This provider averages 100 services per working day
Based on 250.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $47.2M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 100 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 | $310.33 | $203.53 | 1.52x | $106.80 | $4.6M | 22.8K | 14 |
| 2015 | $333.41 | $218.01 | 1.53x | $115.40 | $4.7M | 21.5K | 18 |
| 2016 | $355.27 | $232.22 | 1.53x | $123.05 | $5.0M | 21.7K | 16 |
| 2017 | $357.46 | $229.07 | 1.56x | $128.39 | $5.4M | 23.5K | 19 |
| 2018 | $351.04 | $226.35 | 1.55x | $124.69 | $5.1M | 22.7K | 16 |
| 2019 | $352.94 | $223.68 | 1.58x | $129.26 | $5.0M | 22.2K | 15 |
| 2020 | $368.14 | $227.63 | 1.62x | $140.51 | $4.6M | 20.0K | 15 |
| 2021 | $365.10 | $219.95 | 1.66x | $145.15 | $4.3M | 19.4K | 17 |
| 2022 | $317.91 | $177.27 | 1.79x | $140.64 | $4.3M | 24.4K | 18 |
| 2023 | $149.92 | $79.65 | 1.88x | $70.27 | $4.2M | 52.2K | 14 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2778 | Injection, ranibizumab, 0.1 mg | 77.8K | $21.5M | $275.96 | 1.52x |
| J0178 | Injection, aflibercept, 1 mg | 21.9K | $16.3M | $745.19 | 1.34x |
| 67028 | Injection of drug into eye | 24.0K | $2.3M | $97.64 | 2.85x |
| 92014 | Established patient complete exam of visual system | 15.5K | $1.5M | $95.18 | 1.58x |
| 92134 | Imaging of retina | 42.6K | $1.4M | $33.75 | 3.08x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 37.1K | $1.1M | $29.14 | 1.51x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 11.5K | $791.8K | $68.87 | 1.48x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 7.3K | $705.2K | $96.91 | 1.73x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 2.8K | $357.7K | $127.69 | 1.66x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 3.9K | $274.5K | $71.11 | 1.67x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 256 | $259.6K | $1.0K | 3.75x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 197 | $150.5K | $764.17 | 4.06x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 127 | $136.2K | $1.1K | 4.20x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 1.5K | $124.5K | $84.87 | 2.60x |
| J9035 | Injection, bevacizumab, 10 mg | 1.5K | $82.8K | $55.63 | 1.80x |
| 92250 | Photography of the retina | 1.2K | $63.0K | $51.49 | 2.47x |
| J3590 | Unclassified biologics | 23 | $39.0K | $1.7K | 1.60x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 23 | $18.4K | $798.22 | 1.83x |
| 76512 | 2d ultrasound scan of eye tissue and structures | 249 | $14.2K | $57.12 | 6.21x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 81 | $13.2K | $163.36 | 1.64x |
This provider submits charges 1.62 times higher than what Medicare actually pays.
A markup ratio of 1.62x means for every $100 Medicare pays, this provider initially charges $162. 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.
Other Ophthalmology providers in MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Michael Elman, M.D. | Baltimore, MD | $68.5M | ✓ Clear |
| David Warrow, M.D. | Hagerstown, MD | $65.5M | ✓ Clear |
| Allen Hu, MD | Hagerstown, MD | $45.7M | ✓ Clear |
| James Rial, M.D. | Salisbury, MD | $45.2M | ✓ Clear |
| Joseph Schwartz, M.D. | Salisbury, MD | $44.0M | ✓ 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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