This provider's $8.0M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 3794% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 460% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $203.34 | $49.19 | 4.13x | $154.15 | $80.3K | 1.6K | 14 |
| 2019 | $290.95 | $100.91 | 2.88x | $190.04 | $88.6K | 878 | 10 |
| 2020 | $479.35 | $137.59 | 3.48x | $341.76 | $315.9K | 2.3K | 15 |
| 2021 | $492.62 | $153.16 | 3.22x | $339.46 | $1.8M | 11.5K | 23 |
| 2022 | $466.11 | $162.34 | 2.87x | $303.77 | $2.6M | 16.3K | 23 |
| 2023 | $296.14 | $97.28 | 3.04x | $198.86 | $3.1M | 32.2K | 23 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 4.0K | $2.8M | $709.38 | 2.66x |
| J2778 | Injection, ranibizumab, 0.1 mg | 11.1K | $2.4M | $213.46 | 3.35x |
| 67028 | Injection of drug into eye | 5.1K | $506.7K | $99.25 | 3.08x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 15.1K | $437.1K | $29.02 | 2.62x |
| 92014 | Established patient complete exam of visual system | 3.5K | $321.7K | $91.66 | 3.19x |
| 92134 | Imaging of retina | 8.5K | $268.0K | $31.63 | 3.04x |
| 92250 | Photography of the retina | 8.3K | $252.1K | $30.36 | 4.52x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.6K | $197.6K | $126.82 | 3.23x |
| 92012 | Established patient problem focused exam of visual system | 2.1K | $138.8K | $66.70 | 2.87x |
| J3490 | Unclassified drugs | 929 | $122.1K | $131.48 | 4.42x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 977 | $96.3K | $98.58 | 2.71x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 434 | $68.4K | $157.58 | 2.53x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 71 | $66.5K | $936.49 | 3.17x |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | 213 | $45.6K | $214.24 | 2.54x |
| 92004 | New patient complete exam of visual system | 339 | $36.1K | $106.44 | 3.31x |
| 67110 | Repair of detached retina by injection of air or gas | 46 | $33.2K | $722.72 | 2.73x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 35 | $33.1K | $946.66 | 2.67x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 106 | $30.3K | $286.27 | 4.55x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 323 | $29.3K | $90.61 | 3.11x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 363 | $25.8K | $70.96 | 2.33x |
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 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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