This provider's $8.8M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $399.62 | $135.30 | 2.95x | $264.32 | $977.6K | 11.0K | 9.0K |
| 2015 | $420.06 | $156.03 | 2.69x | $264.03 | $949.3K | 11.0K | 9.0K |
| 2016 | $481.88 | $184.41 | 2.61x | $297.47 | $1.0M | 11.9K | 9.9K |
| 2017 | $465.54 | $169.03 | 2.75x | $296.51 | $1.0M | 11.8K | 9.7K |
| 2018 | $497.06 | $184.27 | 2.70x | $312.79 | $942.8K | 11.6K | 9.4K |
| 2019 | $475.29 | $156.94 | 3.03x | $318.35 | $894.7K | 11.3K | 9.3K |
| 2020 | $436.63 | $144.06 | 3.03x | $292.57 | $747.4K | 9.7K | 7.9K |
| 2021 | $434.16 | $133.86 | 3.24x | $300.30 | $760.5K | 10.7K | 8.8K |
| 2022 | $382.29 | $103.34 | 3.70x | $278.95 | $723.1K | 10.1K | 8.5K |
| 2023 | $545.12 | $159.72 | 3.41x | $385.40 | $741.8K | 10.4K | 8.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 17.5K | $1.6M | $91.84 | 2.72x |
| 66984 | Removal of cataract with insertion of lens | 3.0K | $1.5M | $480.91 | 4.68x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.7K | $686.1K | $252.16 | 2.38x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 10.1K | $670.5K | $66.21 | 2.63x |
| 68761 | Closure of tear duct opening using plug | 5.9K | $525.9K | $88.90 | 3.15x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 4.6K | $489.8K | $105.43 | 2.61x |
| 92134 | Diagnostic imaging of retina | 14.8K | $478.3K | $32.40 | 3.07x |
| 66982 | Removal of cataract with insertion of lens | 705 | $436.1K | $618.56 | 3.64x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 9.5K | $373.6K | $39.18 | 1.53x |
| 92250 | Photography of the retina | 5.3K | $222.7K | $41.80 | 2.99x |
| 92136 | Measurement of corneal curvature and depth of eye | 4.0K | $173.6K | $43.58 | 3.44x |
| 67840 | Removal of eyelid growth | 772 | $171.2K | $221.72 | 2.52x |
| 65778 | Insertion of amniotic membrane to eye surface | 127 | $144.5K | $1.1K | 1.38x |
| 92083 | Measurement of field of vision during daylight conditions | 2.9K | $138.8K | $48.30 | 3.11x |
| 76512 | Ultrasound of eye disease, growth, or structure | 2.1K | $127.4K | $61.36 | 6.87x |
| 92285 | Photography of content of eyes | 7.3K | $118.9K | $16.18 | 5.56x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 2.7K | $115.7K | $42.87 | 1.63x |
| 92275 | Recording of retinal electrical responses to external stimuli | 749 | $91.8K | $122.50 | 2.45x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 378 | $84.5K | $223.51 | 2.26x |
| 0191T | Internal insertion of eye fluid drainage device | 174 | $79.5K | $456.71 | 2.63x |
This provider submits charges 3.18 times higher than what Medicare actually pays.
A markup ratio of 3.18x means for every $100 Medicare pays, this provider initially charges $318. 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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