This provider averages 97 services per working day
Based on 241.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $39.3M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 97 services per working day raises questions about billing patterns.
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 | $767.70 | $210.04 | 3.66x | $557.66 | $3.2M | 15.4K | 17 |
| 2015 | $812.79 | $225.98 | 3.60x | $586.81 | $3.8M | 16.6K | 20 |
| 2016 | $835.15 | $234.80 | 3.56x | $600.35 | $4.0M | 17.1K | 16 |
| 2017 | $843.29 | $235.55 | 3.58x | $607.74 | $3.9M | 16.7K | 17 |
| 2018 | $780.00 | $200.49 | 3.89x | $579.51 | $4.3M | 21.2K | 19 |
| 2019 | $805.78 | $203.42 | 3.96x | $602.36 | $4.3M | 20.9K | 18 |
| 2020 | $859.96 | $204.13 | 4.21x | $655.83 | $3.9M | 19.3K | 12 |
| 2021 | $905.23 | $197.26 | 4.59x | $707.97 | $3.8M | 19.5K | 15 |
| 2022 | $775.19 | $160.57 | 4.83x | $614.62 | $3.9M | 24.3K | 17 |
| 2023 | $274.89 | $58.59 | 4.69x | $216.30 | $4.1M | 70.7K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2778 | Injection, ranibizumab, 0.1 mg | 79.1K | $21.5M | $272.22 | 3.98x |
| J0178 | Injection, aflibercept, 1 mg | 12.8K | $9.5M | $743.99 | 2.82x |
| 67028 | Injection of drug into eye | 24.2K | $2.1M | $86.81 | 12.20x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 60.2K | $1.7M | $29.05 | 3.71x |
| 92014 | Established patient complete exam of visual system | 13.1K | $1.2M | $87.76 | 2.61x |
| 92134 | Imaging of retina | 32.7K | $1.0M | $31.29 | 4.13x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 2.8K | $443.5K | $155.99 | 2.38x |
| J3590 | Unclassified biologics | 199 | $362.3K | $1.8K | 3.54x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 2.5K | $299.7K | $120.05 | 2.54x |
| 92012 | Established patient problem focused exam of visual system | 3.2K | $201.3K | $63.77 | 2.31x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 182 | $169.5K | $931.50 | 6.21x |
| 92250 | Photography of the retina | 4.0K | $164.0K | $40.73 | 4.28x |
| J9035 | Injection, bevacizumab, 10 mg | 2.8K | $160.2K | $56.73 | 4.58x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 1.1K | $89.0K | $80.06 | 4.37x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 421 | $50.7K | $120.36 | 2.43x |
| J3490 | Unclassified drugs | 29 | $50.6K | $1.7K | 2.11x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 125 | $49.3K | $394.55 | 5.00x |
| 76512 | 2d ultrasound scan of eye tissue and structures | 750 | $38.9K | $51.92 | 6.95x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 39 | $37.0K | $948.82 | 7.26x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 31 | $24.2K | $780.98 | 3.26x |
This provider submits charges 4.06 times higher than what Medicare actually pays.
A markup ratio of 4.06x means for every $100 Medicare pays, this provider initially charges $406. 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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