This provider's $34.2M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 80% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 81% in 2023
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 | $1.1K | $278.72 | 3.98x | $830.22 | $2.8M | 9.9K | 1.5K |
| 2015 | $848.57 | $278.73 | 3.04x | $569.84 | $2.6M | 9.5K | 1.5K |
| 2016 | $1.0K | $278.73 | 3.61x | $726.81 | $3.9M | 13.8K | 2.2K |
| 2017 | $936.57 | $278.73 | 3.36x | $657.84 | $3.1M | 11.1K | 1.7K |
| 2018 | $561.51 | $278.73 | 2.01x | $282.78 | $2.4M | 8.5K | 1.3K |
| 2019 | $444.70 | $278.73 | 1.60x | $165.97 | $2.7M | 9.6K | 1.5K |
| 2020 | $895.30 | $278.72 | 3.21x | $616.58 | $4.6M | 16.4K | 2.6K |
| 2021 | $919.12 | $278.73 | 3.30x | $640.39 | $4.5M | 16.2K | 2.5K |
| 2022 | $754.91 | $278.73 | 2.71x | $476.18 | $2.7M | 9.8K | 1.5K |
| 2023 | $953.17 | $278.72 | 3.42x | $674.45 | $5.0M | 17.8K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye exam, established patient, comprehensive | 26.7K | $8.9M | $332.58 | 1.95x |
| 66984 | Cataract removal with lens insertion | 29.9K | $6.3M | $210.05 | 1.54x |
| 92012 | Eye exam, established patient, intermediate | 17.1K | $3.2M | $189.71 | 1.87x |
| 67028 | Injection into eye | 7.9K | $2.5M | $316.31 | 1.44x |
| 92250 | Eye imaging, optic nerve | 5.2K | $1.4M | $276.17 | 3.39x |
| 92083 | Visual field examination | 4.7K | $1.4M | $299.35 | 2.92x |
| 65855 | Laser surgery for glaucoma | 2.3K | $1.2M | $527.70 | 2.97x |
| 92004 | Eye exam, new patient, comprehensive | 4.7K | $1.1M | $225.65 | 2.45x |
| 92134 | Scanning computerized ophthalmic imaging | 1.3K | $695.8K | $528.72 | 2.37x |
| 92136 | Ophthalmic biometry | 3.0K | $637.2K | $211.07 | 2.92x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jason Ysasaga, M.D. | Amarillo, TX | $61.5M | ✓ Clear |
| Harshivinderjit Bains, MD | Tyler, TX | $53.9M | ✓ Clear |
| Ryan Rush, MD | Amarillo, 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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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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