This provider's $8.1M 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 | $862.03 | $145.33 | 5.93x | $716.70 | $926.5K | 11.3K | 8.5K |
| 2015 | $1.0K | $162.49 | 6.16x | $838.02 | $810.7K | 9.3K | 7.1K |
| 2016 | $1.0K | $144.60 | 7.02x | $870.21 | $621.1K | 7.3K | 5.4K |
| 2017 | $596.82 | $141.63 | 4.21x | $455.19 | $693.0K | 8.6K | 6.7K |
| 2018 | $586.78 | $135.93 | 4.32x | $450.85 | $793.7K | 10.4K | 7.6K |
| 2019 | $680.67 | $159.70 | 4.26x | $520.97 | $903.9K | 10.4K | 7.6K |
| 2020 | $673.31 | $170.34 | 3.95x | $502.97 | $611.4K | 6.5K | 4.7K |
| 2021 | $665.40 | $182.75 | 3.64x | $482.65 | $873.9K | 8.0K | 5.9K |
| 2022 | $794.24 | $198.86 | 3.99x | $595.38 | $893.4K | 7.5K | 5.5K |
| 2023 | $568.69 | $142.40 | 3.99x | $426.29 | $1.0M | 7.1K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 14.2K | $945.8K | $66.47 | 2.26x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 8.3K | $790.4K | $94.92 | 2.27x |
| 65778 | Insertion of amniotic membrane to eye surface | 656 | $767.4K | $1.2K | 2.65x |
| 66984 | Removal of cataract with insertion of lens | 1.4K | $670.3K | $485.76 | 5.65x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.5K | $598.5K | $92.74 | 2.24x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.5K | $377.1K | $254.12 | 6.56x |
| 68761 | Closure of tear duct opening using plug | 2.1K | $333.0K | $155.16 | 3.12x |
| 93890 | Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain) | 1.3K | $310.0K | $234.48 | 2.56x |
| 92250 | Photography of the retina | 6.5K | $308.2K | $47.36 | 2.65x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 1.3K | $302.4K | $232.26 | 1.51x |
| 66982 | Removal of cataract with insertion of lens | 435 | $267.6K | $615.09 | 4.88x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 557 | $222.7K | $399.87 | 4.87x |
| 92134 | Diagnostic imaging of retina | 5.9K | $196.9K | $33.17 | 3.37x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $192.7K | $113.79 | 2.46x |
| 93892 | Ultrasound scanning for blood clot detection in head and neck vessel blood flow (inside the brain) | 1.3K | $166.2K | $126.52 | 4.74x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 951 | $156.6K | $164.71 | 5.72x |
| 92083 | Measurement of field of vision during daylight conditions | 3.1K | $156.2K | $50.97 | 2.47x |
| 67028 | Injection of drug into eye | 1.9K | $147.1K | $77.42 | 9.75x |
| 66174 | Dilation to improve eye fluid flow | 205 | $138.4K | $675.09 | 5.06x |
| 92133 | Diagnostic imaging of optic nerve of eye | 3.4K | $105.2K | $30.66 | 4.23x |
This provider submits charges 3.6 times higher than what Medicare actually pays.
A markup ratio of 3.6x means for every $100 Medicare pays, this provider initially charges $360. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Nathan Steinle, M.D. | Santa Barbara, CA | $63.1M | ✓ Clear |
| Stephen Couvillion, MD | Santa Barbara, CA | $47.7M | ✓ Clear |
| Margaret Chang, M.D. | Sacramento, CA | $47.6M | ✓ Clear |
| David Boyer, MD | Los Angeles, CA | $47.5M | ✓ Clear |
| Alessandro Castellarin, M.D. | Santa Barbara, CA | $46.9M | ✓ 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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