This provider's $4.3M in total Medicare payments ranks in the 96th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 12319% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 952% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $218.75 | $55.90 | 3.91x | $162.85 | $9.6K | 155 | 153 |
| 2018 | $496.44 | $98.84 | 5.02x | $397.60 | $101.1K | 1.2K | 1.2K |
| 2019 | $489.05 | $137.77 | 3.55x | $351.28 | $389.4K | 5.4K | 4.1K |
| 2020 | $635.89 | $145.80 | 4.36x | $490.09 | $419.3K | 5.5K | 3.7K |
| 2021 | $680.13 | $152.07 | 4.47x | $528.06 | $1.0M | 13.5K | 7.4K |
| 2022 | $711.23 | $167.70 | 4.24x | $543.53 | $1.2M | 17.3K | 9.0K |
| 2023 | $773.02 | $176.09 | 4.39x | $596.93 | $1.2M | 18.5K | 9.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 6.5K | $964.7K | $147.60 | 3.46x |
| 66982 | Removal of cataract with insertion of lens | 597 | $373.3K | $625.23 | 4.27x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.4K | $362.5K | $107.25 | 3.64x |
| 92083 | Measurement of field of vision during daylight conditions | 5.9K | $340.9K | $57.95 | 4.09x |
| 92134 | Diagnostic imaging of retina | 7.0K | $245.5K | $35.07 | 3.43x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 9.7K | $244.3K | $25.13 | 4.70x |
| 92201 | Extended examination of eye with drawing of retina | 10.8K | $236.3K | $21.91 | 6.11x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $223.8K | $135.16 | 3.56x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 2.0K | $216.7K | $109.63 | 3.82x |
| 66174 | Dilation to improve eye fluid flow | 274 | $158.0K | $576.60 | 4.83x |
| 66984 | Removal of cataract with insertion of lens | 309 | $143.6K | $464.75 | 3.89x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 452 | $137.3K | $303.79 | 3.52x |
| 92133 | Diagnostic imaging of optic nerve of eye | 3.2K | $100.2K | $31.31 | 4.75x |
| 66989 | Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 129 | $99.4K | $770.92 | 3.75x |
| 92250 | Photography of the retina | 1.3K | $53.0K | $40.85 | 4.53x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 220 | $49.2K | $223.41 | 3.75x |
| 92100 | Multiple measurements of eye fluid pressure over an extended time period, same day | 587 | $47.6K | $81.08 | 2.32x |
| 0191T | Internal insertion of eye fluid drainage device | 168 | $43.9K | $261.45 | 6.28x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 182 | $30.8K | $169.30 | 4.08x |
| 92136 | Measurement of corneal curvature and depth of eye | 1.1K | $30.8K | $27.56 | 8.68x |
This provider submits charges 4.08 times higher than what Medicare actually pays.
A markup ratio of 4.08x means for every $100 Medicare pays, this provider initially charges $408. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Nathan Steinle, M.D. | Santa Barbara, CA | $63.1M | ✓ Clear |
| Stephen Couvillion, MD | Santa Barbara, CA | $47.7M | ✓ Clear |
| Margaret Chang, M.D. | Sacramento, CA | $47.6M | ✓ Clear |
| David Boyer, MD | Los Angeles, CA | $47.5M | ✓ Clear |
| Alessandro Castellarin, M.D. | Santa Barbara, CA | $46.9M | ✓ 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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