This provider averages 90 services per working day
Based on 226.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $40.5M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 90 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 | $426.90 | $179.23 | 2.38x | $247.67 | $3.7M | 20.4K | 5.8K |
| 2015 | $531.55 | $179.22 | 2.97x | $352.33 | $3.6M | 20.3K | 5.8K |
| 2016 | $344.15 | $179.23 | 1.92x | $164.92 | $3.3M | 18.2K | 5.2K |
| 2017 | $620.04 | $179.22 | 3.46x | $440.82 | $4.7M | 26.4K | 7.5K |
| 2018 | $489.92 | $179.22 | 2.73x | $310.70 | $3.7M | 20.7K | 5.9K |
| 2019 | $416.66 | $179.23 | 2.32x | $237.43 | $5.3M | 29.8K | 8.5K |
| 2020 | $508.20 | $179.22 | 2.84x | $328.98 | $3.8M | 21.1K | 6.0K |
| 2021 | $702.59 | $179.23 | 3.92x | $523.36 | $3.7M | 20.6K | 5.9K |
| 2022 | $443.87 | $179.22 | 2.48x | $264.65 | $4.2M | 23.3K | 6.7K |
| 2023 | $691.40 | $179.23 | 3.86x | $512.17 | $4.5M | 25.3K | 7.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye exam, established patient, comprehensive | 86.4K | $14.6M | $169.32 | 2.69x |
| 66984 | Cataract removal with lens insertion | 23.0K | $3.2M | $137.93 | 2.08x |
| 92004 | Eye exam, new patient, comprehensive | 15.0K | $3.0M | $198.43 | 2.76x |
| 67028 | Injection into eye | 12.8K | $2.9M | $225.79 | 1.69x |
| 92250 | Eye imaging, optic nerve | 8.1K | $1.7M | $213.07 | 2.71x |
| 92134 | Scanning computerized ophthalmic imaging | 6.2K | $1.6M | $252.00 | 2.27x |
| 65855 | Laser surgery for glaucoma | 7.0K | $1.6M | $221.32 | 2.25x |
| 92012 | Eye exam, established patient, intermediate | 9.7K | $1.4M | $147.59 | 2.36x |
| 92083 | Visual field examination | 5.0K | $1.3M | $264.33 | 3.17x |
| 92136 | Ophthalmic biometry | 8.5K | $1.2M | $136.12 | 2.89x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower 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 NC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Shil Patel, M.D. | New Bern, NC | $63.1M | ✓ Clear |
| James Pate, M.D. | Raleigh, NC | $44.5M | ✓ Clear |
| Justin Brown, M.D. | Charlotte, NC | $43.5M | ✓ Clear |
| Nitin Gupta, M.D., M.P.H. | Raleigh, NC | $42.0M | ✓ Clear |
| William Bridges, M.D. | Asheville, NC | $38.4M | ✓ 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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