This provider averages 90 services per working day
Based on 224.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $45.1M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 90 services per working day raises questions about billing patterns.
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 | $569.97 | $194.81 | 2.93x | $375.16 | $4.1M | 21.3K | 18 |
| 2015 | $600.52 | $210.11 | 2.86x | $390.41 | $4.3M | 20.6K | 17 |
| 2016 | $633.56 | $217.56 | 2.91x | $416.00 | $5.3M | 24.4K | 21 |
| 2017 | $626.65 | $213.04 | 2.94x | $413.61 | $4.9M | 22.8K | 16 |
| 2018 | $668.14 | $227.11 | 2.94x | $441.03 | $4.7M | 20.9K | 15 |
| 2019 | $685.12 | $227.14 | 3.02x | $457.98 | $5.0M | 21.8K | 14 |
| 2020 | $685.73 | $220.14 | 3.11x | $465.59 | $4.9M | 22.3K | 13 |
| 2021 | $711.16 | $224.57 | 3.17x | $486.59 | $4.8M | 21.5K | 13 |
| 2022 | $725.91 | $215.68 | 3.37x | $510.23 | $3.7M | 17.3K | 13 |
| 2023 | $389.16 | $104.31 | 3.73x | $284.85 | $3.3M | 31.2K | 12 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2778 | Injection, ranibizumab, 0.1 mg | 88.2K | $24.2M | $274.53 | 2.91x |
| J0178 | Injection, aflibercept, 1 mg | 19.3K | $14.3M | $741.43 | 2.49x |
| 67028 | Injection of drug into eye | 26.1K | $2.2M | $84.58 | 8.28x |
| 92134 | Imaging of retina | 32.3K | $939.5K | $29.07 | 3.44x |
| 92014 | Established patient complete exam of visual system | 7.4K | $613.3K | $82.46 | 2.73x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 17.2K | $497.2K | $28.87 | 4.05x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 6.0K | $458.5K | $76.24 | 2.62x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 6.0K | $333.9K | $55.19 | 2.72x |
| 92250 | Photography of the retina | 8.4K | $317.3K | $37.82 | 3.31x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 300 | $267.4K | $891.18 | 3.37x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 2.0K | $223.2K | $111.95 | 2.16x |
| J3590 | Unclassified biologics | 4.0K | $192.6K | $48.66 | 4.42x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1.2K | $99.4K | $85.44 | 2.34x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 185 | $79.8K | $431.42 | 3.25x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 476 | $72.2K | $151.73 | 2.83x |
| 92004 | New patient complete exam of visual system | 666 | $65.3K | $98.05 | 2.04x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina, with removal of vitreous fluid | 50 | $47.3K | $946.80 | 3.80x |
| 67145 | Preventive retinal detachment treatment by heat or laser, 1 or more sessions | 82 | $32.8K | $399.60 | 4.50x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 1.9K | $31.3K | $16.45 | 4.56x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 32 | $22.1K | $692.07 | 4.33x |
This provider submits charges 3.07 times higher than what Medicare actually pays.
A markup ratio of 3.07x means for every $100 Medicare pays, this provider initially charges $307. 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 KS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| David Dyer, M.D. | Lenexa, KS | $67.5M | ✓ Clear |
| Beatty Suiter, M.D. | Lenexa, KS | $41.7M | ✓ Clear |
| Kumar Dalla, M.D. | Wichita, KS | $39.9M | ✓ Clear |
| Gregory Fox, M.D. | Lenexa, KS | $39.0M | ✓ Clear |
| Michael Varenhorst, M.D. | Wichita, KS | $36.5M | ✓ 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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