This provider's $6.5M 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 | $585.64 | $201.92 | 2.90x | $383.72 | $705.1K | 6.0K | 4.8K |
| 2015 | $492.60 | $179.34 | 2.75x | $313.26 | $587.8K | 5.3K | 4.3K |
| 2016 | $596.48 | $214.97 | 2.77x | $381.51 | $616.7K | 5.5K | 4.5K |
| 2017 | $522.96 | $191.44 | 2.73x | $331.52 | $625.9K | 5.9K | 4.7K |
| 2018 | $628.47 | $231.72 | 2.71x | $396.75 | $623.7K | 5.9K | 4.6K |
| 2019 | $619.86 | $197.04 | 3.15x | $422.82 | $667.7K | 6.6K | 5.1K |
| 2020 | $588.40 | $162.32 | 3.62x | $426.08 | $546.2K | 5.9K | 4.8K |
| 2021 | $650.85 | $184.51 | 3.53x | $466.34 | $686.8K | 7.8K | 6.0K |
| 2022 | $645.39 | $215.06 | 3.00x | $430.33 | $735.3K | 8.4K | 5.6K |
| 2023 | $598.08 | $207.53 | 2.88x | $390.55 | $698.9K | 8.0K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 4.1K | $1.5M | $372.69 | 3.27x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.8K | $1.3M | $85.07 | 2.15x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 7.8K | $655.8K | $84.14 | 2.82x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.5K | $398.2K | $115.31 | 2.21x |
| 92083 | Measurement of field of vision during daylight conditions | 8.9K | $397.2K | $44.85 | 2.83x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 1.6K | $313.8K | $199.48 | 3.15x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 949 | $226.3K | $238.46 | 2.78x |
| 92136 | Measurement of corneal curvature and depth of eye | 4.8K | $216.7K | $44.74 | 3.24x |
| 66180 | Creation of shunt to improve eye fluid flow | 226 | $204.5K | $904.89 | 2.60x |
| 66982 | Removal of cataract with insertion of lens | 369 | $194.3K | $526.57 | 3.11x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 3.1K | $187.2K | $59.57 | 2.53x |
| 66710 | Destruction of lens tissue using laser | 510 | $155.8K | $305.44 | 2.90x |
| 92133 | Diagnostic imaging of optic nerve of eye | 5.4K | $145.7K | $26.79 | 2.88x |
| 66179 | Creation of shunt to improve eye fluid flow | 95 | $81.1K | $853.65 | 2.53x |
| 0191T | Internal insertion of eye fluid drainage device | 240 | $78.9K | $328.93 | 7.48x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 3.4K | $67.4K | $19.66 | 2.73x |
| 66183 | Insertion of eye fluid drainage device | 79 | $63.8K | $807.84 | 2.56x |
| 92134 | Diagnostic imaging of retina | 1.5K | $44.2K | $28.97 | 2.86x |
| 65820 | Incision to improve eye fluid flow | 54 | $31.5K | $583.10 | 2.57x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 66 | $30.0K | $454.71 | 2.96x |
This provider submits charges 2.84 times higher than what Medicare actually pays.
A markup ratio of 2.84x means for every $100 Medicare pays, this provider initially charges $284. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Alexander Eaton, MD | Fort Myers, FL | $99.5M | ✓ Clear |
| Sunil Gupta, M.D. | Pensacola, FL | $86.1M | ✓ Clear |
| Hussein Wafapoor, M.D. | Fort Myers, FL | $70.9M | ✓ Clear |
| John Myers, M.D. | Pensacola, FL | $69.4M | ✓ Clear |
| Thomas Baudo, M.D. | Vero Beach, FL | $64.2M | ✓ 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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