This provider averages 54 services per working day
Based on 135.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $24.6M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 54 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 2931% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 648% in 2015
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 | $386.60 | $134.89 | 2.87x | $251.71 | $128.4K | 952 | 11 |
| 2015 | $423.22 | $140.86 | 3.00x | $282.36 | $960.7K | 6.8K | 18 |
| 2016 | $486.70 | $154.73 | 3.15x | $331.97 | $1.5M | 9.8K | 18 |
| 2017 | $538.45 | $170.08 | 3.17x | $368.37 | $1.7M | 9.8K | 24 |
| 2018 | $580.00 | $190.50 | 3.04x | $389.50 | $2.5M | 12.9K | 21 |
| 2019 | $673.61 | $233.81 | 2.88x | $439.80 | $3.9M | 16.5K | 25 |
| 2020 | $672.26 | $226.29 | 2.97x | $445.97 | $3.3M | 14.5K | 21 |
| 2021 | $692.72 | $234.18 | 2.96x | $458.54 | $3.5M | 14.8K | 18 |
| 2022 | $606.71 | $198.70 | 3.05x | $408.01 | $3.4M | 16.9K | 21 |
| 2023 | $370.25 | $119.60 | 3.10x | $250.65 | $3.9M | 32.5K | 22 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 15.0K | $10.9M | $725.72 | 2.06x |
| 67210 | Destruction of growth of retina using a laser | 6.4K | $3.0M | $469.06 | 4.44x |
| 67028 | Injection of drug into eye | 13.1K | $1.3M | $97.01 | 9.59x |
| J0179 | Injection, brolucizumab-dbll, 1 mg | 5.1K | $1.3M | $246.61 | 2.01x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 11.7K | $1.2M | $99.85 | 3.65x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 6.0K | $930.1K | $155.95 | 2.53x |
| 92134 | Imaging of retina | 20.6K | $729.5K | $35.45 | 3.54x |
| 92014 | Established patient complete exam of visual system | 6.9K | $724.7K | $105.21 | 1.87x |
| J3490 | Unclassified drugs | 389 | $608.0K | $1.6K | 2.12x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 20.6K | $591.8K | $28.66 | 3.69x |
| J7313 | Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg | 1.5K | $582.1K | $382.99 | 1.51x |
| 92012 | Established patient problem focused exam of visual system | 6.6K | $499.9K | $75.95 | 2.10x |
| 92250 | Photography of the retina | 8.6K | $388.0K | $44.95 | 3.21x |
| J2778 | Injection, ranibizumab, 0.1 mg | 1.4K | $371.2K | $268.63 | 2.20x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 266 | $329.5K | $1.2K | 3.85x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 437 | $171.0K | $391.21 | 6.24x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 202 | $167.1K | $827.18 | 3.24x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 1.5K | $162.5K | $110.54 | 1.66x |
| J9035 | Injection, bevacizumab, 10 mg | 2.5K | $139.6K | $56.44 | 2.08x |
| 92242 | Imaging of blood vessels in back of eye using fluorescein and indocyanine-green dye | 646 | $136.2K | $210.78 | 1.93x |
This provider submits charges 3.02 times higher than what Medicare actually pays.
A markup ratio of 3.02x means for every $100 Medicare pays, this provider initially charges $302. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jonathan Jonisch, MD | Great Neck, NY | $52.3M | ✓ Clear |
| Jeffrey Josef, M.D. | Suffern, NY | $52.2M | ✓ Clear |
| Brett Rosenblatt | Great Neck, NY | $50.0M | ✓ Clear |
| Kenneth Graham | Great Neck, NY | $47.1M | ✓ Clear |
| Glenn Stoller, M.D. | Rockville Centre, NY | $46.4M | ✓ 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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