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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
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Methodology•Download Data
  1. Home
  2. Providers
  3. Avtar Ghuman
👁️
MDIndividual

Avtar Ghuman, MD

NPI: 1801883822
Ft Myers, FL
10 years of data
Ophthalmology
$37.5M
Total Payments
152
Beneficiaries
205.2K
Services
2.24x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$37.5M
Specialty median$383.7K
Rank #135 of 189 in specialty

📋 Key Findings

1Billed $37.5M over 10 years
22.24x markup ratio (above median)
399th percentile in Ophthalmology by payments
482 services/day — unusually high
57 procedures with >3x markup

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 →

🔎 Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$411.56$194.192.12x$217.37$4.1M21.3K18
2015$397.23$184.252.16x$212.98$4.0M21.5K16
2016$399.98$179.752.23x$220.23$4.1M22.7K16
2017$441.69$193.062.29x$248.63$3.6M18.7K16
2018$462.77$204.322.26x$258.45$3.5M17.2K17
2019$481.48$213.012.26x$268.47$3.8M17.7K15
2020$499.23$219.072.28x$280.16$3.8M17.5K15
2021$510.50$228.242.24x$282.26$3.8M16.7K14
2022$516.59$224.882.30x$291.71$3.5M15.7K14
2023$211.03$90.612.33x$120.42$3.3M36.0K11

Top Procedures (20)

J0178Injection, aflibercept, 1 mg
$20.2M
27.1K services$744.21/svc2.02x markup
J2778Injection, ranibizumab, 0.1 mg
$8.7M
30.2K services$287.83/svc2.09x markup
67028Injection of drug into eye⚠ 3.8x markup
$2.2M
25.6K services$86.31/svc3.84x markup
99213Established patient office or other outpatient visit, 20-29 minutes
$1.2M
19.5K services$59.24/svc2.01x markup
92134Imaging of retina⚠ 3.4x markup
$870.0K
27.0K services$32.21/svc3.35x markup
92250Photography of the retina
$858.1K
16.6K services$51.65/svc2.41x markup
J2777Injection, faricimab-svoa, 0.1 mg
$783.2K
26.9K services$29.14/svc1.97x markup
92235Exam of retinal blood vessels using a special camera after injection of a dye⚠ 3.2x markup
$691.8K
8.6K services$80.84/svc3.19x markup
92014Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits
$606.5K
6.8K services$88.86/svc2.30x markup
99214Established patient office or other outpatient visit, 30-39 minutes
$420.5K
4.8K services$87.60/svc2.01x markup
99204New patient office or other outpatient visit, 45-59 minutes
$394.3K
3.3K services$119.77/svc2.19x markup
J7999Compounded drug, not otherwise classified⚠ 6.2x markup
$262.1K
5.8K services$45.38/svc6.17x markup
67145Photocoagulation treatment to prevent detachment of retina
$110.1K
261 services$421.72/svc2.05x markup
J3490Unclassified drugs
$91.9K
1.1K services$81.12/svc2.57x markup
J0179Injection, brolucizumab-dbll, 1 mg
$63.1K
252 services$250.46/svc2.00x markup
Q9977Compounded Drug, Not Otherwise Classified⚠ 3.2x markup
$21.1K
541 services$39.09/svc3.20x markup
67105Repair of detached retina, 1 or more sessions⚠ 3.2x markup
$17.7K
30 services$588.69/svc3.18x markup
765122d ultrasound scan of eye tissue and structures⚠ 3.1x markup
$15.9K
262 services$60.67/svc3.15x markup
67141Preventive retinal detachment treatment by heat or freezing, 1 or more sessions
$14.4K
33 services$436.69/svc2.63x markup
99203New patient office or other outpatient visit, typically 30 minutes
$13.8K
183 services$75.50/svc2.11x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
J0178Injection, aflibercept, 1 mg27.1K$20.2M$744.212.02x
J2778Injection, ranibizumab, 0.1 mg30.2K$8.7M$287.832.09x
67028Injection of drug into eye25.6K$2.2M$86.313.84x
99213Established patient office or other outpatient visit, 20-29 minutes19.5K$1.2M$59.242.01x
92134Imaging of retina27.0K$870.0K$32.213.35x
92250Photography of the retina16.6K$858.1K$51.652.41x
J2777Injection, faricimab-svoa, 0.1 mg26.9K$783.2K$29.141.97x
92235Exam of retinal blood vessels using a special camera after injection of a dye8.6K$691.8K$80.843.19x
92014Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits6.8K$606.5K$88.862.30x
99214Established patient office or other outpatient visit, 30-39 minutes4.8K$420.5K$87.602.01x
99204New patient office or other outpatient visit, 45-59 minutes3.3K$394.3K$119.772.19x
J7999Compounded drug, not otherwise classified5.8K$262.1K$45.386.17x
67145Photocoagulation treatment to prevent detachment of retina261$110.1K$421.722.05x
J3490Unclassified drugs1.1K$91.9K$81.122.57x
J0179Injection, brolucizumab-dbll, 1 mg252$63.1K$250.462.00x
Q9977Compounded Drug, Not Otherwise Classified541$21.1K$39.093.20x
67105Repair of detached retina, 1 or more sessions30$17.7K$588.693.18x
765122d ultrasound scan of eye tissue and structures262$15.9K$60.673.15x
67141Preventive retinal detachment treatment by heat or freezing, 1 or more sessions33$14.4K$436.692.63x
99203New patient office or other outpatient visit, typically 30 minutes183$13.8K$75.502.11x

Markup Analysis

Charge-to-Payment Ratio

2.24x

This provider submits charges 2.24 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.24x means for every $100 Medicare pays, this provider initially charges $224. This is higher than the national average.

Location

Ft Myers, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ophthalmology providers in FL for peer comparison.

Avtar Ghuman (you)
$37.5M
Alexander Eaton, MD
$99.5M
Sunil Gupta, M.D.
$86.1M
Hussein Wafapoor, M.D.
$70.9M
John Myers, M.D.
$69.4M
Thomas Baudo, M.D.
$64.2M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Alexander Eaton, MDFort 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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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data