This provider's $10.2M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 50% 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 | $402.03 | $122.42 | 3.28x | $279.61 | $833.2K | 6.7K | 5.4K |
| 2015 | $521.31 | $150.47 | 3.46x | $370.84 | $823.1K | 6.6K | 5.3K |
| 2016 | $564.68 | $166.63 | 3.39x | $398.05 | $990.1K | 7.5K | 6.0K |
| 2017 | $500.22 | $147.86 | 3.38x | $352.36 | $936.9K | 7.6K | 6.2K |
| 2018 | $452.01 | $127.51 | 3.54x | $324.50 | $979.2K | 8.1K | 6.5K |
| 2019 | $504.44 | $144.19 | 3.50x | $360.25 | $1.1M | 9.5K | 7.5K |
| 2020 | $691.85 | $173.77 | 3.98x | $518.08 | $865.4K | 7.4K | 5.9K |
| 2021 | $650.55 | $148.82 | 4.37x | $501.73 | $1.2M | 9.8K | 7.9K |
| 2022 | $568.10 | $153.82 | 3.69x | $414.28 | $1.2M | 10.7K | 8.7K |
| 2023 | $771.77 | $163.37 | 4.72x | $608.40 | $1.3M | 10.8K | 8.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 8.5K | $4.1M | $485.78 | 5.15x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 15.1K | $1.4M | $89.79 | 1.95x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 10.7K | $1.2M | $115.94 | 1.73x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 16.8K | $1.1M | $65.66 | 1.75x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.3K | $591.5K | $252.87 | 3.16x |
| 76519 | Ultrasound of eye for determination of lens power | 9.5K | $271.2K | $28.64 | 2.38x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 394 | $265.0K | $672.47 | 2.94x |
| 66982 | Removal of cataract with insertion of lens | 297 | $185.6K | $624.81 | 4.00x |
| 92083 | Measurement of field of vision during daylight conditions | 3.5K | $174.0K | $49.32 | 2.53x |
| 92250 | Photography of the retina | 3.5K | $145.6K | $41.86 | 2.86x |
| 64612 | Injection of chemical for destruction of nerve muscles on one side of face | 882 | $134.6K | $152.60 | 3.68x |
| 92133 | Diagnostic imaging of optic nerve of eye | 4.3K | $124.8K | $29.24 | 8.20x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.2K | $84.1K | $69.89 | 2.17x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 679 | $70.6K | $103.98 | 1.92x |
| 92134 | Diagnostic imaging of retina | 1.2K | $39.6K | $32.19 | 7.46x |
| 65426 | Removal or relocation of corneal conjunctiva | 96 | $37.0K | $385.62 | 3.89x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 311 | $29.8K | $95.78 | 1.95x |
| 0191T | Internal insertion of eye fluid drainage device | 32 | $25.8K | $806.31 | 3.10x |
| 92025 | Computerized mapping of corneal curvature | 855 | $24.9K | $29.09 | 4.30x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 122 | $24.8K | $203.54 | 4.42x |
This provider submits charges 3.56 times higher than what Medicare actually pays.
A markup ratio of 3.56x means for every $100 Medicare pays, this provider initially charges $356. 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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