This provider's $6.8M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $696.79 | $210.59 | 3.31x | $486.20 | $886.4K | 5.7K | 5.4K |
| 2015 | $703.94 | $194.08 | 3.63x | $509.86 | $842.3K | 6.0K | 5.6K |
| 2016 | $729.83 | $192.65 | 3.79x | $537.18 | $777.5K | 5.6K | 5.3K |
| 2017 | $789.45 | $211.63 | 3.73x | $577.82 | $668.3K | 4.9K | 4.6K |
| 2018 | $815.26 | $220.78 | 3.69x | $594.48 | $680.1K | 5.1K | 4.8K |
| 2019 | $840.31 | $227.35 | 3.70x | $612.96 | $642.5K | 4.8K | 4.5K |
| 2020 | $903.08 | $225.89 | 4.00x | $677.19 | $468.4K | 3.6K | 3.3K |
| 2021 | $980.27 | $231.83 | 4.23x | $748.44 | $546.7K | 4.0K | 3.7K |
| 2022 | $883.17 | $203.06 | 4.35x | $680.11 | $672.2K | 4.7K | 4.3K |
| 2023 | $892.47 | $199.70 | 4.47x | $692.77 | $614.7K | 4.3K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 15823 | Removal of excessive skin and fat of upper eyelid | 3.0K | $2.0M | $643.30 | 3.08x |
| 67904 | Repair of tendon of upper eyelid | 1.6K | $1.0M | $652.24 | 3.29x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 9.6K | $752.6K | $78.60 | 2.42x |
| 67917 | Extensive repair of turning-outward eyelid defect | 1.1K | $467.2K | $420.49 | 3.85x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 525 | $287.9K | $548.42 | 3.50x |
| 67966 | Removal of over one-fourth of the eyelid involving lid margin | 404 | $211.5K | $523.50 | 3.67x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.9K | $170.7K | $58.98 | 2.34x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.4K | $169.4K | $123.08 | 3.14x |
| 68720 | Creation of drainage tract from tear sac to the nasal cavity | 270 | $168.0K | $622.28 | 3.02x |
| 92082 | Measurement of field of vision during daylight conditions | 4.7K | $165.9K | $35.01 | 4.66x |
| 92285 | Photography of content of eyes | 9.7K | $150.8K | $15.48 | 4.86x |
| 67810 | Biopsy of eyelid | 1.0K | $143.2K | $136.66 | 3.83x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.6K | $122.3K | $34.04 | 2.99x |
| 67840 | Removal of eyelid growth | 550 | $117.9K | $214.43 | 3.12x |
| 68840 | Probing of nasal-tear duct | 916 | $107.3K | $117.12 | 2.92x |
| 67950 | Enlargement of eyelid margin | 214 | $76.8K | $358.77 | 4.12x |
| 67961 | Removal of up to one-fourth of the eyelid involving lid margin | 198 | $69.2K | $349.30 | 4.06x |
| 67924 | Repair of turning-inward eyelid defect | 166 | $64.1K | $386.11 | 4.83x |
| 11440 | Removal of growth (0.5 centimeters or less) of the face, ears, eyelids, nose, lips, or mouth | 641 | $56.8K | $88.65 | 3.73x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 78 | $52.7K | $676.09 | 3.67x |
This provider submits charges 3.34 times higher than what Medicare actually pays.
A markup ratio of 3.34x means for every $100 Medicare pays, this provider initially charges $334. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Alexander Eaton, MD | Fort Myers, FL | $99.5M | ✓ Clear |
| Sunil Gupta, M.D. | Pensacola, FL | $86.1M | ✓ Clear |
| Hussein Wafapoor, M.D. | Fort Myers, FL | $70.9M | ✓ Clear |
| John Myers, M.D. | Pensacola, FL | $69.4M | ✓ Clear |
| Thomas Baudo, M.D. | Vero Beach, FL | $64.2M | ✓ 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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