This provider's $3.8M in total Medicare payments ranks in the 95th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 87% 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 | $433.44 | $156.04 | 2.78x | $277.40 | $307.5K | 3.1K | 1.9K |
| 2015 | $406.22 | $97.92 | 4.15x | $308.30 | $250.4K | 2.7K | 1.7K |
| 2016 | $529.64 | $108.76 | 4.87x | $420.88 | $312.1K | 3.5K | 2.2K |
| 2017 | $480.44 | $94.66 | 5.08x | $385.78 | $299.2K | 3.4K | 2.2K |
| 2018 | $358.59 | $96.77 | 3.71x | $261.82 | $374.9K | 5.0K | 3.6K |
| 2019 | $184.67 | $82.74 | 2.23x | $101.93 | $441.6K | 6.3K | 4.9K |
| 2020 | $197.54 | $87.21 | 2.27x | $110.33 | $320.9K | 4.4K | 3.6K |
| 2021 | $144.51 | $74.13 | 1.95x | $70.38 | $439.0K | 6.0K | 4.7K |
| 2022 | $202.40 | $88.29 | 2.29x | $114.11 | $475.8K | 6.5K | 4.9K |
| 2023 | $150.99 | $76.40 | 1.98x | $74.59 | $574.1K | 8.2K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 20.4K | $2.1M | $105.11 | 1.70x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 3.7K | $444.9K | $121.35 | 1.68x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.8K | $264.5K | $93.51 | 1.39x |
| 92201 | Extended examination of eye with drawing of retina | 9.5K | $202.8K | $21.45 | 3.25x |
| 92250 | Photography of the retina | 3.7K | $191.4K | $51.05 | 2.20x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 844 | $111.2K | $131.73 | 1.52x |
| 92083 | Measurement of field of vision during daylight conditions | 2.0K | $106.7K | $52.93 | 1.89x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 258 | $73.8K | $285.99 | 4.58x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 2.9K | $67.8K | $23.31 | 3.10x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 146 | $55.6K | $380.62 | 5.12x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 601 | $49.2K | $81.79 | 2.47x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 1.4K | $29.8K | $21.93 | 1.82x |
| 92100 | Multiple measurements of eye fluid pressure over an extended time period, same day | 417 | $29.2K | $70.04 | 1.87x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 244 | $12.4K | $50.89 | 16.84x |
| 92235 | Examination of retinal blood vessels by ophthalmoscope | 97 | $7.9K | $80.96 | 4.54x |
| 92202 | Extended examination of eye with drawing of optic nerve and surrounding area (macula) | 172 | $2.3K | $13.60 | 4.22x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 48 | $2.3K | $47.08 | 6.80x |
This provider submits charges 1.99 times higher than what Medicare actually pays.
A markup ratio of 1.99x means for every $100 Medicare pays, this provider initially charges $199. This is lower 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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