This provider averages 73 services per working day
Based on 183.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $36.5M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 73 services per working day raises questions about billing patterns.
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 | $462.70 | $210.44 | 2.20x | $252.26 | $3.1M | 14.7K | 14 |
| 2015 | $491.65 | $218.00 | 2.26x | $273.65 | $3.6M | 16.6K | 17 |
| 2016 | $496.09 | $216.99 | 2.29x | $279.10 | $3.6M | 16.5K | 17 |
| 2017 | $502.66 | $218.37 | 2.30x | $284.29 | $3.9M | 17.9K | 19 |
| 2018 | $506.29 | $221.71 | 2.28x | $284.58 | $4.0M | 18.0K | 23 |
| 2019 | $489.67 | $211.22 | 2.32x | $278.45 | $3.9M | 18.4K | 19 |
| 2020 | $490.88 | $219.22 | 2.24x | $271.66 | $3.5M | 16.2K | 18 |
| 2021 | $507.01 | $224.31 | 2.26x | $282.70 | $3.8M | 17.0K | 19 |
| 2022 | $463.17 | $195.90 | 2.36x | $267.27 | $3.7M | 18.7K | 18 |
| 2023 | $288.00 | $115.69 | 2.49x | $172.31 | $3.4M | 29.7K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2778 | Injection, ranibizumab, 0.1 mg | 75.0K | $20.8M | $277.18 | 1.80x |
| J0178 | Injection, aflibercept, 1 mg | 13.2K | $9.7M | $738.58 | 1.69x |
| 67028 | Injection of drug into eye | 21.3K | $1.8M | $82.37 | 11.00x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 18.3K | $1.0M | $56.26 | 2.21x |
| 92134 | Imaging of retina | 20.0K | $570.1K | $28.53 | 3.51x |
| J0179 | Injection, brolucizumab-dbll, 1 mg | 2.2K | $543.2K | $249.41 | 1.60x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 18.0K | $526.2K | $29.23 | 1.44x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 6.7K | $362.9K | $54.07 | 2.49x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 2.0K | $215.6K | $109.37 | 2.51x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 218 | $209.0K | $958.54 | 4.17x |
| J3590 | Unclassified biologics | 528 | $171.0K | $323.94 | 2.05x |
| 92014 | Established patient complete exam of visual system | 2.0K | $161.6K | $81.56 | 2.62x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 163 | $144.4K | $885.69 | 4.97x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 761 | $57.6K | $75.67 | 3.04x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 455 | $37.2K | $81.72 | 1.81x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 231 | $33.5K | $145.21 | 1.90x |
| 67145 | Preventive retinal detachment treatment by heat or laser, 1 or more sessions | 74 | $30.3K | $409.87 | 5.27x |
| 92250 | Photography of the retina | 777 | $29.8K | $38.31 | 3.13x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 361 | $26.2K | $72.67 | 2.32x |
| 92004 | New patient complete exam of visual system | 196 | $20.0K | $101.91 | 2.04x |
This provider submits charges 2.3 times higher than what Medicare actually pays.
A markup ratio of 2.3x means for every $100 Medicare pays, this provider initially charges $230. 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 KS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| David Dyer, M.D. | Lenexa, KS | $67.5M | ✓ Clear |
| Ryan Christensen, M.D. | Lenexa, KS | $45.1M | ✓ Clear |
| Beatty Suiter, M.D. | Lenexa, KS | $41.7M | ✓ Clear |
| Kumar Dalla, M.D. | Wichita, KS | $39.9M | ✓ Clear |
| Gregory Fox, M.D. | Lenexa, KS | $39.0M | ✓ 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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