This provider averages 85 services per working day
Based on 212.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $39.4M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 85 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 84% 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 | $345.80 | $185.74 | 1.86x | $160.06 | $2.9M | 15.6K | 3.1K |
| 2015 | $289.02 | $185.73 | 1.56x | $103.29 | $4.2M | 22.6K | 4.5K |
| 2016 | $494.20 | $185.74 | 2.66x | $308.46 | $2.8M | 14.8K | 3.0K |
| 2017 | $402.54 | $185.74 | 2.17x | $216.80 | $3.0M | 16.4K | 3.3K |
| 2018 | $563.34 | $185.73 | 3.03x | $377.61 | $4.3M | 22.9K | 4.6K |
| 2019 | $650.91 | $185.73 | 3.50x | $465.18 | $3.8M | 20.6K | 4.1K |
| 2020 | $542.83 | $185.73 | 2.92x | $357.10 | $4.2M | 22.6K | 4.5K |
| 2021 | $518.39 | $185.73 | 2.79x | $332.66 | $4.8M | 26.0K | 5.2K |
| 2022 | $653.55 | $185.74 | 3.52x | $467.81 | $4.0M | 21.7K | 4.3K |
| 2023 | $720.92 | $185.74 | 3.88x | $535.18 | $5.3M | 28.7K | 5.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye exam, established patient, comprehensive | 31.1K | $8.0M | $257.93 | 2.10x |
| 66984 | Cataract removal with lens insertion | 37.2K | $7.8M | $208.51 | 1.48x |
| 67028 | Injection into eye | 18.9K | $3.9M | $206.04 | 1.50x |
| 92012 | Eye exam, established patient, intermediate | 24.1K | $3.8M | $159.40 | 2.33x |
| 92134 | Scanning computerized ophthalmic imaging | 13.8K | $1.8M | $126.71 | 3.03x |
| 65855 | Laser surgery for glaucoma | 8.3K | $1.5M | $186.95 | 2.38x |
| 92250 | Eye imaging, optic nerve | 10.4K | $1.4M | $135.28 | 2.70x |
| 92083 | Visual field examination | 4.5K | $1.4M | $304.93 | 3.29x |
| 92004 | Eye exam, new patient, comprehensive | 3.7K | $1.3M | $354.45 | 2.88x |
| 92136 | Ophthalmic biometry | 3.7K | $597.1K | $159.74 | 2.71x |
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 MI for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Sandeep Randhawa, MD | Royal Oak, MI | $44.6M | ✓ Clear |
| Jeremy Wolfe, MD | Royal Oak, MI | $39.4M | ✓ Clear |
| Douglas Covert, MD, MPH | Traverse City, MI | $34.7M | ✓ 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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