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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
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Methodology•Download Data
  1. Home
  2. Providers
  3. Thomas Barnard
👁️
MDIndividual

Thomas Barnard, MD

NPI: 1487654117
Lake Mary, FL
10 years of data
Ophthalmology
$32.3M
Total Payments
237
Beneficiaries
231.6K
Services
2.53x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$32.3M
Specialty median$383.7K

📋 Key Findings

1Billed $32.3M over 10 years
22.53x markup ratio (above median)
399th percentile in Ophthalmology by payments
493 services/day — unusually high
510 procedures with >3x markup

This provider averages 93 services per working day

Based on 231.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $32.3M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.

Averaging 93 services per working day raises questions about billing patterns.

Medicare payments to this provider grew 75% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$314.78$110.562.85x$204.22$2.5M23.0K28
2015$289.16$104.902.76x$184.26$2.7M25.3K24
2016$273.96$105.602.59x$168.36$2.5M24.0K23
2017$277.92$114.592.43x$163.33$2.4M20.7K25
2018$311.06$130.612.38x$180.45$2.8M21.4K25
2019$369.77$159.662.32x$210.11$3.6M22.3K23
2020$429.98$185.342.32x$244.64$3.7M20.1K22
2021$451.04$194.932.31x$256.11$3.5M18.2K21
2022$434.46$179.772.42x$254.69$4.1M22.8K23
2023$389.59$131.502.96x$258.09$4.5M33.9K23

Top Procedures (20)

J0178Injection, aflibercept, 1 mg
$15.9M
21.8K services$727.08/svc2.07x markup
J2778Injection, ranibizumab, 0.1 mg
$5.8M
21.4K services$273.48/svc2.27x markup
67028Injection of drug into eye⚠ 5.5x markup
$1.8M
24.0K services$75.79/svc5.55x markup
92134Imaging of retina
$1.3M
40.5K services$31.57/svc2.24x markup
92014Established patient complete exam of visual system
$1.0M
11.6K services$89.53/svc2.28x markup
99213Established patient office or other outpatient visit, 20-29 minutes
$758.5K
14.2K services$53.41/svc2.29x markup
65800Aspiration of eye fluid⚠ 3.5x markup
$686.4K
7.3K services$94.12/svc3.49x markup
99214Established patient office or other outpatient visit, 30-39 minutes
$673.1K
8.6K services$77.93/svc2.36x markup
J3490Unclassified drugs⚠ 3.3x markup
$630.5K
6.7K services$94.62/svc3.33x markup
J2777Injection, faricimab-svoa, 0.1 mg
$557.1K
19.2K services$29.01/svc2.69x markup
99204New patient office or other outpatient visit, 45-59 minutes
$440.3K
3.7K services$118.41/svc2.42x markup
92226Examination of eye by ophthalmoscope with retinal drawing⚠ 4.2x markup
$342.8K
14.5K services$23.59/svc4.23x markup
Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg⚠ 4.9x markup
$283.2K
1.3K services$217.35/svc4.94x markup
92250Photography of the retina⚠ 3.6x markup
$216.0K
6.2K services$34.83/svc3.62x markup
67108Repair of detached retina with drainage and removal of eye fluid between lens and retina⚠ 3.6x markup
$207.5K
206 services$1.0K/svc3.63x markup
J7999Compounded drug, not otherwise classified⚠ 5.1x markup
$197.2K
4.1K services$48.53/svc5.10x markup
92235Exam of retinal blood vessels using a special camera after injection of a dye
$181.5K
2.3K services$80.04/svc2.87x markup
67041Removal of membrane of retina⚠ 3.0x markup
$179.0K
194 services$922.48/svc3.05x markup
67042Removal of membrane of retina with removal of internal limiting membrane of retina⚠ 3.3x markup
$136.2K
142 services$959.16/svc3.34x markup
67113Complex repair of detached retina and drainage of eye fluid between lens and retina
$119.2K
101 services$1.2K/svc2.85x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
J0178Injection, aflibercept, 1 mg21.8K$15.9M$727.082.07x
J2778Injection, ranibizumab, 0.1 mg21.4K$5.8M$273.482.27x
67028Injection of drug into eye24.0K$1.8M$75.795.55x
92134Imaging of retina40.5K$1.3M$31.572.24x
92014Established patient complete exam of visual system11.6K$1.0M$89.532.28x
99213Established patient office or other outpatient visit, 20-29 minutes14.2K$758.5K$53.412.29x
65800Aspiration of eye fluid7.3K$686.4K$94.123.49x
99214Established patient office or other outpatient visit, 30-39 minutes8.6K$673.1K$77.932.36x
J3490Unclassified drugs6.7K$630.5K$94.623.33x
J2777Injection, faricimab-svoa, 0.1 mg19.2K$557.1K$29.012.69x
99204New patient office or other outpatient visit, 45-59 minutes3.7K$440.3K$118.412.42x
92226Examination of eye by ophthalmoscope with retinal drawing14.5K$342.8K$23.594.23x
Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg1.3K$283.2K$217.354.94x
92250Photography of the retina6.2K$216.0K$34.833.62x
67108Repair of detached retina with drainage and removal of eye fluid between lens and retina206$207.5K$1.0K3.63x
J7999Compounded drug, not otherwise classified4.1K$197.2K$48.535.10x
92235Exam of retinal blood vessels using a special camera after injection of a dye2.3K$181.5K$80.042.87x
67041Removal of membrane of retina194$179.0K$922.483.05x
67042Removal of membrane of retina with removal of internal limiting membrane of retina142$136.2K$959.163.34x
67113Complex repair of detached retina and drainage of eye fluid between lens and retina101$119.2K$1.2K2.85x

Markup Analysis

Charge-to-Payment Ratio

2.53x

This provider submits charges 2.53 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.53x means for every $100 Medicare pays, this provider initially charges $253. This is higher than the national average.

Location

Lake Mary, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ophthalmology providers in FL for peer comparison.

Thomas Barnard (you)
$32.3M
Alexander Eaton, MD
$99.5M
Sunil Gupta, M.D.
$86.1M
Hussein Wafapoor, M.D.
$70.9M
John Myers, M.D.
$69.4M
Thomas Baudo, M.D.
$64.2M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Alexander Eaton, MDFort 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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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data