This provider averages 118 services per working day
Based on 294.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $27.5M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 118 services per working day raises questions about billing patterns.
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 | $168.31 | $77.35 | 2.18x | $90.96 | $2.6M | 33.2K | 29 |
| 2015 | $214.17 | $101.17 | 2.12x | $113.00 | $2.8M | 28.1K | 26 |
| 2016 | $251.12 | $115.37 | 2.18x | $135.75 | $3.1M | 26.9K | 25 |
| 2017 | $213.82 | $100.64 | 2.12x | $113.18 | $3.0M | 29.5K | 25 |
| 2018 | $232.69 | $109.86 | 2.12x | $122.83 | $2.8M | 25.3K | 24 |
| 2019 | $242.16 | $114.98 | 2.11x | $127.18 | $2.7M | 23.4K | 27 |
| 2020 | $303.00 | $140.09 | 2.16x | $162.91 | $2.4M | 16.8K | 21 |
| 2021 | $290.38 | $139.39 | 2.08x | $150.99 | $2.3M | 16.8K | 23 |
| 2022 | $250.14 | $113.70 | 2.20x | $136.44 | $2.4M | 20.9K | 22 |
| 2023 | $88.11 | $46.76 | 1.88x | $41.35 | $3.4M | 73.4K | 25 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2778 | Injection, ranibizumab, 0.1 mg | 21.3K | $5.7M | $268.60 | 1.69x |
| J0178 | Injection, aflibercept, 1 mg | 6.7K | $4.9M | $735.98 | 1.62x |
| 92014 | Established patient complete exam of visual system | 31.0K | $3.2M | $104.32 | 1.89x |
| 67028 | Injection of drug into eye | 23.5K | $2.0M | $86.13 | 4.29x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 61.4K | $1.8M | $29.09 | 1.38x |
| 92250 | Photography of the retina | 25.3K | $1.3M | $51.66 | 2.46x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 11.7K | $1.1M | $90.70 | 2.46x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 35.4K | $748.1K | $21.12 | 1.89x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 4.7K | $732.7K | $155.53 | 1.48x |
| 92134 | Imaging of retina | 18.7K | $682.9K | $36.45 | 2.68x |
| J7999 | Compounded drug, not otherwise classified | 10.2K | $659.6K | $64.47 | 3.22x |
| 67210 | Destruction of growth of retina using a laser | 1.5K | $651.0K | $446.22 | 2.69x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 946 | $505.5K | $534.31 | 3.63x |
| 92242 | Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye | 1.8K | $399.3K | $220.35 | 1.75x |
| 92012 | Established patient problem focused exam of visual system | 4.9K | $385.1K | $78.87 | 1.37x |
| 65800 | Aspiration of eye fluid | 3.1K | $322.8K | $104.27 | 1.87x |
| Q5124 | Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg | 1.5K | $255.1K | $170.60 | 1.76x |
| 92240 | Examination of eye using an endoscope | 1.2K | $252.3K | $210.46 | 2.22x |
| 92275 | Recording of retinal electrical responses to external stimuli | 1.7K | $222.9K | $129.06 | 1.92x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 2.0K | $180.9K | $90.27 | 1.77x |
This provider submits charges 2.11 times higher than what Medicare actually pays.
A markup ratio of 2.11x means for every $100 Medicare pays, this provider initially charges $211. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Nathan Steinle, M.D. | Santa Barbara, CA | $63.1M | ✓ Clear |
| Stephen Couvillion, MD | Santa Barbara, CA | $47.7M | ✓ Clear |
| Margaret Chang, M.D. | Sacramento, CA | $47.6M | ✓ Clear |
| David Boyer, MD | Los Angeles, CA | $47.5M | ✓ Clear |
| Alessandro Castellarin, M.D. | Santa Barbara, CA | $46.9M | ✓ 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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