This provider averages 96 services per working day
Based on 192.6K total services over 8 years (250 working days/year). Learn about impossible service volumes →
This provider's $22.9M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 96 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 362213% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 20658% in 2017
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $342.12 | $97.86 | 3.50x | $244.26 | $1.6K | 16 | 1 |
| 2017 | $303.51 | $117.51 | 2.58x | $186.00 | $325.0K | 2.8K | 17 |
| 2018 | $337.98 | $126.00 | 2.68x | $211.98 | $1.0M | 8.3K | 20 |
| 2019 | $424.50 | $154.29 | 2.75x | $270.21 | $2.1M | 13.8K | 17 |
| 2020 | $492.76 | $183.32 | 2.69x | $309.44 | $2.8M | 15.0K | 16 |
| 2021 | $570.99 | $218.49 | 2.61x | $352.50 | $5.6M | 25.5K | 19 |
| 2022 | $373.72 | $139.33 | 2.68x | $234.39 | $5.4M | 38.5K | 20 |
| 2023 | $163.35 | $64.03 | 2.55x | $99.32 | $5.7M | 88.6K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 16.5K | $12.0M | $725.52 | 2.41x |
| J2778 | Injection, ranibizumab, 0.1 mg | 16.4K | $3.9M | $238.96 | 2.09x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 86.5K | $2.5M | $29.21 | 1.71x |
| 67028 | Injection of drug into eye | 18.9K | $1.6M | $85.48 | 7.00x |
| 92134 | Imaging of retina | 24.1K | $690.9K | $28.69 | 5.23x |
| 92014 | Established patient complete exam of visual system | 7.2K | $589.8K | $81.68 | 1.54x |
| J9035 | Injection, bevacizumab, 10 mg | 9.1K | $518.7K | $57.12 | 1.74x |
| 92012 | Established patient problem focused exam of visual system | 3.0K | $183.5K | $60.43 | 1.41x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2.7K | $170.1K | $63.85 | 1.41x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.6K | $163.3K | $102.65 | 1.60x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 721 | $113.1K | $156.86 | 2.28x |
| 92004 | New patient complete exam of visual system | 830 | $75.8K | $91.31 | 1.63x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 215 | $73.4K | $341.19 | 3.23x |
| 92250 | Photography of the retina | 2.1K | $67.3K | $31.88 | 2.52x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 190 | $48.5K | $255.07 | 5.39x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 546 | $47.3K | $86.68 | 1.44x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 98 | $24.3K | $247.85 | 2.24x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 256 | $19.2K | $75.01 | 3.13x |
| 92083 | Exam of visual field with extended testing | 414 | $17.9K | $43.32 | 2.24x |
| 67210 | Destruction of growth of retina using a laser | 27 | $10.6K | $392.45 | 3.25x |
This provider submits charges 2.64 times higher than what Medicare actually pays.
A markup ratio of 2.64x means for every $100 Medicare pays, this provider initially charges $264. 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 SC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Eric Jablon, M.D. | Charleston, SC | $49.1M | ✓ Clear |
| John Wells, MD | West Columbia, SC | $38.6M | ✓ Clear |
| John Payne, MD | West Columbia, SC | $37.4M | ✓ Clear |
| John Kerrison, M.D. | Charleston, SC | $35.7M | ✓ Clear |
| David Johnson, MD | West Columbia, SC | $34.8M | ✓ 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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