This provider's $9.0M in total Medicare payments ranks in the 98th 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 | $407.73 | $162.91 | 2.50x | $244.82 | $826.8K | 8.6K | 6.5K |
| 2015 | $401.14 | $158.28 | 2.53x | $242.86 | $801.7K | 8.5K | 6.4K |
| 2016 | $381.34 | $149.16 | 2.56x | $232.18 | $921.3K | 9.2K | 7.3K |
| 2017 | $362.86 | $140.96 | 2.57x | $221.90 | $918.7K | 9.5K | 7.8K |
| 2018 | $376.81 | $146.11 | 2.58x | $230.70 | $1.0M | 10.0K | 8.3K |
| 2019 | $393.50 | $154.70 | 2.54x | $238.80 | $959.9K | 9.3K | 7.6K |
| 2020 | $367.73 | $143.00 | 2.57x | $224.73 | $843.1K | 8.2K | 6.5K |
| 2021 | $389.93 | $156.78 | 2.49x | $233.15 | $958.5K | 9.4K | 7.2K |
| 2022 | $409.03 | $156.17 | 2.62x | $252.86 | $863.1K | 8.4K | 6.6K |
| 2023 | $479.62 | $157.70 | 3.04x | $321.92 | $870.7K | 8.2K | 6.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 5.6K | $2.7M | $479.60 | 3.34x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 16.8K | $1.1M | $64.50 | 1.99x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 11.7K | $1.0M | $87.31 | 2.21x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.2K | $539.1K | $248.76 | 2.61x |
| 68761 | Closure of tear duct opening using plug | 3.0K | $500.1K | $167.93 | 2.46x |
| 66982 | Removal of cataract with insertion of lens | 773 | $469.7K | $607.67 | 2.63x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 2.3K | $363.7K | $155.08 | 2.05x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.0K | $347.2K | $115.05 | 2.11x |
| 92134 | Diagnostic imaging of retina | 9.0K | $288.3K | $32.11 | 2.82x |
| 92136 | Measurement of corneal curvature and depth of eye | 6.6K | $271.6K | $41.21 | 3.23x |
| 92133 | Diagnostic imaging of optic nerve of eye | 7.9K | $228.9K | $29.05 | 3.14x |
| 65756 | Transplant of outer layer of corneal tissue | 200 | $192.6K | $963.17 | 1.94x |
| 92083 | Measurement of field of vision during daylight conditions | 3.7K | $183.7K | $49.06 | 2.85x |
| 92025 | Computerized mapping of corneal curvature | 6.3K | $175.8K | $27.88 | 7.35x |
| 65400 | Removal of growth of cornea | 223 | $124.5K | $558.49 | 2.00x |
| 95930 | Measurement and recording of nerve conduction patterns using visually-evoked stimulation | 1.3K | $103.6K | $79.20 | 3.65x |
| 67840 | Removal of eyelid growth | 370 | $88.8K | $240.09 | 2.39x |
| 92275 | Recording of retinal electrical responses to external stimuli | 506 | $58.3K | $115.30 | 2.60x |
| 67820 | Removal of eyelashes by forceps | 1.2K | $41.7K | $35.66 | 4.40x |
| 92286 | Microscopic evaluation of deep cells of the eye | 1.4K | $40.5K | $28.41 | 4.00x |
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.
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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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