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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
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Methodology•Download Data
  1. Home
  2. Providers
  3. Arnold Nothnagel
👁️
DOIndividual

Arnold Nothnagel, DO

NPI: 1699754606
Canton, OH
10 years of data
Ophthalmology
$31.7M
Total Payments
163
Beneficiaries
151.8K
Services
2.45x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$31.7M
Specialty median$383.7K

📋 Key Findings

1Billed $31.7M over 10 years
22.45x markup ratio (above median)
399th percentile in Ophthalmology by payments
461 services/day — unusually high
57 procedures with >3x markup

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 →

🔎 Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$436.65$185.022.36x$251.63$2.9M15.9K17
2015$486.17$208.392.33x$277.78$3.0M14.3K18
2016$483.57$206.402.34x$277.17$3.5M17.1K16
2017$538.01$229.562.34x$308.45$3.7M16.3K16
2018$544.86$232.512.34x$312.35$3.7M15.7K19
2019$622.40$258.672.41x$363.73$3.3M12.9K14
2020$648.11$255.322.54x$392.79$3.0M11.6K15
2021$673.62$261.382.58x$412.24$3.0M11.3K16
2022$590.26$217.392.72x$372.87$2.7M12.4K17
2023$320.10$121.322.64x$198.78$2.9M24.2K15

Top Procedures (20)

J0178Injection, aflibercept, 1 mg
$15.2M
20.7K services$733.13/svc2.27x markup
J2778Injection, ranibizumab, 0.1 mg
$11.6M
40.0K services$290.59/svc2.01x markup
67028Injection of drug into eye⚠ 6.0x markup
$1.6M
21.1K services$76.44/svc5.98x markup
92134Imaging of retina⚠ 5.2x markup
$544.5K
18.4K services$29.66/svc5.19x markup
J2777Injection, faricimab-svoa, 0.1 mg
$463.4K
16.1K services$28.71/svc2.62x markup
J0179Injection, brolucizumab-dbll, 1 mg
$426.4K
1.7K services$249.08/svc2.49x markup
92014Established patient complete exam of visual system
$297.8K
3.5K services$84.19/svc2.30x markup
99213Established patient office or other outpatient visit, 20-29 minutes
$264.4K
5.0K services$53.14/svc2.20x markup
99204New patient office or other outpatient visit, 45-59 minutes
$187.6K
1.7K services$111.89/svc2.30x markup
92012Established patient problem focused exam of visual system
$179.6K
2.9K services$61.48/svc2.59x markup
J2781Injection, pegcetacoplan, intravitreal, 1 mg
$178.7K
1.5K services$120.36/svc2.56x markup
J3590Unclassified biologics⚠ 3.4x markup
$121.7K
1.5K services$81.68/svc3.37x markup
92235Exam of retinal blood vessels using a special camera after injection of a dye⚠ 3.7x markup
$112.7K
1.5K services$74.49/svc3.67x markup
J7312Injection, dexamethasone, intravitreal implant, 0.1 mg
$111.5K
715 services$156.01/svc2.56x markup
J3490Unclassified drugs
$109.7K
63 services$1.7K/svc2.64x markup
92250Photography of the retina⚠ 3.3x markup
$107.0K
2.7K services$39.28/svc3.25x markup
99214Established patient office or other outpatient visit, 30-39 minutes
$67.0K
834 services$80.40/svc2.65x markup
67228Laser destruction of leaking retinal blood vessels, 1 or more sessions⚠ 3.3x markup
$47.3K
84 services$563.01/svc3.33x markup
J3300Injection, triamcinolone acetonide, preservative free, 1 mg
$32.3K
11.0K services$2.94/svc2.72x markup
67210Laser destruction of retinal growth, 1 or more sessions⚠ 4.7x markup
$24.5K
62 services$395.24/svc4.67x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
J0178Injection, aflibercept, 1 mg20.7K$15.2M$733.132.27x
J2778Injection, ranibizumab, 0.1 mg40.0K$11.6M$290.592.01x
67028Injection of drug into eye21.1K$1.6M$76.445.98x
92134Imaging of retina18.4K$544.5K$29.665.19x
J2777Injection, faricimab-svoa, 0.1 mg16.1K$463.4K$28.712.62x
J0179Injection, brolucizumab-dbll, 1 mg1.7K$426.4K$249.082.49x
92014Established patient complete exam of visual system3.5K$297.8K$84.192.30x
99213Established patient office or other outpatient visit, 20-29 minutes5.0K$264.4K$53.142.20x
99204New patient office or other outpatient visit, 45-59 minutes1.7K$187.6K$111.892.30x
92012Established patient problem focused exam of visual system2.9K$179.6K$61.482.59x
J2781Injection, pegcetacoplan, intravitreal, 1 mg1.5K$178.7K$120.362.56x
J3590Unclassified biologics1.5K$121.7K$81.683.37x
92235Exam of retinal blood vessels using a special camera after injection of a dye1.5K$112.7K$74.493.67x
J7312Injection, dexamethasone, intravitreal implant, 0.1 mg715$111.5K$156.012.56x
J3490Unclassified drugs63$109.7K$1.7K2.64x
92250Photography of the retina2.7K$107.0K$39.283.25x
99214Established patient office or other outpatient visit, 30-39 minutes834$67.0K$80.402.65x
67228Laser destruction of leaking retinal blood vessels, 1 or more sessions84$47.3K$563.013.33x
J3300Injection, triamcinolone acetonide, preservative free, 1 mg11.0K$32.3K$2.942.72x
67210Laser destruction of retinal growth, 1 or more sessions62$24.5K$395.244.67x

Markup Analysis

Charge-to-Payment Ratio

2.45x

This provider submits charges 2.45 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.45x means for every $100 Medicare pays, this provider initially charges $245. This is higher than the national average.

Location

Canton, OH

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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