This provider's $3.7M in total Medicare payments ranks in the 99th percentile of Optometry providers nationally.
Medicare payments to this provider grew 82% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 272% in 2021
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 | $93.71 | $58.92 | 1.59x | $34.79 | $349.2K | 4.6K | 3.8K |
| 2015 | $89.86 | $59.96 | 1.50x | $29.90 | $312.1K | 3.9K | 3.0K |
| 2016 | $79.33 | $52.24 | 1.52x | $27.09 | $282.3K | 3.9K | 3.0K |
| 2017 | $104.93 | $64.58 | 1.62x | $40.35 | $292.1K | 3.8K | 3.0K |
| 2018 | $115.24 | $70.54 | 1.63x | $44.70 | $294.6K | 3.6K | 2.9K |
| 2019 | $110.42 | $70.73 | 1.56x | $39.69 | $279.1K | 3.3K | 2.7K |
| 2020 | $119.05 | $59.34 | 2.01x | $59.71 | $133.8K | 1.8K | 1.6K |
| 2021 | $342.35 | $242.29 | 1.41x | $100.06 | $497.2K | 3.3K | 2.9K |
| 2022 | $342.20 | $234.62 | 1.46x | $107.58 | $657.8K | 2.5K | 2.2K |
| 2023 | $292.61 | $194.25 | 1.51x | $98.36 | $634.2K | 3.3K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 17.6K | $1.5M | $84.89 | 1.56x |
| 65778 | Insertion of amniotic membrane to eye surface | 1.2K | $1.2M | $1.0K | 1.41x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 6.0K | $627.6K | $104.54 | 1.52x |
| 92250 | Photography of the retina | 6.0K | $243.1K | $40.20 | 1.72x |
| 92273 | Measurement of retinal and optic nerve function | 658 | $61.5K | $93.48 | 1.44x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 817 | $48.9K | $59.85 | 1.64x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 747 | $32.9K | $44.10 | 1.67x |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 416 | $11.4K | $27.50 | 1.65x |
| 83861 | Microfluid analysis of tears | 259 | $5.7K | $22.05 | 1.04x |
| 68761 | Closure of tear duct opening using plug | 34 | $2.6K | $76.35 | 2.11x |
| 92285 | Photography of content of eyes | 137 | $1.6K | $11.87 | 1.89x |
This provider submits charges 1.52 times higher than what Medicare actually pays.
A markup ratio of 1.52x means for every $100 Medicare pays, this provider initially charges $152. This is lower than the national average.
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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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