This provider averages 143 services per working day
Based on 358.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $32.7M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 143 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 84% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% in 2019
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 | $173.92 | $60.99 | 2.85x | $112.93 | $2.4M | 38.6K | 33 |
| 2015 | $181.31 | $60.86 | 2.98x | $120.45 | $2.0M | 33.1K | 28 |
| 2016 | $166.71 | $54.95 | 3.03x | $111.76 | $2.1M | 38.4K | 31 |
| 2017 | $200.62 | $58.37 | 3.44x | $142.25 | $2.0M | 34.8K | 31 |
| 2018 | $219.99 | $64.47 | 3.41x | $155.52 | $2.2M | 33.4K | 26 |
| 2019 | $340.81 | $113.04 | 3.01x | $227.77 | $3.5M | 30.9K | 31 |
| 2020 | $552.81 | $190.34 | 2.90x | $362.47 | $4.6M | 24.1K | 26 |
| 2021 | $593.57 | $203.95 | 2.91x | $389.62 | $5.0M | 24.5K | 25 |
| 2022 | $420.09 | $147.86 | 2.84x | $272.23 | $4.6M | 31.4K | 25 |
| 2023 | $190.94 | $62.66 | 3.05x | $128.28 | $4.3M | 69.0K | 25 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 20.5K | $15.0M | $731.02 | 2.73x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 31.2K | $2.4M | $76.65 | 2.48x |
| 67028 | Injection of drug into eye | 25.3K | $2.0M | $79.99 | 8.11x |
| 92012 | Established patient problem focused exam of visual system | 28.6K | $1.8M | $61.43 | 1.75x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 55.9K | $1.6M | $29.13 | 2.40x |
| 92014 | Established patient complete exam of visual system | 17.4K | $1.5M | $84.29 | 1.85x |
| 92134 | Imaging of retina | 39.8K | $1.2M | $29.38 | 2.22x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 50.2K | $915.0K | $18.24 | 3.76x |
| J2778 | Injection, ranibizumab, 0.1 mg | 2.6K | $750.7K | $285.65 | 2.44x |
| J9035 | Injection, bevacizumab, 10 mg | 12.5K | $707.7K | $56.68 | 3.53x |
| 92250 | Photography of the retina | 15.9K | $696.3K | $43.79 | 2.52x |
| J3590 | Unclassified biologics | 280 | $497.5K | $1.8K | 2.26x |
| 92240 | Exam of blood vessels between the white part of eye and retina using a special camera after injection of a dye | 2.6K | $403.1K | $157.29 | 3.02x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 791 | $398.2K | $503.37 | 3.99x |
| 92275 | Recording of retinal electrical responses to external stimuli | 3.0K | $336.0K | $110.38 | 1.82x |
| 92004 | New patient complete exam of visual system | 2.3K | $235.1K | $101.34 | 1.71x |
| 92273 | Measurement of retinal and optic nerve function | 2.3K | $225.9K | $98.69 | 2.03x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 237 | $220.9K | $932.22 | 6.97x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 471 | $180.3K | $382.85 | 3.93x |
| 65778 | Insertion of amniotic membrane to eye surface | 158 | $168.7K | $1.1K | 2.34x |
This provider submits charges 3 times higher than what Medicare actually pays.
A markup ratio of 3x means for every $100 Medicare pays, this provider initially charges $300. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jason Ysasaga, M.D. | Amarillo, TX | $61.5M | ✓ Clear |
| Harshivinderjit Bains, MD | Tyler, TX | $53.9M | ✓ Clear |
| Ryan Rush, MD | Amarillo, TX | $53.6M | ✓ Clear |
| Tien Wong, M.D. | Houston, TX | $51.2M | ✓ Clear |
| Thomas Bochow, M.D., M.P.H. | Tyler, TX | $49.4M | ✓ 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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