This provider's $9.7M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 127055% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2275% in 2017
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $150.00 | $66.72 | 2.25x | $83.28 | $1.3K | 20 | 17 |
| 2015 | $125.06 | $52.25 | 2.39x | $72.81 | $31.1K | 404 | 360 |
| 2016 | $151.26 | $44.56 | 3.39x | $106.70 | $26.9K | 526 | 439 |
| 2017 | $425.94 | $168.72 | 2.52x | $257.22 | $637.9K | 7.8K | 6.3K |
| 2018 | $317.76 | $150.53 | 2.11x | $167.23 | $990.3K | 11.5K | 7.3K |
| 2019 | $272.33 | $161.81 | 1.68x | $110.52 | $1.6M | 15.2K | 7.5K |
| 2020 | $250.17 | $150.65 | 1.66x | $99.52 | $1.5M | 11.7K | 5.9K |
| 2021 | $252.02 | $154.50 | 1.63x | $97.52 | $1.6M | 12.4K | 6.3K |
| 2022 | $265.71 | $149.99 | 1.77x | $115.72 | $1.6M | 13.0K | 6.4K |
| 2023 | $282.11 | $141.39 | 2.00x | $140.72 | $1.7M | 13.3K | 6.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 65778 | Insertion of amniotic membrane to eye surface | 4.0K | $5.1M | $1.3K | 1.42x |
| 68761 | Closure of tear duct opening using plug | 8.7K | $1.0M | $119.24 | 1.94x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 9.5K | $896.5K | $94.30 | 1.73x |
| 92250 | Photography of the retina | 11.0K | $430.8K | $39.11 | 2.48x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 5.9K | $424.4K | $72.23 | 1.79x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 12.6K | $298.9K | $23.68 | 1.78x |
| 92134 | Diagnostic imaging of retina | 6.2K | $207.9K | $33.39 | 2.29x |
| 66984 | Removal of cataract with insertion of lens | 362 | $182.4K | $503.78 | 2.46x |
| 92285 | Photography of content of eyes | 7.5K | $142.6K | $18.98 | 2.81x |
| 92083 | Measurement of field of vision during daylight conditions | 2.3K | $120.7K | $53.37 | 2.05x |
| 92133 | Diagnostic imaging of optic nerve of eye | 3.9K | $118.0K | $30.14 | 2.51x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $94.8K | $89.38 | 3.64x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 506 | $72.5K | $143.32 | 1.95x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 804 | $64.5K | $80.19 | 2.11x |
| 92060 | Measurement of eye muscles to detect deviation of eyeball | 1.2K | $62.5K | $52.27 | 1.54x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 564 | $59.1K | $104.81 | 2.02x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 2.7K | $58.5K | $21.48 | 1.78x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 2.2K | $49.2K | $22.44 | 2.09x |
| 66982 | Removal of cataract with insertion of lens | 63 | $41.4K | $657.19 | 2.29x |
| 67700 | Incision and drainage of eyelid abscess | 146 | $35.7K | $244.85 | 1.71x |
This provider submits charges 1.73 times higher than what Medicare actually pays.
A markup ratio of 1.73x means for every $100 Medicare pays, this provider initially charges $173. 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 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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