This provider averages 64 services per working day
Based on 159.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $19.9M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 64 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 315% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 63% in 2015
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 | $312.41 | $118.71 | 2.63x | $193.70 | $702.7K | 5.9K | 14 |
| 2015 | $315.92 | $119.40 | 2.65x | $196.52 | $1.1M | 9.6K | 15 |
| 2016 | $330.19 | $118.50 | 2.79x | $211.69 | $1.7M | 14.0K | 14 |
| 2017 | $363.80 | $132.59 | 2.74x | $231.21 | $2.0M | 15.0K | 16 |
| 2018 | $385.66 | $145.86 | 2.64x | $239.80 | $2.4M | 16.4K | 15 |
| 2019 | $373.26 | $135.96 | 2.75x | $237.30 | $2.4M | 17.4K | 14 |
| 2020 | $376.67 | $132.79 | 2.84x | $243.88 | $2.2M | 16.5K | 14 |
| 2021 | $347.28 | $122.52 | 2.83x | $224.76 | $2.2M | 18.1K | 14 |
| 2022 | $362.91 | $121.21 | 2.99x | $241.70 | $2.3M | 19.3K | 13 |
| 2023 | $327.27 | $108.34 | 3.02x | $218.93 | $2.9M | 26.9K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 7.1K | $5.2M | $734.22 | 2.72x |
| J2778 | Injection, ranibizumab, 0.1 mg | 15.5K | $4.3M | $275.48 | 2.18x |
| 92014 | Established patient complete exam of visual system | 35.8K | $3.8M | $106.75 | 2.58x |
| 67028 | Injection of drug into eye | 25.5K | $2.4M | $94.84 | 4.85x |
| 92134 | Imaging of retina | 30.2K | $1.1M | $36.25 | 2.80x |
| J9035 | Injection, bevacizumab, 10 mg | 16.4K | $957.1K | $58.41 | 1.59x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 1.2K | $426.3K | $351.18 | 3.05x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 4.5K | $423.9K | $93.17 | 2.86x |
| 92250 | Photography of the retina | 8.2K | $371.8K | $45.40 | 4.03x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.0K | $253.1K | $128.99 | 2.74x |
| 92004 | New patient complete exam of visual system | 1.1K | $129.0K | $114.58 | 2.89x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 3.7K | $105.9K | $28.94 | 1.73x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 255 | $97.1K | $380.68 | 3.12x |
| J7999 | Compounded drug, not otherwise classified | 1.6K | $88.5K | $56.65 | 1.59x |
| 76512 | 2d ultrasound scan of eye tissue and structures | 707 | $44.3K | $62.73 | 3.38x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 480 | $38.4K | $79.97 | 1.98x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 1.8K | $38.2K | $21.64 | 2.69x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 1.4K | $32.7K | $23.75 | 2.60x |
| 92201 | Extended exam of the back part of the eye with retinal drawing | 1.4K | $29.2K | $20.23 | 5.04x |
| 92012 | Established patient problem focused exam of visual system | 155 | $11.6K | $74.81 | 2.56x |
This provider submits charges 2.82 times higher than what Medicare actually pays.
A markup ratio of 2.82x means for every $100 Medicare pays, this provider initially charges $282. 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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