This provider's $4.5M in total Medicare payments ranks in the 96th percentile of Ophthalmology providers nationally.
Their average markup ratio of 8.32x is significantly above the specialty median of 2.9x.
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 | $2.2K | $306.69 | 7.28x | $1.9K | $448.4K | 4.6K | 4.0K |
| 2015 | $2.2K | $315.38 | 7.12x | $1.9K | $482.6K | 4.8K | 4.1K |
| 2016 | $2.2K | $283.61 | 7.84x | $1.9K | $455.8K | 4.7K | 4.1K |
| 2017 | $2.6K | $295.28 | 8.96x | $2.3K | $497.6K | 5.1K | 4.4K |
| 2018 | $2.6K | $270.95 | 9.41x | $2.3K | $462.0K | 5.2K | 4.4K |
| 2019 | $2.8K | $305.49 | 9.05x | $2.5K | $454.0K | 5.1K | 4.3K |
| 2020 | $2.8K | $294.05 | 9.42x | $2.5K | $372.5K | 4.3K | 3.6K |
| 2021 | $2.6K | $279.96 | 9.25x | $2.3K | $458.5K | 5.1K | 4.2K |
| 2022 | $2.6K | $301.28 | 8.49x | $2.3K | $389.3K | 5.2K | 4.4K |
| 2023 | $2.7K | $310.79 | 8.66x | $2.4K | $492.0K | 6.1K | 5.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 9.5K | $932.4K | $97.70 | 8.04x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 11.0K | $750.8K | $68.32 | 7.93x |
| 92083 | Measurement of field of vision during daylight conditions | 10.6K | $530.5K | $49.99 | 8.54x |
| 66984 | Removal of cataract with insertion of lens | 900 | $442.8K | $492.04 | 8.19x |
| 66172 | Creation of eye fluid drainage tract | 337 | $368.1K | $1.1K | 7.72x |
| 66180 | Creation of shunt to improve eye fluid flow | 289 | $283.2K | $980.04 | 7.27x |
| 92133 | Diagnostic imaging of optic nerve of eye | 8.1K | $236.4K | $29.09 | 9.49x |
| 66170 | Creation of eye fluid drainage tract | 188 | $180.4K | $959.56 | 7.31x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 436 | $124.7K | $285.97 | 7.89x |
| 66982 | Removal of cataract with insertion of lens | 156 | $93.7K | $600.85 | 8.61x |
| 66250 | Revision or repair of operative wound of eye | 228 | $82.3K | $360.86 | 13.24x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 707 | $73.1K | $103.42 | 7.96x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 318 | $65.7K | $206.50 | 9.37x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 552 | $65.0K | $117.84 | 7.98x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 485 | $60.3K | $124.25 | 7.71x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 2.0K | $48.1K | $23.48 | 7.19x |
| 92134 | Diagnostic imaging of retina | 1.1K | $37.2K | $34.91 | 8.40x |
| 92250 | Photography of the retina | 741 | $26.2K | $35.32 | 12.72x |
| 76514 | Ultrasound of corneal structure and measurement | 2.2K | $23.9K | $10.78 | 10.02x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 99 | $22.8K | $230.60 | 9.36x |
This provider submits charges 8.32 times higher than what Medicare actually pays.
A markup ratio of 8.32x means for every $100 Medicare pays, this provider initially charges $832. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Nathan Steinle, M.D. | Santa Barbara, CA | $63.1M | ✓ Clear |
| Stephen Couvillion, MD | Santa Barbara, CA | $47.7M | ✓ Clear |
| Margaret Chang, M.D. | Sacramento, CA | $47.6M | ✓ Clear |
| David Boyer, MD | Los Angeles, CA | $47.5M | ✓ Clear |
| Alessandro Castellarin, M.D. | Santa Barbara, CA | $46.9M | ✓ 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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