This provider averages 123 services per working day
Based on 308.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $25.3M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 123 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 67% 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 | $306.07 | $125.46 | 2.44x | $180.61 | $1.9M | 15.3K | 23 |
| 2015 | $322.80 | $107.75 | 3.00x | $215.05 | $1.7M | 15.4K | 27 |
| 2016 | $301.51 | $91.63 | 3.29x | $209.88 | $2.3M | 25.5K | 27 |
| 2017 | $311.87 | $70.52 | 4.42x | $241.35 | $2.3M | 32.1K | 28 |
| 2018 | $311.23 | $70.18 | 4.43x | $241.05 | $2.5M | 35.5K | 28 |
| 2019 | $326.57 | $71.98 | 4.54x | $254.59 | $2.8M | 39.0K | 30 |
| 2020 | $356.84 | $79.90 | 4.47x | $276.94 | $2.7M | 34.0K | 26 |
| 2021 | $354.71 | $82.87 | 4.28x | $271.84 | $3.0M | 35.7K | 28 |
| 2022 | $359.91 | $85.20 | 4.22x | $274.71 | $2.9M | 34.2K | 31 |
| 2023 | $323.51 | $77.05 | 4.20x | $246.46 | $3.2M | 41.6K | 36 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 67028 | Injection of drug into eye | 35.3K | $3.3M | $92.40 | 4.67x |
| 67210 | Destruction of growth of retina using a laser | 5.1K | $2.3M | $458.44 | 3.64x |
| J0178 | Injection, aflibercept, 1 mg | 2.7K | $2.0M | $744.80 | 3.39x |
| 92014 | Established patient complete exam of visual system | 19.0K | $1.9M | $100.97 | 3.90x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 17.0K | $1.6M | $95.14 | 3.07x |
| 92134 | Imaging of retina | 38.9K | $1.4M | $34.74 | 3.83x |
| J7999 | Compounded drug, not otherwise classified | 17.8K | $1.3M | $74.03 | 2.03x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 3.4K | $1.2M | $362.96 | 6.90x |
| 76512 | 2d ultrasound scan of eye tissue and structures | 21.3K | $1.2M | $55.76 | 5.48x |
| 92242 | Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye | 4.8K | $1.1M | $223.09 | 3.55x |
| 67500 | Injection of drug into cavity behind eye | 31.0K | $1.0M | $32.85 | 7.35x |
| 92012 | Established patient problem focused exam of visual system | 11.8K | $886.4K | $75.07 | 3.54x |
| J9035 | Injection, bevacizumab, 10 mg | 14.2K | $823.1K | $57.80 | 2.60x |
| J2778 | Injection, ranibizumab, 0.1 mg | 2.8K | $781.4K | $274.29 | 2.27x |
| 92250 | Photography of the retina | 13.6K | $599.6K | $44.01 | 4.97x |
| 92240 | Imaging of blood vessels in back of eye using indocyanine-green dye | 2.1K | $476.7K | $222.23 | 3.38x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 3.6K | $436.6K | $120.01 | 4.08x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 290 | $370.1K | $1.3K | 3.42x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 278 | $300.2K | $1.1K | 3.07x |
| J0179 | Injection, brolucizumab-dbll, 1 mg | 1.0K | $255.3K | $250.33 | 2.60x |
This provider submits charges 4.02 times higher than what Medicare actually pays.
A markup ratio of 4.02x means for every $100 Medicare pays, this provider initially charges $402. 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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