This provider averages 72 services per working day
Based on 179.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $24.5M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 72 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 225% 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 | $200.84 | $94.28 | 2.13x | $106.56 | $1.5M | 15.4K | 20 |
| 2015 | $226.60 | $107.01 | 2.12x | $119.59 | $1.5M | 14.2K | 22 |
| 2016 | $250.89 | $109.54 | 2.29x | $141.35 | $1.6M | 14.6K | 22 |
| 2017 | $268.68 | $113.92 | 2.36x | $154.76 | $2.2M | 19.0K | 26 |
| 2018 | $289.91 | $125.53 | 2.31x | $164.38 | $2.4M | 18.8K | 22 |
| 2019 | $293.83 | $125.32 | 2.34x | $168.51 | $2.4M | 19.3K | 23 |
| 2020 | $304.62 | $128.18 | 2.38x | $176.44 | $2.3M | 18.2K | 21 |
| 2021 | $310.83 | $138.00 | 2.25x | $172.83 | $2.7M | 19.4K | 20 |
| 2022 | $352.12 | $160.33 | 2.20x | $191.79 | $3.2M | 20.0K | 18 |
| 2023 | $918.01 | $233.96 | 3.92x | $684.05 | $4.7M | 20.2K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 17.6K | $12.8M | $727.72 | 2.13x |
| 67028 | Injection of drug into eye | 27.1K | $2.4M | $87.93 | 4.66x |
| J2778 | Injection, ranibizumab, 0.1 mg | 7.5K | $2.1M | $274.98 | 1.87x |
| 92134 | Imaging of retina | 44.7K | $1.3M | $30.15 | 2.60x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 18.0K | $1.1M | $59.04 | 2.12x |
| J3490 | Unclassified drugs | 16.7K | $843.6K | $50.63 | 5.71x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 4.4K | $538.2K | $120.96 | 2.25x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 6.6K | $436.4K | $66.15 | 2.56x |
| 92014 | Established patient complete exam of visual system | 4.8K | $420.4K | $86.81 | 2.02x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 4.0K | $413.2K | $102.85 | 3.33x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 3.7K | $339.8K | $91.40 | 2.39x |
| J7999 | Compounded drug, not otherwise classified | 4.4K | $266.9K | $60.53 | 5.42x |
| 92240 | Examination of eye using an endoscope | 506 | $189.2K | $373.90 | 1.93x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 1.2K | $188.5K | $157.44 | 1.81x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 169 | $172.7K | $1.0K | 2.70x |
| 92250 | Photography of the retina | 4.0K | $171.3K | $42.67 | 2.36x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 8.4K | $150.4K | $17.94 | 2.79x |
| 67041 | Removal of membrane from the retina | 141 | $132.0K | $936.13 | 2.14x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 270 | $125.9K | $466.39 | 3.75x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 220 | $80.7K | $366.61 | 2.31x |
This provider submits charges 2.59 times higher than what Medicare actually pays.
A markup ratio of 2.59x means for every $100 Medicare pays, this provider initially charges $259. 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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