This provider averages 82 services per working day
Based on 205.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $36.0M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 82 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 66% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 65% in 2017
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $647.99 | $175.22 | 3.70x | $472.77 | $3.1M | 17.9K | 4.7K |
| 2015 | $511.13 | $175.22 | 2.92x | $335.91 | $3.2M | 18.2K | 4.8K |
| 2016 | $567.46 | $175.22 | 3.24x | $392.24 | $2.6M | 14.8K | 3.9K |
| 2017 | $642.97 | $175.22 | 3.67x | $467.75 | $4.3M | 24.4K | 6.5K |
| 2018 | $335.44 | $175.22 | 1.91x | $160.22 | $3.3M | 18.6K | 4.9K |
| 2019 | $684.35 | $175.22 | 3.91x | $509.13 | $4.5M | 25.6K | 6.8K |
| 2020 | $631.75 | $175.22 | 3.61x | $456.53 | $3.2M | 18.2K | 4.8K |
| 2021 | $556.10 | $175.22 | 3.17x | $380.88 | $3.1M | 17.4K | 4.6K |
| 2022 | $361.17 | $175.22 | 2.06x | $185.95 | $3.6M | 20.5K | 5.4K |
| 2023 | $353.51 | $175.22 | 2.02x | $178.29 | $5.2M | 29.8K | 7.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye exam, established patient, comprehensive | 60.3K | $8.4M | $138.66 | 2.53x |
| 66984 | Cataract removal with lens insertion | 53.8K | $7.3M | $135.70 | 1.91x |
| 67028 | Injection into eye | 13.0K | $2.8M | $217.69 | 1.55x |
| 65855 | Laser surgery for glaucoma | 8.6K | $2.0M | $228.95 | 2.99x |
| 92012 | Eye exam, established patient, intermediate | 5.7K | $1.7M | $297.45 | 1.87x |
| 92136 | Ophthalmic biometry | 6.0K | $1.5M | $256.39 | 2.84x |
| 92134 | Scanning computerized ophthalmic imaging | 7.4K | $1.4M | $193.86 | 2.45x |
| 92250 | Eye imaging, optic nerve | 6.5K | $1.3M | $201.85 | 3.19x |
| 92004 | Eye exam, new patient, comprehensive | 8.3K | $1.2M | $149.26 | 2.17x |
| 92083 | Visual field examination | 6.4K | $1.1M | $175.41 | 2.40x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. 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 NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Howard Fine, MD MHSC | New Brunswick, NJ | $44.5M | ✓ Clear |
| Robert Barone, MD | Newton, NJ | $43.3M | ✓ Clear |
| Jonathan Prenner, MD | New Brunswick, NJ | $43.1M | ✓ Clear |
| Sumit Shah, M.D. | New Brunswick, NJ | $37.0M | ✓ Clear |
| David Kim, M.D. | Union, NJ | $36.1M | ✓ 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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