| 92002 | Eye and medical examination for diagnosis and treatment, new patient | 2.0K | $101.0K | $49.78 | 3.72x |
| 67908 | Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis | 230 | $100.5K | $437.06 | 5.66x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 577 | $97.7K | $169.36 | 2.36x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 4.2K | $82.2K | $19.48 | 3.85x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.4K | $69.3K | $50.64 | 2.39x |
| 92133 | Diagnostic imaging of optic nerve of eye | 2.4K | $67.1K | $27.69 | 5.42x |
| 93892 | Ultrasound scanning for blood clot detection in head and neck vessel blood flow (inside the brain) | 577 | $48.9K | $84.72 | 4.72x |
This provider submits charges 4.63 times higher than what Medicare actually pays.
A markup ratio of 4.63x means for every $100 Medicare pays, this provider initially charges $463. 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 AZ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Derek Kunimoto, MD | Mesa, AZ | $68.3M | ✓ Clear |
| David Goldenberg, MD | Phoenix, AZ | $50.8M | ✓ Clear |
| Sachin Mehta, M.D. | Phoenix, AZ | $43.3M | ✓ Clear |
| Edward Quinlan, M.D. | Phoenix, AZ | $40.1M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data