This provider's $5.2M in total Medicare payments ranks in the 96th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 247% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 128% in 2016
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $415.34 | $122.01 | 3.40x | $293.33 | $180.1K | 1.5K | 1.3K |
| 2015 | $431.74 | $119.38 | 3.62x | $312.36 | $185.9K | 1.6K | 1.3K |
| 2016 | $501.27 | $115.93 | 4.32x | $385.34 | $423.6K | 2.9K | 2.2K |
| 2017 | $575.20 | $148.20 | 3.88x | $427.00 | $522.6K | 3.4K | 2.5K |
| 2018 | $490.09 | $123.47 | 3.97x | $366.62 | $624.3K | 4.2K | 3.0K |
| 2019 | $693.33 | $146.31 | 4.74x | $547.02 | $612.9K | 3.7K | 2.8K |
| 2020 | $649.00 | $156.46 | 4.15x | $492.54 | $481.7K | 3.2K | 2.5K |
| 2021 | $475.47 | $155.05 | 3.07x | $320.42 | $714.0K | 4.4K | 3.3K |
| 2022 | $484.17 | $174.47 | 2.78x | $309.70 | $844.1K | 5.9K | 4.7K |
| 2023 | $432.85 | $145.23 | 2.98x | $287.62 | $625.7K | 4.4K | 3.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 6.7K | $2.8M | $414.30 | 5.25x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 4.1K | $404.3K | $99.31 | 1.76x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 3.0K | $313.4K | $105.42 | 1.89x |
| 92136 | Measurement of corneal curvature and depth of eye | 6.9K | $301.3K | $43.52 | 4.23x |
| 66982 | Removal of cataract with insertion of lens | 529 | $289.2K | $546.65 | 5.38x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $194.3K | $121.67 | 2.44x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 2.4K | $167.5K | $68.75 | 1.80x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 470 | $145.6K | $309.75 | 2.94x |
| 65820 | Incision to improve eye fluid flow | 160 | $101.9K | $636.95 | 2.69x |
| 92134 | Diagnostic imaging of retina | 2.8K | $92.0K | $33.34 | 4.43x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 817 | $81.3K | $99.48 | 2.09x |
| 92083 | Measurement of field of vision during daylight conditions | 1.3K | $70.2K | $53.21 | 2.27x |
| 0191T | Internal insertion of eye fluid drainage device | 112 | $61.5K | $548.97 | 3.70x |
| 92133 | Diagnostic imaging of optic nerve of eye | 1.3K | $39.6K | $30.08 | 5.25x |
| 92250 | Photography of the retina | 779 | $36.0K | $46.15 | 2.39x |
| J0178 | Injection, aflibercept, 1 mg | 50 | $35.8K | $715.68 | 2.10x |
| 67028 | Injection of drug into eye | 336 | $34.3K | $102.04 | 3.18x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 321 | $17.2K | $53.50 | 2.44x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 19 | $13.2K | $694.12 | 2.88x |
| 76519 | Ultrasound of eye for determination of lens power | 240 | $11.8K | $49.32 | 4.26x |
This provider submits charges 4.18 times higher than what Medicare actually pays.
A markup ratio of 4.18x means for every $100 Medicare pays, this provider initially charges $418. 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 MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Michael Elman, M.D. | Baltimore, MD | $68.5M | ✓ Clear |
| David Warrow, M.D. | Hagerstown, MD | $65.5M | ✓ Clear |
| Raymond Sjaarda, M.D. | Baltimore, MD | $47.2M | ✓ Clear |
| Allen Hu, MD | Hagerstown, MD | $45.7M | ✓ Clear |
| James Rial, M.D. | Salisbury, MD | $45.2M | ✓ 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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