This provider's $8.6M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Their average markup ratio of 5.25x 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 | $860.18 | $143.63 | 5.99x | $716.55 | $886.3K | 10.7K | 9.0K |
| 2015 | $776.96 | $132.44 | 5.87x | $644.52 | $833.3K | 10.8K | 9.3K |
| 2016 | $783.34 | $123.65 | 6.34x | $659.69 | $834.5K | 10.8K | 9.2K |
| 2017 | $838.24 | $130.15 | 6.44x | $708.09 | $852.3K | 10.8K | 9.3K |
| 2018 | $738.09 | $106.04 | 6.96x | $632.05 | $813.1K | 10.8K | 9.4K |
| 2019 | $909.23 | $136.82 | 6.65x | $772.41 | $892.5K | 11.0K | 9.6K |
| 2020 | $824.25 | $118.31 | 6.97x | $705.94 | $714.7K | 8.8K | 7.9K |
| 2021 | $924.11 | $135.41 | 6.82x | $788.70 | $1.0M | 11.2K | 9.7K |
| 2022 | $784.71 | $122.00 | 6.43x | $662.71 | $909.4K | 11.1K | 9.7K |
| 2023 | $838.12 | $130.26 | 6.43x | $707.86 | $860.9K | 10.7K | 9.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 29.2K | $2.6M | $88.38 | 4.32x |
| 66984 | Removal of cataract with insertion of lens | 6.2K | $1.7M | $267.15 | 6.38x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15.5K | $860.9K | $55.55 | 3.98x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 9.3K | $603.8K | $65.08 | 4.23x |
| 92083 | Measurement of field of vision during daylight conditions | 11.7K | $543.1K | $46.50 | 6.24x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.9K | $364.4K | $191.97 | 4.42x |
| 92133 | Diagnostic imaging of optic nerve of eye | 11.9K | $349.8K | $29.48 | 5.46x |
| 92136 | Measurement of corneal curvature and depth of eye | 7.5K | $336.8K | $45.09 | 6.43x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 3.2K | $328.8K | $102.81 | 4.26x |
| 66982 | Removal of cataract with insertion of lens | 333 | $147.5K | $442.95 | 5.44x |
| 0191T | Internal insertion of eye fluid drainage device | 455 | $141.6K | $311.17 | 18.45x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.6K | $129.5K | $79.75 | 3.61x |
| 92134 | Diagnostic imaging of retina | 3.8K | $119.2K | $31.55 | 5.10x |
| 66250 | Revision or repair of operative wound of eye | 268 | $117.9K | $439.84 | 4.56x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 783 | $88.4K | $112.90 | 4.96x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 339 | $64.9K | $191.36 | 8.01x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 74 | $40.6K | $549.29 | 10.42x |
| 92060 | Measurement of eye muscles to detect deviation of eyeball | 480 | $23.7K | $49.31 | 3.94x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 118 | $23.3K | $197.11 | 7.22x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 790 | $16.8K | $21.21 | 4.01x |
This provider submits charges 5.25 times higher than what Medicare actually pays.
A markup ratio of 5.25x means for every $100 Medicare pays, this provider initially charges $525. 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 MA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Torsten Wiegand, MD | Boston, MA | $49.8M | ✓ Clear |
| David Reed, M.D. | Plymouth, MA | $44.2M | ✓ Clear |
| Chirag Shah, MD | Boston, MA | $34.3M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data