This provider's $11.3M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Their average markup ratio of 8.19x is significantly above the specialty median of 2.9x.
64% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of lens).
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 | $2.6K | $344.43 | 7.43x | $2.2K | $926.3K | 3.0K | 2.2K |
| 2015 | $2.3K | $315.74 | 7.37x | $2.0K | $1.0M | 3.3K | 2.4K |
| 2016 | $3.2K | $366.71 | 8.69x | $2.8K | $1.1M | 3.6K | 2.6K |
| 2017 | $2.1K | $295.47 | 7.23x | $1.8K | $1.4M | 4.5K | 3.1K |
| 2018 | $2.8K | $323.57 | 8.61x | $2.5K | $1.3M | 4.1K | 2.9K |
| 2019 | $1.8K | $353.42 | 5.12x | $1.5K | $1.4M | 4.5K | 3.0K |
| 2020 | $1.9K | $279.44 | 6.75x | $1.6K | $1.0M | 3.5K | 2.3K |
| 2021 | $2.1K | $340.58 | 6.25x | $1.8K | $1.2M | 4.0K | 2.6K |
| 2022 | $2.6K | $405.54 | 6.46x | $2.2K | $1.0M | 3.6K | 2.4K |
| 2023 | $2.6K | $280.83 | 9.22x | $2.3K | $1.0M | 3.7K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 19.5K | $7.2M | $370.17 | 9.54x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 15.6K | $3.0M | $190.32 | 5.34x |
| 66982 | Removal of cataract with insertion of lens | 1.8K | $887.1K | $484.49 | 7.91x |
| 0191T | Internal insertion of eye fluid drainage device | 226 | $110.0K | $486.86 | 2.10x |
| 0376T | Insertion of eye drainage device | 223 | $54.9K | $246.08 | 2.03x |
| 65400 | Removal of growth of cornea | 85 | $35.9K | $422.06 | 2.73x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 70 | $28.7K | $410.34 | 10.65x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 77 | $12.9K | $167.46 | 14.07x |
| 66989 | Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 17 | $10.2K | $602.37 | 3.48x |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 145 | $1.3K | $9.03 | 16.61x |
| 92136 | Measurement of corneal curvature and depth of eye | 21 | $497.11 | $23.67 | 10.56x |
This provider submits charges 8.19 times higher than what Medicare actually pays.
A markup ratio of 8.19x means for every $100 Medicare pays, this provider initially charges $819. 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 IN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Drew Sommerville, MD | Evansville, IN | $35.4M | ✓ 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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