This provider's $4.1M in total Medicare payments ranks in the 95th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 2262% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 479% in 2016
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 | $131.71 | $56.06 | 2.35x | $75.65 | $30.8K | 446 | 434 |
| 2015 | $121.61 | $45.28 | 2.69x | $76.33 | $32.9K | 605 | 566 |
| 2016 | $141.52 | $64.62 | 2.19x | $76.90 | $190.3K | 2.7K | 2.3K |
| 2017 | $136.95 | $58.01 | 2.36x | $78.94 | $395.5K | 6.5K | 5.2K |
| 2018 | $146.77 | $65.09 | 2.25x | $81.68 | $533.1K | 8.7K | 6.8K |
| 2019 | $155.10 | $69.32 | 2.24x | $85.78 | $588.5K | 10.0K | 7.6K |
| 2020 | $155.13 | $70.62 | 2.20x | $84.51 | $458.0K | 7.8K | 6.2K |
| 2021 | $172.22 | $76.93 | 2.24x | $95.29 | $587.3K | 9.9K | 7.6K |
| 2022 | $165.39 | $66.41 | 2.49x | $98.98 | $585.1K | 10.7K | 8.2K |
| 2023 | $175.09 | $76.77 | 2.28x | $98.32 | $727.5K | 9.6K | 8.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 15.3K | $1.3M | $84.15 | 2.19x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.9K | $805.7K | $273.41 | 2.25x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.9K | $620.7K | $57.20 | 1.91x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 3.1K | $302.5K | $96.90 | 2.29x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.5K | $281.3K | $80.78 | 1.99x |
| 92083 | Measurement of field of vision during daylight conditions | 10.6K | $265.2K | $25.12 | 3.79x |
| 92134 | Diagnostic imaging of retina | 7.7K | $216.2K | $28.19 | 2.39x |
| 92133 | Diagnostic imaging of optic nerve of eye | 7.7K | $124.6K | $16.20 | 4.03x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 440 | $50.0K | $113.71 | 2.19x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 249 | $49.4K | $198.32 | 2.14x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 543 | $37.9K | $69.72 | 2.33x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 211 | $13.7K | $64.83 | 1.95x |
| 68761 | Closure of tear duct opening using plug | 92 | $13.2K | $143.81 | 1.92x |
| 76514 | Ultrasound of corneal structure and measurement | 1.6K | $10.3K | $6.35 | 3.62x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 384 | $7.6K | $19.73 | 2.03x |
| 92286 | Microscopic evaluation of deep cells of the eye | 280 | $7.4K | $26.29 | 2.17x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 219 | $6.7K | $30.39 | 2.22x |
| 67820 | Removal of eyelashes by forceps | 181 | $5.8K | $32.00 | 2.76x |
| 92081 | Measurement of field of vision during daylight conditions | 487 | $5.8K | $11.85 | 4.22x |
| 92250 | Photography of the retina | 197 | $5.1K | $25.68 | 4.52x |
This provider submits charges 2.33 times higher than what Medicare actually pays.
A markup ratio of 2.33x means for every $100 Medicare pays, this provider initially charges $233. 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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