This provider's $4.7M in total Medicare payments ranks in the 96th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 60% 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 | $426.38 | $97.93 | 4.35x | $328.45 | $385.6K | 4.1K | 2.9K |
| 2015 | $421.87 | $95.56 | 4.41x | $326.31 | $388.0K | 4.3K | 3.1K |
| 2016 | $420.79 | $92.09 | 4.57x | $328.70 | $415.1K | 5.0K | 3.6K |
| 2017 | $657.29 | $121.30 | 5.42x | $535.99 | $439.1K | 5.7K | 4.2K |
| 2018 | $400.99 | $91.12 | 4.40x | $309.87 | $477.7K | 6.1K | 4.5K |
| 2019 | $657.50 | $128.09 | 5.13x | $529.41 | $521.2K | 6.2K | 4.6K |
| 2020 | $397.19 | $81.36 | 4.88x | $315.83 | $359.8K | 4.8K | 3.8K |
| 2021 | $367.62 | $82.19 | 4.47x | $285.43 | $485.3K | 5.8K | 4.5K |
| 2022 | $400.39 | $82.99 | 4.82x | $317.40 | $573.6K | 6.6K | 5.0K |
| 2023 | $428.38 | $84.74 | 5.06x | $343.64 | $618.2K | 7.1K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 68761 | Closure of tear duct opening using plug | 4.1K | $796.1K | $195.21 | 3.06x |
| 66984 | Removal of cataract with insertion of lens | 1.3K | $706.4K | $542.51 | 7.32x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 7.4K | $699.6K | $94.82 | 1.73x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 5.9K | $400.3K | $68.28 | 2.02x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 998 | $293.0K | $293.63 | 3.44x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 2.7K | $284.9K | $104.63 | 1.98x |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | 3.5K | $263.9K | $75.56 | 2.06x |
| 92083 | Measurement of field of vision during daylight conditions | 4.3K | $236.7K | $54.43 | 3.67x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 4.4K | $181.9K | $41.57 | 2.31x |
| 92250 | Photography of the retina | 3.0K | $148.5K | $48.73 | 2.76x |
| 92134 | Diagnostic imaging of retina | 3.0K | $104.4K | $35.04 | 3.76x |
| 92133 | Diagnostic imaging of optic nerve of eye | 3.4K | $104.0K | $30.58 | 4.43x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 734 | $81.6K | $111.18 | 1.71x |
| 92201 | Extended examination of eye with drawing of retina | 3.1K | $66.3K | $21.36 | 4.68x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 2.0K | $47.5K | $23.38 | 4.08x |
| 92136 | Measurement of corneal curvature and depth of eye | 1.0K | $45.9K | $44.79 | 6.94x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 322 | $40.7K | $126.51 | 2.23x |
| 92286 | Microscopic evaluation of deep cells of the eye | 1.1K | $35.2K | $31.99 | 9.37x |
| 66982 | Removal of cataract with insertion of lens | 36 | $26.0K | $720.95 | 7.18x |
| 92025 | Computerized mapping of corneal curvature | 799 | $25.0K | $31.33 | 4.00x |
This provider submits charges 3.5 times higher than what Medicare actually pays.
A markup ratio of 3.5x means for every $100 Medicare pays, this provider initially charges $350. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jonathan Jonisch, MD | Great Neck, NY | $52.3M | ✓ Clear |
| Jeffrey Josef, M.D. | Suffern, NY | $52.2M | ✓ Clear |
| Brett Rosenblatt | Great Neck, NY | $50.0M | ✓ Clear |
| Kenneth Graham | Great Neck, NY | $47.1M | ✓ Clear |
| Glenn Stoller, M.D. | Rockville Centre, NY | $46.4M | ✓ 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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