This provider's $3.4M in total Medicare payments ranks in the 94th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 93% from 2014 to 2023.
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 | $117.56 | $84.17 | 1.40x | $33.39 | $235.7K | 3.8K | 3.0K |
| 2015 | $261.63 | $72.64 | 3.60x | $188.99 | $270.8K | 4.2K | 3.4K |
| 2016 | $278.36 | $76.06 | 3.66x | $202.30 | $277.6K | 4.8K | 3.9K |
| 2017 | $275.33 | $72.30 | 3.81x | $203.03 | $306.5K | 5.5K | 4.3K |
| 2018 | $281.49 | $67.37 | 4.18x | $214.12 | $350.1K | 6.5K | 5.1K |
| 2019 | $299.61 | $76.16 | 3.93x | $223.45 | $396.9K | 7.0K | 5.6K |
| 2020 | $246.41 | $69.52 | 3.54x | $176.89 | $280.6K | 5.0K | 4.3K |
| 2021 | $248.43 | $63.68 | 3.90x | $184.75 | $390.1K | 7.1K | 5.7K |
| 2022 | $267.19 | $62.29 | 4.29x | $204.90 | $438.5K | 8.1K | 6.4K |
| 2023 | $231.01 | $58.17 | 3.97x | $172.84 | $456.0K | 8.6K | 7.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 16.3K | $1.2M | $72.48 | 2.94x |
| 92083 | Measurement of field of vision during daylight conditions | 12.0K | $659.5K | $55.10 | 3.62x |
| 92250 | Photography of the retina | 6.8K | $306.0K | $45.02 | 4.04x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 2.4K | $296.1K | $123.65 | 2.69x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 4.4K | $158.1K | $36.27 | 3.95x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 1.1K | $123.7K | $110.06 | 2.90x |
| 92060 | Measurement of eye muscles to detect deviation of eyeball | 2.3K | $121.8K | $52.85 | 3.20x |
| 92133 | Diagnostic imaging of optic nerve of eye | 2.7K | $83.2K | $30.71 | 4.65x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 3.4K | $79.9K | $23.64 | 4.16x |
| 92134 | Diagnostic imaging of retina | 2.4K | $79.5K | $33.74 | 4.22x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 1.8K | $70.2K | $39.83 | 3.58x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 423 | $63.3K | $149.68 | 3.44x |
| 92201 | Extended examination of eye with drawing of retina | 2.6K | $58.6K | $22.28 | 5.73x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 520 | $49.4K | $95.08 | 3.09x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 106 | $29.0K | $273.62 | 4.79x |
| 68761 | Closure of tear duct opening using plug | 122 | $12.9K | $105.67 | 3.33x |
| 68810 | Insertion of probe into the tear duct | 44 | $8.8K | $200.07 | 3.02x |
| 92202 | Extended examination of eye with drawing of optic nerve and surrounding area (macula) | 566 | $8.1K | $14.35 | 10.08x |
| 76514 | Ultrasound of corneal structure and measurement | 595 | $6.2K | $10.43 | 4.25x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 42 | $2.7K | $63.90 | 6.15x |
This provider submits charges 3.42 times higher than what Medicare actually pays.
A markup ratio of 3.42x means for every $100 Medicare pays, this provider initially charges $342. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jonathan Jonisch, MD | Great Neck, NY | $52.3M | ✓ Clear |
| Jeffrey Josef, M.D. | Suffern, NY | $52.2M | ✓ Clear |
| Brett Rosenblatt | Great Neck, NY | $50.0M | ✓ Clear |
| Kenneth Graham | Great Neck, NY | $47.1M | ✓ Clear |
| Glenn Stoller, M.D. | Rockville Centre, NY | $46.4M | ✓ 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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