This provider averages 66 services per working day
Based on 164.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $20.4M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 66 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 468% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 120% 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 | $200.50 | $108.47 | 1.85x | $92.03 | $631.0K | 5.8K | 17 |
| 2015 | $201.09 | $115.96 | 1.73x | $85.13 | $684.1K | 5.9K | 14 |
| 2016 | $533.08 | $150.01 | 3.55x | $383.07 | $1.5M | 10.0K | 21 |
| 2017 | $611.46 | $171.13 | 3.57x | $440.33 | $1.8M | 10.6K | 19 |
| 2018 | $658.65 | $194.81 | 3.38x | $463.84 | $2.2M | 11.2K | 20 |
| 2019 | $761.27 | $217.83 | 3.49x | $543.44 | $2.5M | 11.3K | 20 |
| 2020 | $723.54 | $211.23 | 3.43x | $512.31 | $2.4M | 11.4K | 22 |
| 2021 | $748.89 | $217.09 | 3.45x | $531.80 | $2.4M | 11.2K | 20 |
| 2022 | $393.81 | $114.41 | 3.44x | $279.40 | $2.6M | 23.1K | 23 |
| 2023 | $191.62 | $56.02 | 3.42x | $135.60 | $3.6M | 63.9K | 24 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 12.5K | $9.3M | $738.37 | 2.89x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 65.1K | $1.9M | $28.52 | 2.85x |
| 67028 | Injection of drug into eye | 11.7K | $948.9K | $80.81 | 11.42x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 5.2K | $783.8K | $152.08 | 2.65x |
| 92014 | Established patient complete exam of visual system | 9.1K | $781.4K | $85.91 | 2.33x |
| 92134 | Imaging of retina | 23.1K | $712.2K | $30.80 | 3.25x |
| J7313 | Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg | 1.9K | $711.5K | $382.14 | 2.52x |
| J2778 | Injection, ranibizumab, 0.1 mg | 2.4K | $668.3K | $274.70 | 1.81x |
| J0179 | Injection, brolucizumab-dbll, 1 mg | 2.6K | $634.7K | $247.75 | 3.00x |
| J3590 | Unclassified biologics | 391 | $607.0K | $1.6K | 2.94x |
| 92012 | Established patient problem focused exam of visual system | 8.3K | $520.0K | $62.43 | 2.34x |
| J3490 | Unclassified drugs | 254 | $427.2K | $1.7K | 3.19x |
| 92004 | New patient complete exam of visual system | 3.0K | $312.0K | $104.68 | 2.63x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 2.4K | $290.7K | $119.52 | 2.77x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 311 | $280.6K | $902.39 | 5.99x |
| J7314 | Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg | 522 | $214.4K | $410.76 | 2.71x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 310 | $207.1K | $668.15 | 5.95x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.2K | $163.1K | $72.79 | 1.61x |
| 67040 | Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser | 179 | $140.7K | $786.25 | 6.36x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 147 | $139.7K | $950.50 | 6.21x |
This provider submits charges 3.35 times higher than what Medicare actually pays.
A markup ratio of 3.35x means for every $100 Medicare pays, this provider initially charges $335. 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 |
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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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