This provider's $4.6M in total Medicare payments ranks in the 96th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 81% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 86% in 2016
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 | $360.73 | $139.62 | 2.58x | $221.11 | $233.6K | 3.0K | 1.7K |
| 2015 | $391.84 | $154.17 | 2.54x | $237.67 | $331.9K | 3.7K | 2.0K |
| 2016 | $1.0K | $303.72 | 3.37x | $718.56 | $616.8K | 6.3K | 3.2K |
| 2017 | $335.96 | $139.33 | 2.41x | $196.63 | $453.2K | 5.5K | 3.1K |
| 2018 | $752.55 | $220.87 | 3.41x | $531.68 | $494.7K | 6.3K | 3.3K |
| 2019 | $759.48 | $228.33 | 3.33x | $531.15 | $562.8K | 7.6K | 3.8K |
| 2020 | $320.55 | $141.63 | 2.26x | $178.92 | $485.5K | 7.2K | 3.6K |
| 2021 | $333.54 | $144.58 | 2.31x | $188.96 | $519.0K | 7.6K | 4.2K |
| 2022 | $334.06 | $135.55 | 2.46x | $198.51 | $449.6K | 7.5K | 4.2K |
| 2023 | $337.17 | $136.33 | 2.47x | $200.84 | $423.1K | 7.6K | 4.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 6.9K | $856.7K | $123.75 | 1.95x |
| 68810 | Insertion of probe into the tear duct | 3.0K | $682.0K | $226.87 | 1.94x |
| 92250 | Photography of the retina | 11.4K | $531.9K | $46.52 | 2.40x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 2.8K | $475.9K | $167.28 | 2.11x |
| 92083 | Measurement of field of vision during daylight conditions | 8.2K | $441.6K | $54.09 | 1.81x |
| 92060 | Measurement of eye muscles to detect deviation of eyeball | 6.4K | $337.9K | $52.44 | 1.87x |
| 67966 | Removal of over one-fourth of the eyelid involving lid margin | 422 | $289.9K | $686.90 | 2.83x |
| 92285 | Photography of content of eyes | 12.2K | $203.3K | $16.66 | 3.18x |
| 92133 | Diagnostic imaging of optic nerve of eye | 6.5K | $197.0K | $30.45 | 2.56x |
| 64612 | Injection of chemical for destruction of nerve muscles on one side of face | 892 | $147.8K | $165.71 | 2.47x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.3K | $140.8K | $105.94 | 2.41x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.0K | $137.1K | $131.09 | 2.74x |
| 15733 | Creation of flap graft to head and/or neck | 25 | $21.5K | $859.95 | 4.09x |
| 15732 | Muscle flap wound repair at head and neck | 19 | $20.6K | $1.1K | 3.25x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 39 | $18.0K | $461.70 | 5.11x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 49 | $17.1K | $348.78 | 5.27x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 142 | $15.2K | $106.78 | 1.88x |
| 15004 | Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) | 39 | $13.3K | $341.31 | 2.72x |
| 67917 | Extensive repair of turning-outward eyelid defect | 14 | $7.3K | $523.40 | 3.05x |
| 67312 | Realignment of the eye with repair of two horizontal eye muscles | 11 | $6.7K | $609.40 | 2.68x |
This provider submits charges 2.24 times higher than what Medicare actually pays.
A markup ratio of 2.24x means for every $100 Medicare pays, this provider initially charges $224. 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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