This provider's $9.1M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% in 2021
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 | $345.81 | $135.13 | 2.56x | $210.68 | $1.0M | 6.7K | 5.4K |
| 2015 | $355.86 | $121.10 | 2.94x | $234.76 | $952.0K | 6.2K | 5.0K |
| 2016 | $363.51 | $118.16 | 3.08x | $245.35 | $1.1M | 7.0K | 5.6K |
| 2017 | $364.23 | $136.97 | 2.66x | $227.26 | $787.9K | 4.6K | 3.8K |
| 2018 | $429.24 | $152.78 | 2.81x | $276.46 | $780.5K | 4.5K | 3.7K |
| 2019 | $386.46 | $138.46 | 2.79x | $248.00 | $890.1K | 6.3K | 4.8K |
| 2020 | $294.51 | $111.20 | 2.65x | $183.31 | $650.5K | 4.8K | 4.0K |
| 2021 | $279.72 | $111.41 | 2.51x | $168.31 | $1.1M | 9.9K | 8.1K |
| 2022 | $376.76 | $142.59 | 2.64x | $234.17 | $857.1K | 6.6K | 5.6K |
| 2023 | $597.55 | $209.48 | 2.85x | $388.07 | $958.0K | 6.8K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 9.5K | $4.1M | $430.83 | 3.04x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 6.8K | $1.5M | $222.35 | 2.61x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 5.5K | $582.4K | $106.32 | 2.79x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 6.3K | $539.1K | $85.72 | 2.48x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 3.8K | $338.1K | $88.93 | 2.63x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 634 | $254.5K | $401.49 | 2.48x |
| 92136 | Measurement of corneal curvature and depth of eye | 5.8K | $227.1K | $38.87 | 3.14x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 971 | $169.1K | $174.16 | 2.50x |
| 92286 | Microscopic evaluation of deep cells of the eye | 5.5K | $145.8K | $26.54 | 4.72x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 1.8K | $108.1K | $59.89 | 2.43x |
| J0178 | Injection, aflibercept, 1 mg | 125 | $91.6K | $732.69 | 2.15x |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | 1.3K | $85.9K | $65.13 | 2.52x |
| 92083 | Measurement of field of vision during daylight conditions | 1.7K | $75.4K | $45.04 | 2.65x |
| 92133 | Diagnostic imaging of optic nerve of eye | 2.9K | $73.0K | $24.95 | 2.97x |
| 92134 | Diagnostic imaging of retina | 2.5K | $71.5K | $28.14 | 2.87x |
| 67031 | Laser release of scar tissue between the lens and retina | 236 | $64.3K | $272.44 | 2.62x |
| 65820 | Incision to improve eye fluid flow | 100 | $64.2K | $641.94 | 2.47x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 178 | $63.8K | $358.27 | 3.72x |
| 95930 | Measurement and recording of nerve conduction patterns using visually-evoked stimulation | 686 | $55.7K | $81.14 | 3.03x |
| 92250 | Photography of the retina | 1.6K | $54.5K | $33.70 | 2.75x |
This provider submits charges 2.86 times higher than what Medicare actually pays.
A markup ratio of 2.86x means for every $100 Medicare pays, this provider initially charges $286. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Alexander Eaton, MD | Fort Myers, FL | $99.5M | ✓ Clear |
| Sunil Gupta, M.D. | Pensacola, FL | $86.1M | ✓ Clear |
| Hussein Wafapoor, M.D. | Fort Myers, FL | $70.9M | ✓ Clear |
| John Myers, M.D. | Pensacola, FL | $69.4M | ✓ Clear |
| Thomas Baudo, M.D. | Vero Beach, FL | $64.2M | ✓ 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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