This provider averages 71 services per working day
Based on 176.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.2M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Averaging 71 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 | $109.32 | $75.33 | 1.45x | $33.99 | $979.5K | 14.6K | 8.6K |
| 2015 | $98.47 | $72.95 | 1.35x | $25.52 | $1.0M | 16.0K | 9.1K |
| 2016 | $109.48 | $71.86 | 1.52x | $37.62 | $1.1M | 16.5K | 8.7K |
| 2017 | $105.79 | $67.96 | 1.56x | $37.83 | $1.1M | 17.3K | 9.4K |
| 2018 | $108.02 | $66.17 | 1.63x | $41.85 | $1.1M | 19.5K | 9.6K |
| 2019 | $107.78 | $64.32 | 1.68x | $43.46 | $1.1M | 22.1K | 11.3K |
| 2020 | $90.96 | $56.87 | 1.60x | $34.09 | $1.0M | 18.2K | 10.1K |
| 2021 | $96.30 | $59.50 | 1.62x | $36.80 | $965.2K | 17.3K | 9.7K |
| 2022 | $99.91 | $61.60 | 1.62x | $38.31 | $975.3K | 18.2K | 10.0K |
| 2023 | $98.49 | $60.15 | 1.64x | $38.34 | $849.4K | 16.9K | 9.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 19.4K | $2.1M | $106.25 | 1.38x |
| 92083 | Measurement of field of vision during daylight conditions | 18.2K | $1.0M | $57.32 | 1.38x |
| 76512 | Ultrasound of eye disease, growth, or structure | 17.0K | $1.0M | $61.39 | 1.53x |
| 92250 | Photography of the retina | 18.7K | $947.5K | $50.54 | 1.92x |
| 92275 | Recording of retinal electrical responses to external stimuli | 6.4K | $874.7K | $136.96 | 1.43x |
| 95930 | Measurement and recording of nerve conduction patterns using visually-evoked stimulation | 9.4K | $787.4K | $83.35 | 1.91x |
| 92273 | Full field recording of retinal electrical responses to external stimuli with interpretation and report | 5.8K | $698.8K | $120.81 | 1.36x |
| 0509T | Pattern recording of retinal electrical responses to external stimuli with interpretation and report | 7.8K | $496.8K | $64.06 | 2.10x |
| 92133 | Diagnostic imaging of optic nerve of eye | 13.5K | $438.7K | $32.52 | 1.63x |
| 92285 | Photography of content of eyes | 19.3K | $333.4K | $17.27 | 1.64x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 11.6K | $255.9K | $22.01 | 1.43x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 3.0K | $229.2K | $76.18 | 1.48x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 8.2K | $197.7K | $24.11 | 1.45x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 731 | $182.0K | $248.99 | 1.58x |
| 92134 | Diagnostic imaging of retina | 5.2K | $178.8K | $34.14 | 1.67x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.0K | $124.9K | $124.62 | 1.41x |
| 68761 | Closure of tear duct opening using plug | 1.0K | $122.6K | $118.57 | 1.48x |
| 92132 | Diagnostic imaging of eyes | 2.3K | $58.7K | $25.68 | 2.16x |
| 67820 | Removal of eyelashes by forceps | 1.8K | $58.2K | $33.06 | 1.78x |
| 76514 | Ultrasound of corneal structure and measurement | 4.8K | $49.5K | $10.32 | 2.08x |
This provider submits charges 1.57 times higher than what Medicare actually pays.
A markup ratio of 1.57x means for every $100 Medicare pays, this provider initially charges $157. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Nathan Steinle, M.D. | Santa Barbara, CA | $63.1M | ✓ Clear |
| Stephen Couvillion, MD | Santa Barbara, CA | $47.7M | ✓ Clear |
| Margaret Chang, M.D. | Sacramento, CA | $47.6M | ✓ Clear |
| David Boyer, MD | Los Angeles, CA | $47.5M | ✓ Clear |
| Alessandro Castellarin, M.D. | Santa Barbara, CA | $46.9M | ✓ Clear |
Share this provider's Medicare payment information
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