This provider's $10.5M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 262% 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 | $387.23 | $154.26 | 2.51x | $232.97 | $393.3K | 4.0K | 2.3K |
| 2015 | $468.57 | $190.90 | 2.45x | $277.67 | $536.0K | 5.8K | 3.5K |
| 2016 | $454.06 | $161.44 | 2.81x | $292.62 | $688.2K | 7.1K | 4.5K |
| 2017 | $471.26 | $158.83 | 2.97x | $312.43 | $811.4K | 7.1K | 4.7K |
| 2018 | $586.60 | $184.10 | 3.19x | $402.50 | $1.0M | 7.9K | 5.2K |
| 2019 | $473.60 | $168.62 | 2.81x | $304.98 | $1.2M | 8.7K | 5.7K |
| 2020 | $469.29 | $155.39 | 3.02x | $313.90 | $1.3M | 8.6K | 5.4K |
| 2021 | $478.29 | $159.37 | 3.00x | $318.92 | $1.6M | 9.5K | 6.0K |
| 2022 | $481.23 | $155.99 | 3.09x | $325.24 | $1.6M | 9.5K | 5.8K |
| 2023 | $453.86 | $144.94 | 3.13x | $308.92 | $1.4M | 9.0K | 5.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 4.9K | $3.6M | $731.30 | 1.40x |
| 66984 | Removal of cataract with insertion of lens | 5.4K | $1.9M | $346.02 | 4.39x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 11.8K | $852.6K | $72.24 | 3.55x |
| 67028 | Injection of drug into eye | 8.8K | $715.5K | $81.38 | 5.56x |
| 66982 | Removal of cataract with insertion of lens | 1.4K | $682.4K | $471.91 | 4.23x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.0K | $509.8K | $256.69 | 2.69x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.5K | $360.1K | $104.36 | 2.40x |
| 92134 | Diagnostic imaging of retina | 11.6K | $334.7K | $28.88 | 3.72x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 5.9K | $328.4K | $56.07 | 3.17x |
| J2778 | Injection, ranibizumab, 0.1 mg | 1.1K | $304.6K | $286.55 | 1.43x |
| 92136 | Measurement of corneal curvature and depth of eye | 7.2K | $261.3K | $36.23 | 5.80x |
| J3590 | Unclassified biologics | 2.6K | $112.0K | $42.96 | 1.74x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.3K | $100.5K | $76.28 | 2.18x |
| 92133 | Diagnostic imaging of optic nerve of eye | 3.6K | $89.0K | $24.84 | 4.33x |
| 92250 | Photography of the retina | 2.7K | $83.5K | $30.70 | 5.11x |
| 92083 | Measurement of field of vision during daylight conditions | 1.7K | $71.5K | $41.08 | 4.02x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 734 | $67.0K | $91.26 | 3.34x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 273 | $53.4K | $195.70 | 3.62x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 42 | $25.2K | $600.27 | 2.18x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 36 | $17.0K | $473.37 | 6.34x |
This provider submits charges 3.05 times higher than what Medicare actually pays.
A markup ratio of 3.05x means for every $100 Medicare pays, this provider initially charges $305. 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 IA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Kyle Alliman, M.D. | West Des Moines, IA | $83.3M | ✓ Clear |
| David Saggau, MD | West Des Moines, IA | $73.8M | ✓ Clear |
| Jared Nielsen, M.D., M.S. | West Des Moines, IA | $68.1M | ✓ Clear |
| Alex Kartvelishvili, M.D. | Iowa City, IA | $45.0M | ✓ Clear |
| Michael Wadzinski, M.D. | Sioux City, IA | $37.7M | ✓ 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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