This provider averages 82 services per working day
Based on 205.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $37.5M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 82 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 | $411.56 | $194.19 | 2.12x | $217.37 | $4.1M | 21.3K | 18 |
| 2015 | $397.23 | $184.25 | 2.16x | $212.98 | $4.0M | 21.5K | 16 |
| 2016 | $399.98 | $179.75 | 2.23x | $220.23 | $4.1M | 22.7K | 16 |
| 2017 | $441.69 | $193.06 | 2.29x | $248.63 | $3.6M | 18.7K | 16 |
| 2018 | $462.77 | $204.32 | 2.26x | $258.45 | $3.5M | 17.2K | 17 |
| 2019 | $481.48 | $213.01 | 2.26x | $268.47 | $3.8M | 17.7K | 15 |
| 2020 | $499.23 | $219.07 | 2.28x | $280.16 | $3.8M | 17.5K | 15 |
| 2021 | $510.50 | $228.24 | 2.24x | $282.26 | $3.8M | 16.7K | 14 |
| 2022 | $516.59 | $224.88 | 2.30x | $291.71 | $3.5M | 15.7K | 14 |
| 2023 | $211.03 | $90.61 | 2.33x | $120.42 | $3.3M | 36.0K | 11 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 27.1K | $20.2M | $744.21 | 2.02x |
| J2778 | Injection, ranibizumab, 0.1 mg | 30.2K | $8.7M | $287.83 | 2.09x |
| 67028 | Injection of drug into eye | 25.6K | $2.2M | $86.31 | 3.84x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19.5K | $1.2M | $59.24 | 2.01x |
| 92134 | Imaging of retina | 27.0K | $870.0K | $32.21 | 3.35x |
| 92250 | Photography of the retina | 16.6K | $858.1K | $51.65 | 2.41x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 26.9K | $783.2K | $29.14 | 1.97x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 8.6K | $691.8K | $80.84 | 3.19x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 6.8K | $606.5K | $88.86 | 2.30x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 4.8K | $420.5K | $87.60 | 2.01x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 3.3K | $394.3K | $119.77 | 2.19x |
| J7999 | Compounded drug, not otherwise classified | 5.8K | $262.1K | $45.38 | 6.17x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 261 | $110.1K | $421.72 | 2.05x |
| J3490 | Unclassified drugs | 1.1K | $91.9K | $81.12 | 2.57x |
| J0179 | Injection, brolucizumab-dbll, 1 mg | 252 | $63.1K | $250.46 | 2.00x |
| Q9977 | Compounded Drug, Not Otherwise Classified | 541 | $21.1K | $39.09 | 3.20x |
| 67105 | Repair of detached retina, 1 or more sessions | 30 | $17.7K | $588.69 | 3.18x |
| 76512 | 2d ultrasound scan of eye tissue and structures | 262 | $15.9K | $60.67 | 3.15x |
| 67141 | Preventive retinal detachment treatment by heat or freezing, 1 or more sessions | 33 | $14.4K | $436.69 | 2.63x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 183 | $13.8K | $75.50 | 2.11x |
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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Alexander Eaton, MD | Fort Myers, FL | $99.5M | ✓ Clear |
| Sunil Gupta, M.D. | Pensacola, FL | $86.1M | ✓ Clear |
| Hussein Wafapoor, M.D. | Fort Myers, FL | $70.9M | ✓ Clear |
| John Myers, M.D. | Pensacola, FL | $69.4M | ✓ Clear |
| Thomas Baudo, M.D. | Vero Beach, FL | $64.2M | ✓ 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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