This provider averages 60 services per working day
Based on 149.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.0M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 60 services per working day raises questions about billing patterns.
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 | $1.4K | $401.10 | 3.46x | $987.75 | $1.7M | 19.3K | 5.4K |
| 2015 | $1.0K | $292.56 | 3.46x | $720.58 | $1.6M | 17.9K | 5.1K |
| 2016 | $1.1K | $268.91 | 4.19x | $858.34 | $1.4M | 16.5K | 5.3K |
| 2017 | $1.3K | $307.47 | 4.24x | $997.61 | $1.4M | 16.7K | 5.0K |
| 2018 | $1.4K | $328.84 | 4.29x | $1.1K | $1.6M | 18.5K | 5.4K |
| 2019 | $921.19 | $222.68 | 4.14x | $698.51 | $1.3M | 15.5K | 4.8K |
| 2020 | $808.89 | $262.31 | 3.08x | $546.58 | $963.7K | 10.6K | 3.4K |
| 2021 | $597.22 | $207.09 | 2.88x | $390.13 | $958.7K | 10.7K | 3.1K |
| 2022 | $839.33 | $269.92 | 3.11x | $569.41 | $1.0M | 11.6K | 2.9K |
| 2023 | $875.81 | $262.69 | 3.33x | $613.12 | $1.0M | 12.0K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 36.6K | $3.1M | $85.01 | 3.21x |
| 67028 | Injection of drug into eye | 30.1K | $2.4M | $79.12 | 5.90x |
| J0178 | Injection, aflibercept, 1 mg | 2.2K | $1.6M | $747.06 | 2.68x |
| J2778 | Injection, ranibizumab, 0.1 mg | 5.8K | $1.6M | $268.10 | 2.98x |
| 92250 | Photography of the retina | 20.1K | $949.8K | $47.15 | 3.46x |
| J9035 | Injection, bevacizumab, 10 mg | 15.6K | $889.5K | $57.13 | 1.75x |
| 92134 | Diagnostic imaging of retina | 21.4K | $645.4K | $30.17 | 3.89x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 6.2K | $396.7K | $64.39 | 2.91x |
| J7999 | Compounded drug, not otherwise classified | 5.9K | $394.7K | $67.19 | 1.49x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 3.1K | $313.8K | $100.37 | 3.12x |
| 67041 | Removal of membrane from the retina | 288 | $254.5K | $883.55 | 3.26x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 108 | $108.7K | $1.0K | 3.72x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 71 | $74.2K | $1.0K | 5.08x |
| 67042 | Removal of membrane from the retina, pars plana approach | 76 | $71.2K | $936.92 | 3.57x |
| 92235 | Examination of retinal blood vessels by ophthalmoscope | 765 | $55.7K | $72.85 | 3.73x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 127 | $48.5K | $381.84 | 3.99x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 121 | $45.1K | $372.92 | 7.37x |
| 92240 | Examination of eye using an endoscope | 177 | $30.1K | $170.03 | 3.20x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 15 | $16.6K | $1.1K | 3.17x |
| 67145 | Preventive retinal detachment treatment by heat or laser, 1 or more sessions | 17 | $6.7K | $396.88 | 3.28x |
This provider submits charges 3.53 times higher than what Medicare actually pays.
A markup ratio of 3.53x means for every $100 Medicare pays, this provider initially charges $353. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jason Ysasaga, M.D. | Amarillo, TX | $61.5M | ✓ Clear |
| Harshivinderjit Bains, MD | Tyler, TX | $53.9M | ✓ Clear |
| Ryan Rush, MD | Amarillo, TX | $53.6M | ✓ Clear |
| Tien Wong, M.D. | Houston, TX | $51.2M | ✓ Clear |
| Thomas Bochow, M.D., M.P.H. | Tyler, TX | $49.4M | ✓ 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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