This provider's $3.2M in total Medicare payments ranks in the 94th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 166% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 71% in 2023
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 | $575.88 | $228.66 | 2.52x | $347.22 | $240.7K | 2.4K | 1.7K |
| 2015 | $568.64 | $207.95 | 2.73x | $360.69 | $236.5K | 2.5K | 1.9K |
| 2016 | $521.74 | $192.51 | 2.71x | $329.23 | $256.4K | 2.6K | 1.8K |
| 2017 | $532.00 | $190.57 | 2.79x | $341.43 | $241.3K | 2.5K | 1.7K |
| 2018 | $570.00 | $206.56 | 2.76x | $363.44 | $321.1K | 3.2K | 2.1K |
| 2019 | $536.14 | $208.69 | 2.57x | $327.45 | $271.3K | 2.8K | 1.9K |
| 2020 | $411.21 | $166.60 | 2.47x | $244.61 | $269.8K | 2.8K | 1.9K |
| 2021 | $596.12 | $205.90 | 2.90x | $390.22 | $371.5K | 3.6K | 2.4K |
| 2022 | $542.00 | $197.64 | 2.74x | $344.36 | $375.9K | 3.8K | 2.6K |
| 2023 | $586.65 | $200.11 | 2.93x | $386.54 | $641.1K | 7.1K | 5.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 65778 | Insertion of amniotic membrane to eye surface | 291 | $390.8K | $1.3K | 2.23x |
| 68761 | Closure of tear duct opening using plug | 4.3K | $380.1K | $88.55 | 3.11x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 2.4K | $264.9K | $111.71 | 1.48x |
| 67840 | Removal of eyelid growth | 983 | $263.7K | $268.21 | 2.05x |
| 67700 | Incision and drainage of eyelid abscess | 893 | $245.1K | $274.51 | 1.73x |
| 92083 | Measurement of field of vision during daylight conditions | 3.9K | $223.1K | $56.95 | 2.20x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 2.4K | $188.0K | $79.70 | 1.44x |
| 66984 | Removal of cataract with insertion of lens | 369 | $186.7K | $505.95 | 3.36x |
| 66982 | Removal of cataract with insertion of lens | 220 | $151.3K | $687.94 | 3.49x |
| 92250 | Photography of the retina | 3.1K | $145.8K | $47.64 | 2.10x |
| 92025 | Computerized mapping of corneal curvature | 3.2K | $102.1K | $32.11 | 2.34x |
| 92286 | Microscopic evaluation of deep cells of the eye | 2.6K | $85.6K | $33.24 | 5.27x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 672 | $77.6K | $115.43 | 1.89x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 826 | $70.1K | $84.92 | 2.06x |
| 65820 | Incision to improve eye fluid flow | 59 | $45.9K | $778.44 | 3.21x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 1.8K | $44.3K | $24.69 | 2.43x |
| 92133 | Diagnostic imaging of optic nerve of eye | 1.3K | $40.9K | $32.47 | 5.70x |
| 76512 | Ultrasound of eye disease, growth, or structure | 624 | $36.0K | $57.64 | 2.60x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 109 | $33.2K | $304.91 | 2.95x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 248 | $32.1K | $129.45 | 1.43x |
This provider submits charges 2.51 times higher than what Medicare actually pays.
A markup ratio of 2.51x means for every $100 Medicare pays, this provider initially charges $251. 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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