This provider's $6.2M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
Their average markup ratio of 6.1x is significantly above the specialty median of 2.9x.
Medicare payments to this provider grew 94% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 68% 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 | $385.54 | $86.99 | 4.43x | $298.55 | $306.7K | 2.1K | 1.7K |
| 2015 | $488.93 | $101.33 | 4.83x | $387.60 | $365.0K | 2.9K | 2.3K |
| 2016 | $525.60 | $98.41 | 5.34x | $427.19 | $534.3K | 3.6K | 2.9K |
| 2017 | $502.80 | $97.38 | 5.16x | $405.42 | $586.1K | 3.7K | 3.0K |
| 2018 | $657.32 | $121.17 | 5.42x | $536.15 | $632.5K | 3.9K | 3.2K |
| 2019 | $625.06 | $117.84 | 5.30x | $507.22 | $655.7K | 4.5K | 3.6K |
| 2020 | $770.36 | $134.32 | 5.74x | $636.04 | $610.4K | 3.6K | 2.9K |
| 2021 | $758.16 | $134.61 | 5.63x | $623.55 | $1.0M | 6.1K | 4.8K |
| 2022 | $671.92 | $120.25 | 5.59x | $551.67 | $877.8K | 6.5K | 5.1K |
| 2023 | $643.89 | $111.85 | 5.76x | $532.04 | $594.6K | 3.9K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 9.5K | $3.6M | $381.53 | 7.26x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 3.0K | $710.2K | $237.92 | 4.76x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 4.3K | $402.4K | $93.27 | 4.09x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 3.7K | $286.6K | $77.33 | 2.76x |
| 66982 | Removal of cataract with insertion of lens | 530 | $273.1K | $515.29 | 6.08x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.5K | $256.2K | $104.43 | 3.76x |
| 92136 | Measurement of corneal curvature and depth of eye | 7.6K | $162.0K | $21.36 | 6.49x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 2.5K | $141.5K | $57.74 | 2.45x |
| 65820 | Incision to improve eye fluid flow | 158 | $96.0K | $607.81 | 5.76x |
| 92134 | Diagnostic imaging of retina | 2.5K | $69.6K | $28.32 | 4.39x |
| 92133 | Diagnostic imaging of optic nerve of eye | 1.3K | $33.5K | $26.05 | 4.64x |
| 92083 | Measurement of field of vision during daylight conditions | 772 | $32.6K | $42.29 | 3.98x |
| 92025 | Computerized mapping of corneal curvature | 609 | $15.9K | $26.15 | 4.00x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 174 | $12.8K | $73.46 | 3.92x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 55 | $10.7K | $194.19 | 4.89x |
| 92002 | Eye and medical examination for diagnosis and treatment, new patient | 216 | $10.3K | $47.51 | 4.74x |
| 65435 | Removal of outer layer of cornea | 170 | $9.9K | $58.21 | 5.74x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 318 | $8.7K | $27.23 | 3.93x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 308 | $5.7K | $18.52 | 3.96x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 73 | $4.5K | $61.15 | 3.20x |
This provider submits charges 6.1 times higher than what Medicare actually pays.
A markup ratio of 6.1x means for every $100 Medicare pays, this provider initially charges $610. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jason Ysasaga, M.D. | Amarillo, TX | $61.5M | ✓ Clear |
| Harshivinderjit Bains, MD | Tyler, TX | $53.9M | ✓ Clear |
| Ryan Rush, MD | Amarillo, TX | $53.6M | ✓ Clear |
| Tien Wong, M.D. | Houston, TX | $51.2M | ✓ Clear |
| Thomas Bochow, M.D., M.P.H. | Tyler, TX | $49.4M | ✓ 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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