This provider averages 110 services per working day
Based on 275.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $38.6M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 110 services per working day raises questions about billing patterns.
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 | $265.65 | $166.01 | 1.60x | $99.64 | $3.7M | 22.4K | 16 |
| 2015 | $260.54 | $159.98 | 1.63x | $100.56 | $3.3M | 20.9K | 18 |
| 2016 | $269.33 | $165.44 | 1.63x | $103.89 | $3.6M | 21.8K | 15 |
| 2017 | $278.68 | $171.43 | 1.63x | $107.25 | $3.8M | 22.4K | 15 |
| 2018 | $270.79 | $175.56 | 1.54x | $95.23 | $4.1M | 23.1K | 16 |
| 2019 | $241.00 | $167.56 | 1.44x | $73.44 | $4.0M | 24.0K | 16 |
| 2020 | $303.36 | $190.56 | 1.59x | $112.80 | $3.7M | 19.6K | 17 |
| 2021 | $310.55 | $193.60 | 1.60x | $116.95 | $3.9M | 20.3K | 16 |
| 2022 | $243.65 | $154.38 | 1.58x | $89.27 | $3.9M | 25.5K | 18 |
| 2023 | $113.16 | $58.65 | 1.93x | $54.51 | $4.4M | 75.4K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 29.1K | $21.6M | $743.22 | 1.42x |
| J2778 | Injection, ranibizumab, 0.1 mg | 22.0K | $6.3M | $285.67 | 1.46x |
| 67028 | Injection of drug into eye | 25.8K | $2.2M | $86.49 | 2.78x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 65.1K | $1.9M | $29.14 | 1.53x |
| 92014 | Established patient complete exam of visual system | 18.8K | $1.7M | $91.43 | 1.73x |
| 92012 | Established patient problem focused exam of visual system | 22.4K | $1.5M | $65.81 | 1.64x |
| 92134 | Imaging of retina | 44.2K | $1.4M | $32.77 | 2.27x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 22.9K | $609.7K | $26.65 | 3.31x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 2.2K | $272.3K | $125.58 | 1.66x |
| 92250 | Photography of the retina | 5.7K | $226.1K | $40.02 | 1.54x |
| 76512 | 2d ultrasound scan of eye tissue and structures | 3.2K | $174.8K | $54.72 | 1.81x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 1.3K | $162.0K | $125.52 | 1.87x |
| J7999 | Compounded drug, not otherwise classified | 2.8K | $131.4K | $46.90 | 3.44x |
| J3490 | Unclassified drugs | 2.2K | $115.5K | $52.50 | 4.36x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 1.9K | $61.8K | $32.72 | 2.96x |
| 67041 | Removal of membrane of retina | 64 | $60.5K | $944.75 | 1.56x |
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 5.0K | $59.7K | $12.02 | 1.62x |
| 67145 | Preventive retinal detachment treatment by heat or laser, 1 or more sessions | 95 | $41.8K | $439.58 | 1.61x |
| 92004 | New patient complete exam of visual system | 377 | $37.5K | $99.42 | 1.87x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina, complex | 14 | $15.7K | $1.1K | 1.48x |
This provider submits charges 1.62 times higher than what Medicare actually pays.
A markup ratio of 1.62x means for every $100 Medicare pays, this provider initially charges $162. This is lower 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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