This provider's $4.2M in total Medicare payments ranks in the 95th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 75% 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 | $415.48 | $154.64 | 2.69x | $260.84 | $259.0K | 3.1K | 1.9K |
| 2015 | $228.57 | $83.55 | 2.74x | $145.02 | $325.8K | 3.8K | 2.4K |
| 2016 | $322.03 | $107.97 | 2.98x | $214.06 | $374.0K | 4.4K | 2.5K |
| 2017 | $281.56 | $91.78 | 3.07x | $189.78 | $402.6K | 4.6K | 3.0K |
| 2018 | $407.63 | $118.86 | 3.43x | $288.77 | $441.1K | 4.8K | 3.1K |
| 2019 | $440.03 | $131.25 | 3.35x | $308.78 | $517.6K | 5.8K | 3.6K |
| 2020 | $488.20 | $121.60 | 4.01x | $366.60 | $400.6K | 4.4K | 2.8K |
| 2021 | $475.86 | $143.74 | 3.31x | $332.12 | $469.6K | 4.7K | 2.9K |
| 2022 | $652.85 | $199.75 | 3.27x | $453.10 | $518.2K | 5.0K | 3.0K |
| 2023 | $449.90 | $120.32 | 3.74x | $329.58 | $454.5K | 4.8K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 4.9K | $553.7K | $112.34 | 2.84x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 2.0K | $476.4K | $242.57 | 3.79x |
| 95930 | Measurement and recording of nerve conduction patterns using visually-evoked stimulation | 4.6K | $395.0K | $85.89 | 4.02x |
| J0178 | Injection, aflibercept, 1 mg | 439 | $323.9K | $737.79 | 4.02x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.9K | $294.3K | $102.43 | 2.70x |
| 92134 | Diagnostic imaging of retina | 5.9K | $232.5K | $39.70 | 2.92x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 2.9K | $228.1K | $78.62 | 2.84x |
| 92273 | Full field recording of retinal electrical responses to external stimuli with interpretation and report | 1.7K | $218.0K | $130.45 | 2.68x |
| 92275 | Recording of retinal electrical responses to external stimuli | 1.5K | $213.3K | $146.48 | 2.39x |
| 92250 | Photography of the retina | 3.7K | $191.5K | $52.36 | 4.13x |
| 92083 | Measurement of field of vision during daylight conditions | 3.3K | $191.1K | $58.36 | 3.13x |
| 67028 | Injection of drug into eye | 1.7K | $166.8K | $99.12 | 4.83x |
| 92235 | Examination of retinal blood vessels by ophthalmoscope | 947 | $97.6K | $103.03 | 2.85x |
| 92133 | Diagnostic imaging of optic nerve of eye | 2.6K | $90.1K | $34.40 | 3.70x |
| 0509T | Pattern recording of retinal electrical responses to external stimuli with interpretation and report | 1.1K | $88.0K | $79.22 | 4.33x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 591 | $69.4K | $117.40 | 3.07x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 433 | $56.9K | $131.42 | 2.81x |
| J9035 | Injection, bevacizumab, 10 mg | 701 | $40.2K | $57.30 | 2.08x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 778 | $36.5K | $46.89 | 2.56x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 462 | $31.7K | $68.65 | 2.50x |
This provider submits charges 3.32 times higher than what Medicare actually pays.
A markup ratio of 3.32x means for every $100 Medicare pays, this provider initially charges $332. 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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