This provider's $5.4M in total Medicare payments ranks in the 96th percentile of Ophthalmology providers nationally.
Their average markup ratio of 5.76x is significantly above the specialty median of 2.9x.
Medicare payments to this provider grew 209% from 2014 to 2023.
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 | $1.4K | $159.17 | 8.67x | $1.2K | $332.1K | 2.5K | 1.7K |
| 2015 | $2.0K | $205.17 | 9.79x | $1.8K | $293.9K | 2.3K | 1.7K |
| 2016 | $1.5K | $198.62 | 7.70x | $1.3K | $395.7K | 3.0K | 2.3K |
| 2017 | $1.4K | $181.16 | 7.98x | $1.3K | $347.4K | 2.8K | 2.1K |
| 2018 | $1.7K | $211.91 | 8.08x | $1.5K | $416.1K | 3.9K | 3.0K |
| 2019 | $1.5K | $191.49 | 7.75x | $1.3K | $472.2K | 4.4K | 3.4K |
| 2020 | $1.2K | $226.93 | 5.32x | $981.36 | $509.8K | 4.7K | 3.5K |
| 2021 | $1.4K | $244.49 | 5.91x | $1.2K | $746.1K | 6.6K | 4.9K |
| 2022 | $1.6K | $237.43 | 6.64x | $1.3K | $878.8K | 7.5K | 5.6K |
| 2023 | $1.5K | $213.84 | 6.99x | $1.3K | $1.0M | 8.6K | 6.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 65778 | Insertion of amniotic membrane to eye surface | 465 | $609.8K | $1.3K | 2.25x |
| 66180 | Creation of shunt to improve eye fluid flow | 508 | $511.9K | $1.0K | 6.25x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 5.3K | $403.7K | $76.71 | 2.46x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 3.6K | $387.7K | $106.59 | 2.18x |
| 68761 | Closure of tear duct opening using plug | 1.9K | $309.7K | $159.29 | 3.93x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 1.3K | $286.0K | $224.12 | 17.20x |
| 92083 | Measurement of field of vision during daylight conditions | 4.5K | $243.1K | $54.33 | 2.63x |
| 66174 | Dilation to improve eye fluid flow | 329 | $232.2K | $705.89 | 4.25x |
| 92273 | Full field recording of retinal electrical responses to external stimuli with interpretation and report | 2.0K | $227.2K | $113.82 | 2.20x |
| 0191T | Internal insertion of eye fluid drainage device | 231 | $201.9K | $873.86 | 3.43x |
| 66984 | Removal of cataract with insertion of lens | 542 | $186.8K | $344.64 | 13.80x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.8K | $169.0K | $95.26 | 2.77x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 445 | $166.9K | $374.96 | 11.29x |
| 65820 | Incision to improve eye fluid flow | 320 | $166.5K | $520.16 | 11.83x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.3K | $165.8K | $127.67 | 2.94x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 6.3K | $144.4K | $23.07 | 6.72x |
| 66982 | Removal of cataract with insertion of lens | 215 | $130.8K | $608.40 | 9.40x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 142 | $98.3K | $692.43 | 4.33x |
| 92133 | Diagnostic imaging of optic nerve of eye | 3.0K | $95.5K | $31.69 | 7.89x |
| 92250 | Photography of the retina | 2.7K | $94.7K | $35.08 | 3.42x |
This provider submits charges 5.76 times higher than what Medicare actually pays.
A markup ratio of 5.76x means for every $100 Medicare pays, this provider initially charges $576. 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 CT for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Nauman Chaudhry, M.D. | Waterford, CT | $48.4M | ✓ Clear |
| Ron Margolis, M.D. | Manchester, CT | $39.2M | ✓ Clear |
| Marion Stoj, M.D. | Manchester, CT | $34.8M | ✓ Clear |
| Michael Ruddat, MD | Hartford, CT | $34.1M | ✓ 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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