This provider's $6.2M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
Their average markup ratio of 8.23x 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 | $1.6K | $233.14 | 7.00x | $1.4K | $687.1K | 8.4K | 7.1K |
| 2015 | $1.6K | $220.60 | 7.03x | $1.3K | $658.7K | 8.1K | 6.7K |
| 2016 | $1.6K | $216.03 | 7.53x | $1.4K | $662.7K | 8.0K | 6.7K |
| 2017 | $1.7K | $219.59 | 7.92x | $1.5K | $643.4K | 8.1K | 6.7K |
| 2018 | $2.2K | $212.47 | 10.35x | $2.0K | $680.1K | 8.9K | 7.4K |
| 2019 | $2.3K | $253.85 | 9.20x | $2.1K | $719.3K | 9.6K | 8.0K |
| 2020 | $2.1K | $228.54 | 9.27x | $1.9K | $525.9K | 7.5K | 6.3K |
| 2021 | $2.1K | $240.68 | 8.70x | $1.9K | $655.1K | 9.0K | 7.4K |
| 2022 | $2.0K | $249.28 | 7.88x | $1.7K | $623.6K | 9.2K | 7.8K |
| 2023 | $1.6K | $193.30 | 8.20x | $1.4K | $379.0K | 6.1K | 5.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92083 | Measurement of field of vision during daylight conditions | 25.8K | $1.3M | $50.47 | 8.33x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 12.6K | $1.3M | $99.00 | 7.90x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 14.6K | $1.0M | $69.16 | 7.91x |
| 66984 | Removal of cataract with insertion of lens | 1.6K | $813.9K | $524.75 | 7.63x |
| 92250 | Photography of the retina | 9.6K | $397.7K | $41.40 | 10.71x |
| 66170 | Creation of eye fluid drainage tract | 295 | $281.6K | $954.51 | 7.22x |
| 92133 | Diagnostic imaging of optic nerve of eye | 6.8K | $202.6K | $29.62 | 8.97x |
| 66180 | Creation of shunt to improve eye fluid flow | 195 | $193.5K | $992.48 | 7.25x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 542 | $147.9K | $272.84 | 8.02x |
| 92134 | Diagnostic imaging of retina | 3.6K | $117.5K | $32.81 | 8.70x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 835 | $100.0K | $119.76 | 7.88x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 519 | $66.7K | $128.49 | 7.80x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 95 | $55.3K | $582.50 | 6.27x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 2.1K | $48.3K | $23.18 | 7.28x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 420 | $43.4K | $103.45 | 7.86x |
| 0191T | Internal insertion of eye fluid drainage device | 117 | $28.7K | $245.11 | 23.05x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 132 | $27.0K | $204.59 | 9.52x |
| 92082 | Measurement of field of vision during daylight conditions | 566 | $22.5K | $39.82 | 7.88x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 344 | $20.9K | $60.83 | 6.89x |
| 66250 | Revision or repair of operative wound of eye | 44 | $20.3K | $460.58 | 9.65x |
This provider submits charges 8.23 times higher than what Medicare actually pays.
A markup ratio of 8.23x means for every $100 Medicare pays, this provider initially charges $823. 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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