⚠️ This provider averages 305 services per working day — physically unusual for an individual practitioner
Based on 763.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $28.2M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 305 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 208% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 77% 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 | $219.71 | $82.39 | 2.67x | $137.32 | $1.3M | 15.3K | 12 |
| 2015 | $308.89 | $118.11 | 2.62x | $190.78 | $2.2M | 19.0K | 14 |
| 2016 | $316.07 | $119.75 | 2.64x | $196.32 | $2.5M | 21.2K | 12 |
| 2017 | $323.44 | $121.58 | 2.66x | $201.86 | $2.5M | 20.8K | 12 |
| 2018 | $359.19 | $134.65 | 2.67x | $224.54 | $3.0M | 22.6K | 14 |
| 2019 | $379.00 | $136.49 | 2.78x | $242.51 | $3.3M | 24.2K | 14 |
| 2020 | $378.15 | $140.95 | 2.68x | $237.20 | $3.1M | 21.9K | 13 |
| 2021 | $368.00 | $136.54 | 2.70x | $231.46 | $3.2M | 23.4K | 12 |
| 2022 | $377.41 | $128.35 | 2.94x | $249.06 | $3.1M | 24.5K | 14 |
| 2023 | $20.91 | $6.83 | 3.06x | $14.08 | $3.9M | 570.2K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2778 | Injection, ranibizumab, 0.1 mg | 58.4K | $15.3M | $262.81 | 2.80x |
| 92014 | Established patient complete exam of visual system | 28.2K | $2.7M | $96.61 | 2.49x |
| 67028 | Injection of drug into eye | 27.6K | $2.3M | $84.82 | 2.93x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24.5K | $2.2M | $91.08 | 2.57x |
| 92134 | Imaging of retina | 31.6K | $1.0M | $32.45 | 2.71x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 10.4K | $840.4K | $80.66 | 3.21x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 28.2K | $820.3K | $29.09 | 2.51x |
| J9035 | Injection, bevacizumab, 10 mg | 13.9K | $786.0K | $56.65 | 2.20x |
| 92250 | Photography of the retina | 11.3K | $469.1K | $41.33 | 3.13x |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | 1.5K | $318.4K | $214.24 | 3.27x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 2.4K | $307.3K | $128.04 | 2.54x |
| J2403 | Chloroprocaine hcl ophthalmic, 3% gel, 1 mg | 520.0K | $285.4K | $0.55 | 2.64x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 1.6K | $193.2K | $120.36 | 3.32x |
| J3490 | Unclassified drugs | 97 | $171.5K | $1.8K | 3.39x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 721 | $113.5K | $157.44 | 3.68x |
| J0178 | Injection, aflibercept, 1 mg | 126 | $90.5K | $718.11 | 2.61x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 76 | $78.4K | $1.0K | 2.80x |
| 76512 | 2d ultrasound scan of eye tissue and structures | 492 | $26.0K | $52.78 | 2.90x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 1.3K | $24.0K | $18.81 | 2.44x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 33 | $14.1K | $428.45 | 3.13x |
This provider submits charges 2.76 times higher than what Medicare actually pays.
A markup ratio of 2.76x means for every $100 Medicare pays, this provider initially charges $276. 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 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 |
| James Rial, M.D. | Salisbury, MD | $45.2M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data