This provider averages 81 services per working day
Based on 203.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $29.2M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 81 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 211% in 2021
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 | $796.55 | $221.50 | 3.60x | $575.05 | $3.4M | 15.4K | 25 |
| 2015 | $985.08 | $238.64 | 4.13x | $746.44 | $3.8M | 16.0K | 21 |
| 2016 | $1.1K | $241.50 | 4.43x | $828.91 | $3.7M | 15.3K | 20 |
| 2017 | $558.32 | $221.20 | 2.52x | $337.12 | $2.8M | 12.6K | 20 |
| 2018 | $501.62 | $202.01 | 2.48x | $299.61 | $2.5M | 12.5K | 20 |
| 2019 | $516.34 | $212.63 | 2.43x | $303.71 | $2.8M | 13.1K | 23 |
| 2020 | $594.15 | $214.26 | 2.77x | $379.89 | $484.9K | 2.3K | 13 |
| 2021 | $563.15 | $240.63 | 2.34x | $322.52 | $1.5M | 6.3K | 16 |
| 2022 | $297.53 | $125.43 | 2.37x | $172.10 | $3.8M | 30.2K | 25 |
| 2023 | $132.63 | $55.55 | 2.39x | $77.08 | $4.4M | 80.0K | 22 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 16.0K | $11.9M | $742.48 | 2.38x |
| J2778 | Injection, ranibizumab, 0.1 mg | 24.2K | $7.0M | $288.47 | 3.08x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 82.0K | $2.4M | $29.19 | 1.84x |
| 67028 | Injection of drug into eye | 15.6K | $1.6M | $99.20 | 7.29x |
| 92012 | Established patient problem focused exam of visual system | 18.2K | $1.4M | $75.54 | 3.22x |
| 92134 | Imaging of retina | 21.4K | $774.8K | $36.21 | 8.13x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 4.8K | $713.1K | $147.06 | 5.16x |
| 92240 | Examination of eye using an endoscope | 1.2K | $549.0K | $460.16 | 2.16x |
| J3490 | Unclassified drugs | 287 | $500.5K | $1.7K | 1.47x |
| 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 | 1.8K | $424.0K | $230.16 | 1.75x |
| 92014 | Established patient complete exam of visual system | 3.5K | $364.0K | $105.15 | 2.68x |
| J3590 | Unclassified biologics | 198 | $358.4K | $1.8K | 1.39x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 1.7K | $262.6K | $157.61 | 3.38x |
| 92083 | Exam of visual field with extended testing | 4.1K | $226.9K | $55.50 | 4.28x |
| 92004 | New patient complete exam of visual system | 1.2K | $148.6K | $125.74 | 2.16x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 206 | $111.6K | $541.83 | 3.45x |
| 76512 | 2d ultrasound scan of eye tissue and structures | 1.4K | $99.2K | $70.77 | 5.95x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 848 | $94.9K | $111.94 | 3.38x |
| 92273 | Measurement of retinal and optic nerve function | 616 | $70.5K | $114.52 | 2.18x |
| 67042 | Removal of membrane from the retina, pars plana approach | 49 | $48.0K | $978.72 | 1.62x |
This provider submits charges 3.04 times higher than what Medicare actually pays.
A markup ratio of 3.04x means for every $100 Medicare pays, this provider initially charges $304. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jonathan Jonisch, MD | Great Neck, NY | $52.3M | ✓ Clear |
| Jeffrey Josef, M.D. | Suffern, NY | $52.2M | ✓ Clear |
| Brett Rosenblatt | Great Neck, NY | $50.0M | ✓ Clear |
| Kenneth Graham | Great Neck, NY | $47.1M | ✓ Clear |
| Glenn Stoller, M.D. | Rockville Centre, NY | $46.4M | ✓ 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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