This provider averages 106 services per working day
Based on 211.9K total services over 8 years (250 working days/year). Learn about impossible service volumes →
This provider's $38.4M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 106 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 246773% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 53000% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $132.34 | $26.73 | 4.95x | $105.61 | $3.1K | 117 | 3 |
| 2017 | $519.26 | $197.74 | 2.63x | $321.52 | $1.7M | 8.4K | 19 |
| 2018 | $541.96 | $207.87 | 2.61x | $334.09 | $4.9M | 23.6K | 26 |
| 2019 | $522.99 | $200.38 | 2.61x | $322.61 | $5.2M | 26.1K | 25 |
| 2020 | $526.89 | $201.54 | 2.61x | $325.35 | $6.2M | 31.0K | 25 |
| 2021 | $542.43 | $206.04 | 2.63x | $336.39 | $6.4M | 30.9K | 24 |
| 2022 | $586.10 | $209.00 | 2.80x | $377.10 | $6.2M | 29.9K | 24 |
| 2023 | $376.87 | $124.49 | 3.03x | $252.38 | $7.7M | 62.0K | 26 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 26.7K | $19.6M | $734.05 | 2.60x |
| J2778 | Injection, ranibizumab, 0.1 mg | 37.7K | $9.1M | $242.19 | 2.90x |
| 67028 | Injection of drug into eye | 19.5K | $1.8M | $93.64 | 2.71x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 32.1K | $932.9K | $29.06 | 2.62x |
| 92242 | Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye | 4.8K | $896.5K | $187.08 | 2.55x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 7.4K | $689.2K | $92.64 | 2.46x |
| 92014 | Established patient complete exam of visual system | 7.5K | $686.3K | $91.53 | 2.77x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 8.0K | $632.5K | $78.87 | 2.48x |
| 92250 | Photography of the retina | 17.4K | $530.5K | $30.56 | 3.40x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 7.5K | $471.1K | $63.01 | 2.77x |
| J3490 | Unclassified drugs | 1.2K | $468.4K | $393.62 | 5.68x |
| 92134 | Imaging of retina | 14.4K | $416.6K | $28.96 | 2.90x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 5.6K | $371.2K | $66.61 | 2.37x |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | 1.7K | $361.6K | $214.20 | 2.54x |
| 92273 | Measurement of retinal and optic nerve function | 2.4K | $229.9K | $95.97 | 2.79x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 5.4K | $207.0K | $38.04 | 2.55x |
| 92287 | Imaging of front third of eye using a special camera after injection of a dye | 1.4K | $162.5K | $114.58 | 2.60x |
| 67210 | Destruction of growth of retina using a laser | 313 | $128.0K | $408.92 | 2.63x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 355 | $123.2K | $347.13 | 3.23x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 756 | $119.5K | $158.10 | 2.53x |
This provider submits charges 2.73 times higher than what Medicare actually pays.
A markup ratio of 2.73x means for every $100 Medicare pays, this provider initially charges $273. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Alexander Eaton, MD | Fort Myers, FL | $99.5M | ✓ Clear |
| Sunil Gupta, M.D. | Pensacola, FL | $86.1M | ✓ Clear |
| Hussein Wafapoor, M.D. | Fort Myers, FL | $70.9M | ✓ Clear |
| John Myers, M.D. | Pensacola, FL | $69.4M | ✓ Clear |
| Thomas Baudo, M.D. | Vero Beach, FL | $64.2M | ✓ 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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