This provider averages 59 services per working day
Based on 147.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.9M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Averaging 59 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 | $382.61 | $177.51 | 2.16x | $205.10 | $1.4M | 18.8K | 7.9K |
| 2015 | $365.79 | $167.60 | 2.18x | $198.19 | $1.3M | 18.0K | 7.8K |
| 2016 | $367.84 | $139.34 | 2.64x | $228.50 | $1.3M | 17.6K | 7.1K |
| 2017 | $255.06 | $113.92 | 2.24x | $141.14 | $1.3M | 17.9K | 6.9K |
| 2018 | $290.12 | $125.63 | 2.31x | $164.49 | $1.2M | 16.2K | 6.3K |
| 2019 | $295.73 | $125.34 | 2.36x | $170.39 | $1.2M | 16.3K | 6.2K |
| 2020 | $640.62 | $168.54 | 3.80x | $472.08 | $1.0M | 13.5K | 5.2K |
| 2021 | $292.67 | $117.50 | 2.49x | $175.17 | $883.8K | 11.4K | 4.5K |
| 2022 | $721.63 | $175.89 | 4.10x | $545.74 | $722.8K | 9.6K | 3.9K |
| 2023 | $264.25 | $108.23 | 2.44x | $156.02 | $611.3K | 8.1K | 3.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 28.4K | $2.4M | $83.05 | 1.87x |
| 67028 | Injection of drug into eye | 26.0K | $2.2M | $85.49 | 7.56x |
| J0178 | Injection, aflibercept, 1 mg | 2.5K | $1.9M | $751.39 | 1.33x |
| J9035 | Injection, bevacizumab, 10 mg | 22.4K | $1.3M | $57.54 | 1.52x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 15.2K | $975.9K | $64.10 | 1.86x |
| 92134 | Diagnostic imaging of retina | 30.6K | $917.8K | $29.95 | 3.29x |
| 92250 | Photography of the retina | 11.0K | $473.7K | $43.20 | 2.27x |
| 92083 | Measurement of field of vision during daylight conditions | 4.8K | $219.9K | $45.96 | 3.68x |
| J2778 | Injection, ranibizumab, 0.1 mg | 415 | $127.5K | $307.23 | 1.40x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.2K | $105.7K | $91.45 | 2.08x |
| 92133 | Diagnostic imaging of optic nerve of eye | 2.6K | $75.6K | $28.88 | 3.44x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 176 | $69.3K | $393.93 | 3.05x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 233 | $59.6K | $255.91 | 3.29x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 63 | $41.1K | $652.78 | 2.30x |
| 76512 | Ultrasound of eye disease, growth, or structure | 485 | $27.3K | $56.19 | 4.42x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 25 | $21.5K | $858.45 | 6.52x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 543 | $17.6K | $32.49 | 1.64x |
| 67515 | Injection of medication or substance into membrane covering eyeball | 223 | $13.9K | $62.51 | 2.16x |
| 76514 | Ultrasound of corneal structure and measurement | 275 | $2.7K | $9.81 | 3.55x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 39 | $1.1K | $29.14 | 1.72x |
This provider submits charges 3.11 times higher than what Medicare actually pays.
A markup ratio of 3.11x means for every $100 Medicare pays, this provider initially charges $311. 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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