This provider averages 104 services per working day
Based on 258.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $28.4M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 104 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 | $164.15 | $109.88 | 1.49x | $54.27 | $2.8M | 25.3K | 28 |
| 2015 | $152.79 | $94.36 | 1.62x | $58.43 | $2.4M | 25.3K | 28 |
| 2016 | $169.22 | $111.09 | 1.52x | $58.13 | $3.0M | 26.7K | 27 |
| 2017 | $185.92 | $121.68 | 1.53x | $64.24 | $2.7M | 22.0K | 27 |
| 2018 | $161.53 | $103.65 | 1.56x | $57.88 | $2.2M | 21.4K | 26 |
| 2019 | $226.22 | $147.31 | 1.54x | $78.91 | $3.2M | 21.6K | 25 |
| 2020 | $230.84 | $149.67 | 1.54x | $81.17 | $2.6M | 17.2K | 21 |
| 2021 | $224.15 | $143.80 | 1.56x | $80.35 | $2.5M | 17.1K | 20 |
| 2022 | $216.93 | $135.44 | 1.60x | $81.49 | $3.3M | 24.2K | 21 |
| 2023 | $115.63 | $67.26 | 1.72x | $48.37 | $3.9M | 58.2K | 22 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 16.1K | $11.9M | $738.87 | 1.46x |
| J2778 | Injection, ranibizumab, 0.1 mg | 9.4K | $2.6M | $274.26 | 1.45x |
| 92014 | Established patient complete exam of visual system | 29.1K | $2.5M | $86.81 | 1.61x |
| 67028 | Injection of drug into eye | 25.6K | $2.2M | $84.43 | 1.77x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 17.4K | $1.3M | $75.60 | 1.88x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 43.3K | $1.3M | $29.08 | 1.86x |
| 92134 | Imaging of retina | 34.0K | $1.1M | $31.83 | 1.45x |
| 92012 | Established patient problem focused exam of visual system | 15.2K | $944.4K | $61.96 | 1.55x |
| 92250 | Photography of the retina | 19.0K | $745.3K | $39.17 | 2.04x |
| 92273 | Measurement of retinal and optic nerve function | 6.7K | $650.8K | $97.42 | 1.35x |
| J7999 | Compounded drug, not otherwise classified | 11.3K | $536.3K | $47.61 | 1.72x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 1.9K | $458.4K | $242.16 | 1.59x |
| 92083 | Exam of visual field with extended testing | 7.7K | $350.4K | $45.62 | 1.51x |
| 92004 | New patient complete exam of visual system | 3.3K | $317.2K | $97.58 | 1.79x |
| 92240 | Imaging of blood vessels in back of eye using indocyanine-green dye | 1.2K | $202.0K | $173.72 | 1.38x |
| J3490 | Unclassified drugs | 2.9K | $177.8K | $60.42 | 1.71x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 3.2K | $171.2K | $54.33 | 1.48x |
| 76512 | 2d ultrasound scan of eye tissue and structures | 2.7K | $167.4K | $62.16 | 1.64x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 319 | $142.8K | $447.62 | 2.89x |
| 92242 | Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye | 890 | $139.7K | $156.99 | 1.56x |
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 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 |
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