This provider's $8.8M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 196% from 2014 to 2023.
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 | $512.45 | $219.22 | 2.34x | $293.23 | $457.1K | 4.5K | 3.6K |
| 2015 | $669.06 | $191.92 | 3.49x | $477.14 | $514.5K | 5.6K | 4.6K |
| 2016 | $372.62 | $190.21 | 1.96x | $182.41 | $726.8K | 7.5K | 5.9K |
| 2017 | $350.38 | $160.68 | 2.18x | $189.70 | $789.7K | 9.9K | 7.7K |
| 2018 | $380.07 | $154.66 | 2.46x | $225.41 | $784.9K | 11.1K | 8.5K |
| 2019 | $329.99 | $144.91 | 2.28x | $185.08 | $823.6K | 11.9K | 9.0K |
| 2020 | $371.93 | $171.45 | 2.17x | $200.48 | $891.8K | 11.4K | 8.2K |
| 2021 | $372.79 | $182.09 | 2.05x | $190.70 | $1.2M | 14.4K | 10.2K |
| 2022 | $338.80 | $161.63 | 2.10x | $177.17 | $1.2M | 16.0K | 11.0K |
| 2023 | $423.57 | $202.52 | 2.09x | $221.05 | $1.4M | 18.1K | 12.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 2.2K | $1.0M | $480.71 | 2.56x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 6.8K | $929.4K | $135.72 | 1.88x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.4K | $756.8K | $102.02 | 1.86x |
| 92250 | Photography of the retina | 15.7K | $675.9K | $43.01 | 3.28x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.1K | $574.9K | $63.36 | 2.14x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 5.1K | $565.1K | $111.16 | 1.88x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.0K | $413.4K | $137.56 | 2.11x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 14.5K | $354.6K | $24.41 | 1.96x |
| 92025 | Computerized mapping of corneal curvature | 8.5K | $271.3K | $32.03 | 2.03x |
| 68330 | Release of scar tissue from conjunctiva | 472 | $270.3K | $572.62 | 1.84x |
| 66174 | Dilation to improve eye fluid flow | 320 | $250.9K | $784.10 | 2.04x |
| 68761 | Closure of tear duct opening using plug | 2.1K | $230.0K | $109.04 | 2.38x |
| 92134 | Diagnostic imaging of retina | 5.4K | $196.3K | $36.17 | 2.20x |
| 92083 | Measurement of field of vision during daylight conditions | 5.1K | $193.7K | $38.02 | 3.20x |
| 66982 | Removal of cataract with insertion of lens | 300 | $181.1K | $603.75 | 2.37x |
| 0191T | Internal insertion of eye fluid drainage device | 254 | $173.3K | $682.27 | 2.44x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 551 | $163.1K | $296.03 | 2.07x |
| 92133 | Diagnostic imaging of optic nerve of eye | 4.7K | $155.6K | $32.95 | 2.80x |
| 83861 | Microfluid analysis of tears | 6.7K | $148.9K | $22.18 | 1.58x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.2K | $148.0K | $126.35 | 2.06x |
This provider submits charges 2.26 times higher than what Medicare actually pays.
A markup ratio of 2.26x means for every $100 Medicare pays, this provider initially charges $226. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Nathan Steinle, M.D. | Santa Barbara, CA | $63.1M | ✓ Clear |
| Stephen Couvillion, MD | Santa Barbara, CA | $47.7M | ✓ Clear |
| Margaret Chang, M.D. | Sacramento, CA | $47.6M | ✓ Clear |
| David Boyer, MD | Los Angeles, CA | $47.5M | ✓ Clear |
| Alessandro Castellarin, M.D. | Santa Barbara, CA | $46.9M | ✓ 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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