This provider's $4.7M in total Medicare payments ranks in the 99th percentile of Optometry providers nationally.
Medicare payments to this provider grew 126% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 93% 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 | $77.19 | $49.94 | 1.55x | $27.25 | $372.0K | 5.8K | 5.0K |
| 2015 | $74.61 | $47.92 | 1.56x | $26.69 | $310.7K | 4.6K | 3.7K |
| 2016 | $74.23 | $47.42 | 1.57x | $26.81 | $313.8K | 5.1K | 4.3K |
| 2017 | $88.87 | $51.93 | 1.71x | $36.94 | $246.9K | 3.9K | 3.2K |
| 2018 | $102.64 | $59.68 | 1.72x | $42.96 | $195.6K | 2.9K | 2.3K |
| 2019 | $193.69 | $132.30 | 1.46x | $61.39 | $328.4K | 4.2K | 3.4K |
| 2020 | $234.03 | $165.18 | 1.42x | $68.85 | $455.0K | 5.6K | 5.0K |
| 2021 | $260.91 | $184.04 | 1.42x | $76.87 | $880.4K | 9.5K | 8.0K |
| 2022 | $259.96 | $175.10 | 1.48x | $84.86 | $800.1K | 7.1K | 5.8K |
| 2023 | $213.44 | $146.51 | 1.46x | $66.93 | $842.0K | 7.2K | 6.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 17.5K | $1.5M | $84.47 | 1.50x |
| 65778 | Insertion of amniotic membrane to eye surface | 778 | $788.9K | $1.0K | 1.36x |
| 92273 | Full field recording of retinal electrical responses to external stimuli with interpretation and report | 7.9K | $749.2K | $94.50 | 1.37x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 4.8K | $503.9K | $104.93 | 1.45x |
| 68761 | Closure of tear duct opening using plug | 4.4K | $372.2K | $84.23 | 1.77x |
| 92250 | Photography of the retina | 7.2K | $274.4K | $38.04 | 1.71x |
| 65210 | Removal of foreign body in external eye, conjunctiva or sclera | 3.6K | $179.2K | $49.84 | 2.00x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 2.6K | $166.6K | $65.19 | 1.54x |
| 83861 | Microfluid analysis of tears | 2.9K | $64.6K | $22.09 | 1.11x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 748 | $42.0K | $56.13 | 1.65x |
| 67820 | Removal of eyelashes by forceps | 756 | $27.2K | $35.94 | 1.44x |
| 65222 | Removal of foreign body, external eye, cornea with slit lamp examination | 341 | $21.2K | $62.12 | 1.55x |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 593 | $17.9K | $30.23 | 1.49x |
| 68840 | Probing of nasal-tear duct | 130 | $17.8K | $137.04 | 1.78x |
| 92083 | Measurement of field of vision during daylight conditions | 194 | $8.4K | $43.34 | 1.96x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 413 | $8.0K | $19.40 | 1.43x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 138 | $6.0K | $43.44 | 1.63x |
| 92133 | Diagnostic imaging of optic nerve of eye | 150 | $4.2K | $27.78 | 1.80x |
| 92285 | Photography of content of eyes | 289 | $3.4K | $11.80 | 1.74x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 147 | $2.8K | $18.76 | 1.50x |
This provider submits charges 1.5 times higher than what Medicare actually pays.
A markup ratio of 1.5x means for every $100 Medicare pays, this provider initially charges $150. 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.
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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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