This provider averages 114 services per working day
Based on 285.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $45.2M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 114 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 | $319.01 | $169.31 | 1.88x | $149.70 | $4.5M | 26.4K | 21 |
| 2015 | $357.31 | $193.34 | 1.85x | $163.97 | $5.0M | 26.0K | 23 |
| 2016 | $360.30 | $196.33 | 1.84x | $163.97 | $4.9M | 24.8K | 23 |
| 2017 | $361.70 | $193.84 | 1.87x | $167.86 | $4.3M | 22.4K | 23 |
| 2018 | $355.11 | $190.73 | 1.86x | $164.38 | $4.3M | 22.8K | 21 |
| 2019 | $350.36 | $184.90 | 1.89x | $165.46 | $4.3M | 23.1K | 20 |
| 2020 | $396.12 | $206.56 | 1.92x | $189.56 | $4.2M | 20.6K | 22 |
| 2021 | $393.89 | $212.06 | 1.86x | $181.83 | $4.4M | 20.9K | 20 |
| 2022 | $328.25 | $166.77 | 1.97x | $161.48 | $4.5M | 27.1K | 22 |
| 2023 | $144.04 | $65.07 | 2.21x | $78.97 | $4.7M | 71.5K | 19 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 33.4K | $24.9M | $743.81 | 1.50x |
| J2778 | Injection, ranibizumab, 0.1 mg | 22.9K | $6.6M | $290.43 | 1.54x |
| 92014 | Established patient complete exam of visual system | 28.1K | $2.5M | $89.03 | 1.68x |
| 67028 | Injection of drug into eye | 27.0K | $2.3M | $83.67 | 5.02x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 61.7K | $1.8M | $28.62 | 2.18x |
| 92134 | Imaging of retina | 47.5K | $1.5M | $32.55 | 3.51x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19.2K | $1.1M | $57.05 | 1.89x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 8.4K | $761.2K | $90.53 | 2.23x |
| 67210 | Destruction of growth of retina using a laser | 1.7K | $709.8K | $412.43 | 3.47x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 6.6K | $540.8K | $81.56 | 2.49x |
| 92250 | Photography of the retina | 9.2K | $386.8K | $42.05 | 2.27x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 915 | $340.3K | $371.96 | 4.62x |
| J9035 | Injection, bevacizumab, 10 mg | 4.2K | $245.4K | $57.79 | 1.46x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 200 | $223.5K | $1.1K | 3.30x |
| 92004 | New patient complete exam of visual system | 1.9K | $201.7K | $108.54 | 1.65x |
| 67041 | Removal of membrane from the retina | 182 | $172.8K | $949.71 | 3.37x |
| J3590 | Unclassified biologics | 146 | $154.1K | $1.1K | 1.31x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.2K | $142.0K | $121.35 | 2.03x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 366 | $138.3K | $377.88 | 2.88x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 123 | $117.8K | $957.95 | 3.07x |
This provider submits charges 1.91 times higher than what Medicare actually pays.
A markup ratio of 1.91x means for every $100 Medicare pays, this provider initially charges $191. 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 |
| Raymond Sjaarda, M.D. | Baltimore, MD | $47.2M | ✓ Clear |
| Allen Hu, MD | Hagerstown, MD | $45.7M | ✓ 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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