This provider's $9.5M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $633.84 | $215.14 | 2.95x | $418.70 | $1.0M | 11.7K | 9.3K |
| 2015 | $564.55 | $196.31 | 2.88x | $368.24 | $1.1M | 12.0K | 9.8K |
| 2016 | $469.12 | $167.35 | 2.80x | $301.77 | $1.1M | 12.3K | 10.0K |
| 2017 | $490.44 | $162.79 | 3.01x | $327.65 | $1.0M | 11.8K | 9.4K |
| 2018 | $409.46 | $146.24 | 2.80x | $263.22 | $1.1M | 11.8K | 9.4K |
| 2019 | $508.90 | $171.58 | 2.97x | $337.32 | $1.0M | 11.2K | 8.9K |
| 2020 | $534.08 | $180.69 | 2.96x | $353.39 | $745.6K | 8.4K | 6.7K |
| 2021 | $670.87 | $234.68 | 2.86x | $436.19 | $844.3K | 9.6K | 7.7K |
| 2022 | $637.03 | $209.66 | 3.04x | $427.37 | $843.6K | 9.2K | 7.5K |
| 2023 | $708.20 | $226.62 | 3.13x | $481.58 | $788.0K | 8.2K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 4.5K | $2.1M | $461.17 | 2.74x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 19.8K | $1.2M | $59.43 | 2.76x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 13.2K | $1.1M | $85.14 | 2.86x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 3.2K | $757.8K | $237.11 | 2.72x |
| 0191T | Internal insertion of eye fluid drainage device | 1.4K | $616.3K | $427.70 | 3.56x |
| 92250 | Photography of the retina | 10.9K | $472.8K | $43.34 | 2.89x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.6K | $404.9K | $256.76 | 2.75x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 1.4K | $287.5K | $203.29 | 2.68x |
| 92083 | Measurement of field of vision during daylight conditions | 6.2K | $273.3K | $44.31 | 2.89x |
| 92136 | Measurement of corneal curvature and depth of eye | 8.6K | $225.5K | $26.17 | 2.83x |
| 66982 | Removal of cataract with insertion of lens | 323 | $195.8K | $606.06 | 2.85x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.8K | $195.1K | $108.01 | 3.11x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 431 | $185.6K | $430.65 | 3.08x |
| 66174 | Dilation to improve eye fluid flow | 398 | $171.1K | $430.00 | 4.64x |
| 92133 | Diagnostic imaging of optic nerve of eye | 6.1K | $165.5K | $27.31 | 2.93x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 4.4K | $159.9K | $36.62 | 2.69x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 6.2K | $125.7K | $20.33 | 2.72x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 2.7K | $110.1K | $41.46 | 2.59x |
| 66250 | Revision or repair of operative wound of eye | 235 | $105.4K | $448.62 | 2.75x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 984 | $95.1K | $96.62 | 3.15x |
This provider submits charges 2.91 times higher than what Medicare actually pays.
A markup ratio of 2.91x means for every $100 Medicare pays, this provider initially charges $291. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Alexander Eaton, MD | Fort Myers, FL | $99.5M | ✓ Clear |
| Sunil Gupta, M.D. | Pensacola, FL | $86.1M | ✓ Clear |
| Hussein Wafapoor, M.D. | Fort Myers, FL | $70.9M | ✓ Clear |
| John Myers, M.D. | Pensacola, FL | $69.4M | ✓ Clear |
| Thomas Baudo, M.D. | Vero Beach, FL | $64.2M | ✓ 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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