This provider averages 58 services per working day
Based on 146.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.9M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 58 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 | $485.15 | $192.42 | 2.52x | $292.73 | $1.6M | 16.6K | 12.4K |
| 2015 | $472.32 | $176.71 | 2.67x | $295.61 | $1.7M | 17.9K | 14.3K |
| 2016 | $520.32 | $171.02 | 3.04x | $349.30 | $1.7M | 18.9K | 15.1K |
| 2017 | $521.99 | $169.31 | 3.08x | $352.68 | $1.6M | 17.8K | 14.5K |
| 2018 | $472.22 | $163.54 | 2.89x | $308.68 | $1.6M | 17.5K | 14.4K |
| 2019 | $568.78 | $168.69 | 3.37x | $400.09 | $1.5M | 16.0K | 13.2K |
| 2020 | $715.96 | $212.95 | 3.36x | $503.01 | $1.1M | 12.1K | 10.3K |
| 2021 | $687.73 | $185.08 | 3.72x | $502.65 | $1.1M | 10.4K | 9.0K |
| 2022 | $678.64 | $188.46 | 3.60x | $490.18 | $971.6K | 10.1K | 9.2K |
| 2023 | $819.84 | $234.09 | 3.50x | $585.75 | $887.3K | 8.9K | 8.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 32.1K | $2.4M | $75.33 | 2.66x |
| 66984 | Removal of cataract with insertion of lens | 3.4K | $1.8M | $525.93 | 3.29x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 13.3K | $1.4M | $105.58 | 2.13x |
| 92250 | Photography of the retina | 18.0K | $969.3K | $53.99 | 3.10x |
| 92083 | Measurement of field of vision during daylight conditions | 16.3K | $916.1K | $56.15 | 3.69x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.2K | $838.0K | $722.45 | 2.46x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.4K | $702.8K | $295.30 | 2.56x |
| 68761 | Closure of tear duct opening using plug | 3.0K | $593.6K | $197.33 | 3.23x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 4.3K | $544.5K | $127.50 | 1.96x |
| 92133 | Diagnostic imaging of optic nerve of eye | 16.0K | $531.2K | $33.13 | 3.85x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 1.1K | $524.2K | $457.42 | 1.97x |
| 65820 | Incision to improve eye fluid flow | 636 | $463.0K | $727.99 | 3.43x |
| 68801 | Dilation of tear-drainage opening | 3.1K | $411.8K | $134.85 | 4.44x |
| 92134 | Diagnostic imaging of retina | 9.6K | $349.5K | $36.41 | 3.76x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 1.4K | $304.4K | $218.37 | 2.29x |
| 92136 | Measurement of corneal curvature and depth of eye | 4.0K | $227.7K | $56.37 | 2.96x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 224 | $164.3K | $733.61 | 2.73x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 6.4K | $152.1K | $23.63 | 3.67x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 284 | $101.5K | $357.49 | 6.71x |
| 92286 | Microscopic evaluation of deep cells of the eye | 2.7K | $85.6K | $32.28 | 7.02x |
This provider submits charges 3.03 times higher than what Medicare actually pays.
A markup ratio of 3.03x means for every $100 Medicare pays, this provider initially charges $303. 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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