This provider's $5.8M in total Medicare payments ranks in the 97th 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 | $272.11 | $95.40 | 2.85x | $176.71 | $604.8K | 9.1K | 4.4K |
| 2015 | $224.47 | $75.55 | 2.97x | $148.92 | $584.2K | 9.5K | 4.4K |
| 2016 | $234.26 | $84.30 | 2.78x | $149.96 | $631.7K | 10.1K | 4.6K |
| 2017 | $171.75 | $56.86 | 3.02x | $114.89 | $610.6K | 11.4K | 6.0K |
| 2018 | $168.44 | $55.35 | 3.04x | $113.09 | $709.5K | 12.5K | 6.9K |
| 2019 | $174.92 | $59.85 | 2.92x | $115.07 | $731.2K | 12.0K | 6.5K |
| 2020 | $165.63 | $59.87 | 2.77x | $105.76 | $522.2K | 8.9K | 5.2K |
| 2021 | $153.76 | $51.66 | 2.98x | $102.10 | $488.2K | 8.2K | 4.8K |
| 2022 | $159.74 | $51.33 | 3.11x | $108.41 | $411.0K | 7.3K | 4.4K |
| 2023 | $156.69 | $51.01 | 3.07x | $105.68 | $478.2K | 8.4K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 25.6K | $2.3M | $90.63 | 2.88x |
| 92083 | Measurement of field of vision during daylight conditions | 18.0K | $879.4K | $48.80 | 2.77x |
| 92060 | Measurement of eye muscles to detect deviation of eyeball | 7.7K | $381.9K | $49.33 | 2.82x |
| 92250 | Photography of the retina | 6.7K | $282.9K | $42.31 | 3.70x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 2.1K | $228.0K | $110.48 | 2.84x |
| 92270 | Evaluation of retinal response to light | 2.0K | $158.2K | $77.61 | 2.57x |
| 92082 | Measurement of field of vision during daylight conditions | 4.3K | $156.3K | $36.42 | 2.81x |
| 92273 | Full field recording of retinal electrical responses to external stimuli with interpretation and report | 1.5K | $147.8K | $101.73 | 2.84x |
| 95930 | Measurement and recording of nerve conduction patterns using visually-evoked stimulation | 2.0K | $129.9K | $65.52 | 4.03x |
| 92065 | Exercises to correct eyeball muscle imbalances | 2.9K | $120.7K | $42.01 | 2.67x |
| 92275 | Recording of retinal electrical responses to external stimuli | 966 | $107.8K | $111.60 | 3.00x |
| 92284 | Evaluation of eye adaptation to light and dark (rods and cones) | 2.0K | $92.6K | $45.98 | 2.76x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 284 | $79.3K | $279.18 | 1.76x |
| 92546 | Assessment and recording of abnormal eye movement with patient in a rotating chair | 927 | $77.2K | $83.28 | 2.66x |
| 92133 | Diagnostic imaging of optic nerve of eye | 2.3K | $72.1K | $30.72 | 2.90x |
| 92283 | Extended color vision examination | 1.6K | $69.2K | $42.23 | 2.77x |
| 92134 | Diagnostic imaging of retina | 2.0K | $65.6K | $32.82 | 2.82x |
| 92025 | Computerized mapping of corneal curvature | 1.5K | $44.7K | $29.56 | 2.70x |
| 92240 | Examination of eye using an endoscope | 243 | $39.4K | $162.27 | 2.60x |
| 76514 | Ultrasound of corneal structure and measurement | 3.5K | $37.8K | $10.79 | 2.91x |
This provider submits charges 2.9 times higher than what Medicare actually pays.
A markup ratio of 2.9x means for every $100 Medicare pays, this provider initially charges $290. 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 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 |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data