This provider's $3.8M in total Medicare payments ranks in the 95th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 193% 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 | $378.59 | $111.15 | 3.41x | $267.44 | $178.0K | 2.1K | 1.5K |
| 2015 | $228.67 | $87.16 | 2.62x | $141.51 | $241.6K | 2.9K | 2.2K |
| 2016 | $208.07 | $70.38 | 2.96x | $137.69 | $286.1K | 3.8K | 2.9K |
| 2017 | $188.64 | $58.88 | 3.20x | $129.76 | $400.1K | 5.6K | 4.3K |
| 2018 | $227.73 | $63.15 | 3.61x | $164.58 | $349.9K | 5.1K | 3.8K |
| 2019 | $186.48 | $65.70 | 2.84x | $120.78 | $392.8K | 4.9K | 3.6K |
| 2020 | $184.64 | $56.81 | 3.25x | $127.83 | $413.6K | 5.0K | 3.8K |
| 2021 | $226.92 | $80.72 | 2.81x | $146.20 | $490.9K | 5.4K | 4.0K |
| 2022 | $218.52 | $66.81 | 3.27x | $151.71 | $510.7K | 6.4K | 4.8K |
| 2023 | $280.72 | $88.58 | 3.17x | $192.14 | $521.9K | 6.6K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 6.8K | $839.7K | $124.25 | 2.00x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 8.1K | $774.2K | $95.54 | 1.77x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.3K | $586.8K | $93.30 | 2.41x |
| 66984 | Removal of cataract with insertion of lens | 531 | $244.3K | $460.04 | 3.16x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 3.0K | $206.8K | $68.06 | 1.82x |
| 92083 | Measurement of field of vision during daylight conditions | 3.5K | $171.9K | $49.18 | 2.85x |
| 68761 | Closure of tear duct opening using plug | 978 | $113.2K | $115.79 | 2.25x |
| 92250 | Photography of the retina | 2.5K | $109.4K | $43.25 | 3.47x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 398 | $107.1K | $269.13 | 2.23x |
| 92134 | Diagnostic imaging of retina | 2.7K | $85.8K | $31.76 | 4.57x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 301 | $66.2K | $219.93 | 2.91x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 489 | $56.6K | $115.84 | 1.68x |
| 92133 | Diagnostic imaging of optic nerve of eye | 1.6K | $47.5K | $29.50 | 4.91x |
| 67028 | Injection of drug into eye | 493 | $42.6K | $86.33 | 7.53x |
| 66982 | Removal of cataract with insertion of lens, complex | 66 | $37.4K | $566.53 | 2.47x |
| 97597 | Removal of tissue from wounds per session | 413 | $33.1K | $80.08 | 1.77x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 394 | $30.4K | $77.09 | 2.23x |
| J9035 | Injection, bevacizumab, 10 mg | 295 | $17.6K | $59.57 | 2.96x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 1.0K | $17.0K | $16.49 | 3.65x |
| 92136 | Measurement of corneal curvature and depth of eye | 617 | $16.9K | $27.33 | 12.81x |
This provider submits charges 2.49 times higher than what Medicare actually pays.
A markup ratio of 2.49x means for every $100 Medicare pays, this provider initially charges $249. 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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