This provider averages 77 services per working day
Based on 192.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $25.8M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 77 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 300% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 83% in 2016
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $323.31 | $172.75 | 1.87x | $150.56 | $857.5K | 5.0K | 14 |
| 2015 | $426.90 | $128.93 | 3.31x | $297.97 | $1.1M | 8.6K | 20 |
| 2016 | $573.58 | $159.91 | 3.59x | $413.67 | $2.0M | 12.7K | 22 |
| 2017 | $761.30 | $199.11 | 3.82x | $562.19 | $2.7M | 13.7K | 23 |
| 2018 | $837.88 | $214.40 | 3.91x | $623.48 | $3.2M | 14.8K | 23 |
| 2019 | $903.87 | $224.65 | 4.02x | $679.22 | $3.3M | 14.5K | 21 |
| 2020 | $931.67 | $222.61 | 4.19x | $709.06 | $3.3M | 14.7K | 17 |
| 2021 | $939.25 | $214.17 | 4.39x | $725.08 | $3.3M | 15.5K | 16 |
| 2022 | $659.42 | $143.24 | 4.60x | $516.18 | $2.7M | 18.5K | 17 |
| 2023 | $208.49 | $46.30 | 4.50x | $162.19 | $3.4M | 74.1K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 10.9K | $8.1M | $743.07 | 3.99x |
| J2778 | Injection, ranibizumab, 0.1 mg | 29.0K | $7.5M | $259.76 | 4.60x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 69.3K | $2.0M | $29.10 | 4.00x |
| 67028 | Injection of drug into eye | 13.2K | $1.3M | $98.53 | 4.86x |
| 92014 | Established patient complete exam of visual system | 11.3K | $1.0M | $90.93 | 3.25x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 5.7K | $882.4K | $156.01 | 2.98x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 7.5K | $590.7K | $79.00 | 3.19x |
| 92134 | Imaging of retina | 18.2K | $578.6K | $31.73 | 3.32x |
| J7313 | Injection, fluocinolone acetonide, intravitreal implant, 0.01 mg | 1.4K | $548.2K | $384.69 | 3.91x |
| J0179 | Injection, brolucizumab-dbll, 1 mg | 1.8K | $448.3K | $249.89 | 4.13x |
| 92012 | Established patient problem focused exam of visual system | 4.0K | $268.9K | $67.33 | 2.95x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 297 | $264.6K | $890.94 | 3.66x |
| 67210 | Destruction of growth of retina using a laser | 643 | $262.8K | $408.66 | 2.75x |
| 92250 | Photography of the retina | 5.6K | $249.8K | $44.38 | 3.33x |
| 92242 | Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye | 1.3K | $241.2K | $192.02 | 3.10x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 227 | $224.4K | $988.41 | 3.49x |
| J7314 | Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg | 486 | $191.9K | $394.84 | 3.89x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 1.4K | $166.6K | $118.15 | 3.90x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.3K | $139.2K | $104.60 | 2.87x |
| J9035 | Injection, bevacizumab, 10 mg | 2.2K | $125.7K | $57.32 | 3.70x |
This provider submits charges 4.04 times higher than what Medicare actually pays.
A markup ratio of 4.04x means for every $100 Medicare pays, this provider initially charges $404. 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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