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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. James Major
👁️
MDIndividual

James Major, MD

NPI: 1700076783
Houston, TX
10 years of data
Ophthalmology
$27.1M
Total Payments
159
Beneficiaries
121.5K
Services
2.66x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$27.1M
Specialty median$383.7K

📋 Key Findings

1Billed $27.1M over 10 years
22.66x markup ratio (above median)
399th percentile in Ophthalmology by payments
4Payments surged 68% in 2015
514 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $27.1M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.

Medicare payments to this provider grew 133% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 68% in 2015

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

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$550.76$235.772.34x$314.99$1.5M6.2K16
2015$553.20$243.672.27x$309.53$2.5M10.1K16
2016$534.94$228.752.34x$306.19$2.2M9.5K16
2017$522.74$222.242.35x$300.50$2.1M9.3K13
2018$550.70$226.312.43x$324.39$2.6M11.6K15
2019$552.26$223.432.47x$328.83$3.1M13.8K17
2020$555.86$221.442.51x$334.42$3.3M14.9K14
2021$552.11$215.312.56x$336.80$3.2M15.0K17
2022$624.24$234.362.66x$389.88$3.2M13.7K15
2023$791.74$197.514.01x$594.23$3.4M17.3K20

Top Procedures (20)

J0178Injection, aflibercept, 1 mg
$11.2M
15.3K services$729.10/svc2.36x markup
J2778Injection, ranibizumab, 0.1 mg
$11.0M
40.9K services$268.77/svc2.26x markup
67028Injection of drug into eye⚠ 5.5x markup
$1.4M
15.3K services$88.94/svc5.49x markup
92014Established patient complete exam of visual system
$896.9K
10.1K services$88.91/svc2.70x markup
92134Imaging of retina⚠ 4.8x markup
$637.0K
20.8K services$30.58/svc4.75x markup
J7312Injection, dexamethasone, intravitreal implant, 0.1 mg⚠ 3.5x markup
$267.0K
1.7K services$156.33/svc3.55x markup
92235Exam of retinal blood vessels using a special camera after injection of a dye⚠ 3.8x markup
$199.6K
2.6K services$76.62/svc3.79x markup
J3590Unclassified biologics⚠ 3.8x markup
$185.6K
92 services$2.0K/svc3.81x markup
99204New patient office or other outpatient visit, 45-59 minutes
$170.4K
1.5K services$116.65/svc2.74x markup
67042Removal of membrane of retina with removal of internal limiting membrane of retina⚠ 5.0x markup
$139.3K
146 services$954.31/svc5.04x markup
J2781Injection, pegcetacoplan, intravitreal, 1 mg⚠ 3.8x markup
$130.0K
1.1K services$120.36/svc3.75x markup
92012Established patient problem focused exam of visual system
$120.5K
2.0K services$59.88/svc2.01x markup
67108Repair of detached retina and drainage of eye fluid between lens and retina, with removal of vitreous fluid⚠ 5.5x markup
$108.5K
106 services$1.0K/svc5.49x markup
J2777Injection, faricimab-svoa, 0.1 mg⚠ 3.9x markup
$103.0K
3.8K services$27.24/svc3.92x markup
J3490Unclassified drugs⚠ 4.0x markup
$99.2K
57 services$1.7K/svc3.96x markup
Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg⚠ 3.9x markup
$94.7K
436 services$217.30/svc3.87x markup
92250Photography of the retina⚠ 4.1x markup
$90.8K
2.3K services$39.03/svc4.07x markup
67113Repair of detached retina and drainage of eye fluid between lens and retina⚠ 6.3x markup
$55.8K
53 services$1.1K/svc6.35x markup
J9035Injection, bevacizumab, 10 mg⚠ 4.8x markup
$48.4K
838 services$57.82/svc4.77x markup
92004New patient complete exam of visual system
$46.5K
427 services$108.97/svc2.67x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
J0178Injection, aflibercept, 1 mg15.3K$11.2M$729.102.36x
J2778Injection, ranibizumab, 0.1 mg40.9K$11.0M$268.772.26x
67028Injection of drug into eye15.3K$1.4M$88.945.49x
92014Established patient complete exam of visual system10.1K$896.9K$88.912.70x
92134Imaging of retina20.8K$637.0K$30.584.75x
J7312Injection, dexamethasone, intravitreal implant, 0.1 mg1.7K$267.0K$156.333.55x
92235Exam of retinal blood vessels using a special camera after injection of a dye2.6K$199.6K$76.623.79x
J3590Unclassified biologics92$185.6K$2.0K3.81x
99204New patient office or other outpatient visit, 45-59 minutes1.5K$170.4K$116.652.74x
67042Removal of membrane of retina with removal of internal limiting membrane of retina146$139.3K$954.315.04x
J2781Injection, pegcetacoplan, intravitreal, 1 mg1.1K$130.0K$120.363.75x
92012Established patient problem focused exam of visual system2.0K$120.5K$59.882.01x
67108Repair of detached retina and drainage of eye fluid between lens and retina, with removal of vitreous fluid106$108.5K$1.0K5.49x
J2777Injection, faricimab-svoa, 0.1 mg3.8K$103.0K$27.243.92x
J3490Unclassified drugs57$99.2K$1.7K3.96x
Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg436$94.7K$217.303.87x
92250Photography of the retina2.3K$90.8K$39.034.07x
67113Repair of detached retina and drainage of eye fluid between lens and retina53$55.8K$1.1K6.35x
J9035Injection, bevacizumab, 10 mg838$48.4K$57.824.77x
92004New patient complete exam of visual system427$46.5K$108.972.67x

Markup Analysis

Charge-to-Payment Ratio

2.66x

This provider submits charges 2.66 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.66x means for every $100 Medicare pays, this provider initially charges $266. This is higher than the national average.

Location

Houston, TX

Provider Verification

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

Similar Providers

Other Ophthalmology providers in TX for peer comparison.

James Major (you)
$27.1M
Jason Ysasaga, M.D.
$61.5M
Harshivinderjit Bains, MD
$53.9M
Ryan Rush, MD
$53.6M
Tien Wong, M.D.
$51.2M
Thomas Bochow, M.D., M.P.H.
$49.4M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Jason Ysasaga, M.D.Amarillo, TX$61.5M✓ Clear
Harshivinderjit Bains, MDTyler, TX$53.9M✓ Clear
Ryan Rush, MDAmarillo, 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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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