This provider averages 85 services per working day
Based on 211.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $39.9M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 85 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 | $470.38 | $209.19 | 2.25x | $261.19 | $4.2M | 20.2K | 22 |
| 2015 | $484.15 | $207.82 | 2.33x | $276.33 | $4.4M | 21.2K | 24 |
| 2016 | $502.96 | $203.01 | 2.48x | $299.95 | $3.8M | 18.8K | 22 |
| 2017 | $461.17 | $176.70 | 2.61x | $284.47 | $3.7M | 21.1K | 22 |
| 2018 | $480.96 | $189.97 | 2.53x | $290.99 | $4.0M | 21.0K | 23 |
| 2019 | $528.40 | $218.80 | 2.41x | $309.60 | $4.6M | 21.0K | 19 |
| 2020 | $528.34 | $229.52 | 2.30x | $298.82 | $4.3M | 18.6K | 19 |
| 2021 | $507.43 | $214.02 | 2.37x | $293.41 | $4.3M | 20.2K | 21 |
| 2022 | $497.38 | $195.02 | 2.55x | $302.36 | $3.3M | 17.0K | 17 |
| 2023 | $254.05 | $100.25 | 2.53x | $153.80 | $3.2M | 32.3K | 19 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2778 | Injection, ranibizumab, 0.1 mg | 69.3K | $19.5M | $281.38 | 1.78x |
| J0178 | Injection, aflibercept, 1 mg | 17.6K | $13.0M | $741.50 | 1.69x |
| 67028 | Injection of drug into eye | 27.0K | $2.2M | $81.26 | 11.03x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 15.7K | $876.4K | $55.67 | 2.30x |
| 92134 | Imaging of retina | 29.4K | $837.7K | $28.46 | 3.51x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 20.6K | $601.8K | $29.15 | 1.44x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 2.9K | $324.3K | $111.82 | 2.43x |
| 67042 | Removal of membrane from the retina, pars plana approach with removal of internal limiting membrane of retina | 294 | $267.6K | $910.12 | 4.83x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 5.0K | $266.9K | $53.32 | 2.49x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 269 | $251.6K | $935.44 | 4.28x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 3.2K | $235.4K | $74.30 | 3.14x |
| 92014 | Established patient complete exam of visual system | 2.6K | $220.3K | $83.28 | 2.58x |
| J3590 | Unclassified biologics | 3.5K | $212.5K | $61.06 | 5.52x |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | 716 | $159.8K | $223.12 | 2.24x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 338 | $158.8K | $469.73 | 4.11x |
| J7999 | Compounded drug, not otherwise classified | 3.1K | $117.6K | $38.52 | 6.35x |
| 92250 | Photography of the retina | 2.3K | $99.2K | $42.41 | 2.83x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 268 | $94.4K | $352.16 | 5.84x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 546 | $86.4K | $158.20 | 1.54x |
| J3490 | Unclassified drugs | 42 | $77.4K | $1.8K | 1.41x |
This provider submits charges 2.43 times higher than what Medicare actually pays.
A markup ratio of 2.43x means for every $100 Medicare pays, this provider initially charges $243. This is higher 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 KS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| David Dyer, M.D. | Lenexa, KS | $67.5M | ✓ Clear |
| Ryan Christensen, M.D. | Lenexa, KS | $45.1M | ✓ Clear |
| Beatty Suiter, M.D. | Lenexa, KS | $41.7M | ✓ Clear |
| Gregory Fox, M.D. | Lenexa, KS | $39.0M | ✓ Clear |
| Michael Varenhorst, M.D. | Wichita, KS | $36.5M | ✓ 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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