This provider's $12.2M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 179% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 55% in 2022
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 | $686.70 | $248.42 | 2.76x | $438.28 | $714.1K | 5.7K | 3.9K |
| 2015 | $700.17 | $239.51 | 2.92x | $460.66 | $889.6K | 6.6K | 4.2K |
| 2016 | $662.47 | $195.06 | 3.40x | $467.41 | $960.5K | 7.6K | 4.6K |
| 2017 | $677.94 | $194.68 | 3.48x | $483.26 | $951.2K | 7.6K | 4.5K |
| 2018 | $649.88 | $187.19 | 3.47x | $462.69 | $1.1M | 8.2K | 4.6K |
| 2019 | $729.39 | $200.08 | 3.65x | $529.31 | $1.2M | 9.6K | 5.3K |
| 2020 | $624.03 | $179.24 | 3.48x | $444.79 | $889.3K | 7.0K | 4.2K |
| 2021 | $654.33 | $180.31 | 3.63x | $474.02 | $1.4M | 10.6K | 6.7K |
| 2022 | $553.48 | $184.46 | 3.00x | $369.02 | $2.1M | 14.5K | 8.6K |
| 2023 | $562.54 | $190.91 | 2.95x | $371.63 | $2.0M | 14.0K | 7.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 4.9K | $3.6M | $737.11 | 1.53x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 20.3K | $1.5M | $71.56 | 1.75x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 8.9K | $986.2K | $111.42 | 3.04x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 1.4K | $658.3K | $481.58 | 3.15x |
| 65778 | Placement of amniotic membrane on eye surface for wound healing | 477 | $632.8K | $1.3K | 2.18x |
| 92273 | Full field recording of retinal electrical responses to external stimuli with interpretation and report | 5.0K | $605.4K | $121.77 | 3.57x |
| 92134 | Diagnostic imaging of retina | 15.8K | $573.1K | $36.29 | 2.48x |
| 67028 | Injection of drug into eye | 5.6K | $530.8K | $95.46 | 6.81x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 4.1K | $391.7K | $95.71 | 1.78x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 916 | $366.5K | $400.14 | 5.00x |
| 66984 | Removal of cataract with insertion of lens | 611 | $352.8K | $577.46 | 4.33x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 826 | $252.9K | $306.17 | 3.27x |
| 92083 | Measurement of field of vision during daylight conditions | 4.7K | $249.2K | $53.46 | 2.34x |
| 66982 | Removal of cataract with insertion of lens | 333 | $240.1K | $720.94 | 4.16x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.3K | $147.9K | $111.44 | 1.66x |
| 92235 | Examination of retinal blood vessels by ophthalmoscope | 1.5K | $138.6K | $94.25 | 5.06x |
| 92133 | Diagnostic imaging of optic nerve of eye | 4.0K | $131.1K | $33.10 | 2.72x |
| 93890 | Ultrasound of within the brain blood flow following medication | 500 | $109.1K | $218.12 | 1.83x |
| 93886 | Complete ultrasound of within the brain blood flow | 500 | $99.8K | $199.68 | 2.00x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 3.8K | $94.2K | $24.50 | 2.65x |
This provider submits charges 2.6 times higher than what Medicare actually pays.
A markup ratio of 2.6x means for every $100 Medicare pays, this provider initially charges $260. 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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