This provider's $19.6M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
82% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of lens).
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 | $690.04 | $220.04 | 3.14x | $470.00 | $1.4M | 7.1K | 4.6K |
| 2015 | $663.62 | $203.89 | 3.25x | $459.73 | $1.7M | 8.6K | 5.5K |
| 2016 | $539.46 | $182.91 | 2.95x | $356.55 | $2.1M | 9.8K | 6.1K |
| 2017 | $588.83 | $200.68 | 2.93x | $388.15 | $2.2M | 10.5K | 6.3K |
| 2018 | $560.25 | $188.83 | 2.97x | $371.42 | $2.2M | 10.4K | 6.1K |
| 2019 | $717.06 | $195.59 | 3.67x | $521.47 | $2.5M | 11.5K | 6.8K |
| 2020 | $707.23 | $190.29 | 3.72x | $516.94 | $1.8M | 9.5K | 5.6K |
| 2021 | $736.30 | $199.15 | 3.70x | $537.15 | $2.0M | 10.8K | 6.3K |
| 2022 | $684.47 | $190.87 | 3.59x | $493.60 | $1.7M | 9.3K | 5.4K |
| 2023 | $773.35 | $222.66 | 3.47x | $550.69 | $1.9M | 10.1K | 5.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 42.0K | $16.0M | $380.86 | 3.48x |
| 92136 | Measurement of corneal curvature and depth of eye | 42.0K | $1.6M | $38.27 | 3.93x |
| 0191T | Internal insertion of eye fluid drainage device | 940 | $499.1K | $531.01 | 3.70x |
| 66982 | Removal of cataract with insertion of lens | 663 | $334.5K | $504.52 | 3.63x |
| 65756 | Transplant of outer layer of corneal tissue | 323 | $276.0K | $854.59 | 2.95x |
| 66986 | Exchange of lens prosthesis | 350 | $203.8K | $582.40 | 2.17x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.7K | $104.9K | $28.27 | 2.34x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 823 | $73.4K | $89.14 | 2.28x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.3K | $68.3K | $53.79 | 2.79x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 142 | $62.7K | $441.77 | 3.62x |
| 65426 | Removal or relocation of corneal conjunctiva | 184 | $56.7K | $308.27 | 3.44x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 738 | $53.4K | $72.35 | 2.50x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 885 | $48.8K | $55.19 | 2.78x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 144 | $30.7K | $213.51 | 3.36x |
| 76519 | Ultrasound of eye for determination of lens power | 629 | $28.3K | $44.93 | 3.56x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 260 | $23.3K | $89.51 | 3.07x |
| 66682 | Repair of iris and lens tissue | 76 | $21.1K | $277.78 | 5.32x |
| 65400 | Removal of growth of cornea | 47 | $20.6K | $439.26 | 3.97x |
| 67010 | Partial removal of eye fluid between the lens and retina | 78 | $18.6K | $238.89 | 5.54x |
| 92025 | Computerized mapping of corneal curvature | 604 | $14.7K | $24.33 | 2.39x |
This provider submits charges 3.49 times higher than what Medicare actually pays.
A markup ratio of 3.49x means for every $100 Medicare pays, this provider initially charges $349. 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 OK for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Sumit Nanda, MD | Oklahoma City, OK | $40.7M | ✓ 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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