This provider's $4.9M in total Medicare payments ranks in the 96th percentile of Ophthalmology providers nationally.
Their average markup ratio of 5.03x is significantly above the specialty median of 2.9x.
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 | $1.3K | $208.84 | 6.43x | $1.1K | $425.8K | 4.3K | 3.3K |
| 2015 | $1.6K | $279.44 | 5.60x | $1.3K | $489.2K | 5.4K | 4.2K |
| 2016 | $1.5K | $255.57 | 5.78x | $1.2K | $548.7K | 5.9K | 4.4K |
| 2017 | $1.3K | $222.76 | 5.86x | $1.1K | $519.2K | 5.7K | 4.1K |
| 2018 | $1.4K | $213.27 | 6.62x | $1.2K | $525.4K | 5.7K | 4.1K |
| 2019 | $1.3K | $226.40 | 5.90x | $1.1K | $534.0K | 5.7K | 4.1K |
| 2020 | $1.4K | $250.26 | 5.78x | $1.2K | $431.2K | 4.1K | 3.0K |
| 2021 | $1.2K | $173.14 | 6.92x | $1.0K | $519.7K | 5.2K | 3.5K |
| 2022 | $1.5K | $281.10 | 5.47x | $1.3K | $501.1K | 5.3K | 3.7K |
| 2023 | $1.3K | $207.74 | 6.15x | $1.1K | $444.2K | 5.1K | 3.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 14.1K | $1.5M | $104.78 | 3.65x |
| 66984 | Removal of cataract with insertion of lens | 1.1K | $568.8K | $529.13 | 7.00x |
| 92083 | Measurement of field of vision during daylight conditions | 9.9K | $548.0K | $55.27 | 4.03x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 6.2K | $463.7K | $74.86 | 3.53x |
| 66982 | Removal of cataract with insertion of lens | 643 | $441.9K | $687.18 | 6.11x |
| 92133 | Diagnostic imaging of optic nerve of eye | 11.5K | $371.7K | $32.46 | 7.67x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.3K | $161.3K | $125.20 | 3.56x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 110 | $114.6K | $1.0K | 3.92x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 321 | $97.4K | $303.57 | 6.88x |
| 92136 | Measurement of corneal curvature and depth of eye | 1.6K | $90.5K | $55.32 | 4.15x |
| 65820 | Incision to improve eye fluid flow | 152 | $84.6K | $556.79 | 6.65x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 301 | $82.8K | $275.04 | 9.18x |
| 66170 | Creation of eye fluid drainage tract | 68 | $68.6K | $1.0K | 4.17x |
| 0191T | Internal insertion of eye fluid drainage device | 144 | $48.7K | $338.25 | 8.87x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 200 | $47.1K | $235.64 | 13.65x |
| 66989 | Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 56 | $45.6K | $815.13 | 3.80x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 1.9K | $44.3K | $23.69 | 3.38x |
| 92250 | Photography of the retina | 718 | $36.1K | $50.27 | 4.54x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 39 | $25.0K | $640.07 | 5.94x |
| 65850 | Insertion of eye fluid drainage tube | 31 | $23.8K | $768.25 | 3.62x |
This provider submits charges 5.03 times higher than what Medicare actually pays.
A markup ratio of 5.03x means for every $100 Medicare pays, this provider initially charges $503. 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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