This provider averages 61 services per working day
Based on 151.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $31.7M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 61 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 | $436.65 | $185.02 | 2.36x | $251.63 | $2.9M | 15.9K | 17 |
| 2015 | $486.17 | $208.39 | 2.33x | $277.78 | $3.0M | 14.3K | 18 |
| 2016 | $483.57 | $206.40 | 2.34x | $277.17 | $3.5M | 17.1K | 16 |
| 2017 | $538.01 | $229.56 | 2.34x | $308.45 | $3.7M | 16.3K | 16 |
| 2018 | $544.86 | $232.51 | 2.34x | $312.35 | $3.7M | 15.7K | 19 |
| 2019 | $622.40 | $258.67 | 2.41x | $363.73 | $3.3M | 12.9K | 14 |
| 2020 | $648.11 | $255.32 | 2.54x | $392.79 | $3.0M | 11.6K | 15 |
| 2021 | $673.62 | $261.38 | 2.58x | $412.24 | $3.0M | 11.3K | 16 |
| 2022 | $590.26 | $217.39 | 2.72x | $372.87 | $2.7M | 12.4K | 17 |
| 2023 | $320.10 | $121.32 | 2.64x | $198.78 | $2.9M | 24.2K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 20.7K | $15.2M | $733.13 | 2.27x |
| J2778 | Injection, ranibizumab, 0.1 mg | 40.0K | $11.6M | $290.59 | 2.01x |
| 67028 | Injection of drug into eye | 21.1K | $1.6M | $76.44 | 5.98x |
| 92134 | Imaging of retina | 18.4K | $544.5K | $29.66 | 5.19x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 16.1K | $463.4K | $28.71 | 2.62x |
| J0179 | Injection, brolucizumab-dbll, 1 mg | 1.7K | $426.4K | $249.08 | 2.49x |
| 92014 | Established patient complete exam of visual system | 3.5K | $297.8K | $84.19 | 2.30x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 5.0K | $264.4K | $53.14 | 2.20x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.7K | $187.6K | $111.89 | 2.30x |
| 92012 | Established patient problem focused exam of visual system | 2.9K | $179.6K | $61.48 | 2.59x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 1.5K | $178.7K | $120.36 | 2.56x |
| J3590 | Unclassified biologics | 1.5K | $121.7K | $81.68 | 3.37x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 1.5K | $112.7K | $74.49 | 3.67x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 715 | $111.5K | $156.01 | 2.56x |
| J3490 | Unclassified drugs | 63 | $109.7K | $1.7K | 2.64x |
| 92250 | Photography of the retina | 2.7K | $107.0K | $39.28 | 3.25x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 834 | $67.0K | $80.40 | 2.65x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 84 | $47.3K | $563.01 | 3.33x |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | 11.0K | $32.3K | $2.94 | 2.72x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 62 | $24.5K | $395.24 | 4.67x |
This provider submits charges 2.45 times higher than what Medicare actually pays.
A markup ratio of 2.45x means for every $100 Medicare pays, this provider initially charges $245. This is higher than the national average.
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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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