This provider's $4.0M in total Medicare payments ranks in the 99th percentile of Optometry providers nationally.
Medicare payments to this provider grew 385% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 66% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $178.08 | $68.22 | 2.61x | $109.86 | $161.6K | 2.3K | 1.8K |
| 2015 | $162.52 | $68.15 | 2.38x | $94.37 | $191.8K | 2.9K | 2.0K |
| 2016 | $134.99 | $59.58 | 2.27x | $75.41 | $309.4K | 4.7K | 3.2K |
| 2017 | $175.13 | $64.08 | 2.73x | $111.05 | $193.4K | 3.4K | 2.4K |
| 2018 | $162.18 | $60.04 | 2.70x | $102.14 | $255.9K | 4.0K | 2.8K |
| 2019 | $410.06 | $160.67 | 2.55x | $249.39 | $425.3K | 6.0K | 4.2K |
| 2020 | $351.07 | $134.23 | 2.62x | $216.84 | $600.7K | 5.4K | 3.6K |
| 2021 | $353.39 | $148.29 | 2.38x | $205.10 | $528.6K | 5.9K | 3.8K |
| 2022 | $341.03 | $131.40 | 2.60x | $209.63 | $501.5K | 6.1K | 4.0K |
| 2023 | $371.39 | $134.47 | 2.76x | $236.92 | $783.1K | 6.7K | 4.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 14.9K | $1.3M | $90.27 | 1.68x |
| 65778 | Insertion of amniotic membrane to eye surface | 876 | $1.1M | $1.2K | 2.70x |
| 92134 | Diagnostic imaging of retina | 7.6K | $246.6K | $32.35 | 3.09x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 3.5K | $240.9K | $68.14 | 1.83x |
| 92083 | Measurement of field of vision during daylight conditions | 3.9K | $196.2K | $50.70 | 2.66x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.7K | $173.6K | $100.76 | 1.99x |
| 92250 | Photography of the retina | 4.1K | $143.9K | $35.41 | 3.57x |
| 92133 | Diagnostic imaging of optic nerve of eye | 4.9K | $136.7K | $28.18 | 3.13x |
| 92273 | Full field recording of retinal electrical responses to external stimuli with interpretation and report | 1.1K | $120.0K | $112.37 | 2.22x |
| 95930 | Measurement and recording of nerve conduction patterns using visually-evoked stimulation | 1.4K | $87.2K | $60.18 | 4.99x |
| 92082 | Measurement of field of vision during daylight conditions | 1.5K | $52.8K | $35.11 | 3.02x |
| 68761 | Closure of tear duct opening using plug | 351 | $45.1K | $128.55 | 1.78x |
| 92275 | Recording of retinal electrical responses to external stimuli | 284 | $32.6K | $114.84 | 2.62x |
| 67820 | Removal of eyelashes by forceps | 669 | $18.0K | $26.98 | 3.91x |
| 92002 | Eye and medical examination for diagnosis and treatment, new patient | 142 | $9.4K | $66.30 | 1.89x |
| 76514 | Ultrasound of corneal structure and measurement | 385 | $3.6K | $9.28 | 2.70x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 40 | $3.5K | $86.35 | 1.56x |
| 92136 | Measurement of corneal curvature and depth of eye | 13 | $533.92 | $41.07 | 2.92x |
This provider submits charges 2.37 times higher than what Medicare actually pays.
A markup ratio of 2.37x means for every $100 Medicare pays, this provider initially charges $237. This is higher than the national average.
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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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