This provider averages 83 services per working day
Based on 207.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $34.3M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 83 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 26334% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1995% 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 | $450.75 | $156.73 | 2.88x | $294.02 | $20.4K | 130 | 5 |
| 2015 | $295.99 | $213.66 | 1.39x | $82.33 | $426.9K | 2.0K | 15 |
| 2016 | $327.94 | $248.94 | 1.32x | $79.00 | $1.9M | 7.6K | 18 |
| 2017 | $329.05 | $245.81 | 1.34x | $83.24 | $2.5M | 10.1K | 18 |
| 2018 | $337.25 | $249.93 | 1.35x | $87.32 | $3.7M | 14.8K | 18 |
| 2019 | $353.35 | $258.68 | 1.37x | $94.67 | $4.7M | 18.1K | 17 |
| 2020 | $385.56 | $279.54 | 1.38x | $106.02 | $5.0M | 17.7K | 17 |
| 2021 | $396.48 | $283.90 | 1.40x | $112.58 | $5.3M | 18.7K | 21 |
| 2022 | $277.82 | $195.94 | 1.42x | $81.88 | $5.5M | 27.9K | 20 |
| 2023 | $85.16 | $59.16 | 1.44x | $26.00 | $5.4M | 91.0K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 25.5K | $18.8M | $734.57 | 1.35x |
| J2778 | Injection, ranibizumab, 0.1 mg | 28.3K | $7.5M | $266.14 | 1.51x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 88.1K | $2.6M | $29.11 | 1.33x |
| 67028 | Injection of drug into eye | 16.3K | $1.5M | $94.24 | 1.38x |
| 92014 | Established patient complete exam of visual system | 12.9K | $1.1M | $89.05 | 1.44x |
| 92134 | Imaging of retina | 22.0K | $663.2K | $30.09 | 1.41x |
| J3590 | Unclassified biologics | 424 | $501.8K | $1.2K | 1.30x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 4.2K | $337.0K | $80.30 | 1.38x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 1.6K | $253.6K | $158.20 | 1.30x |
| 67041 | Removal of membrane of retina | 159 | $144.3K | $907.37 | 1.28x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 172 | $120.2K | $698.99 | 1.48x |
| 92250 | Photography of the retina | 2.8K | $118.1K | $42.26 | 1.46x |
| 92004 | New patient complete exam of visual system | 872 | $91.6K | $105.04 | 1.45x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina, with removal of vitreous fluid | 102 | $82.8K | $812.05 | 1.41x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 827 | $74.8K | $90.49 | 1.45x |
| 67210 | Destruction of growth of retina using a laser | 176 | $72.1K | $409.56 | 1.28x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 185 | $67.1K | $362.62 | 1.48x |
| 92012 | Established patient problem focused exam of visual system | 989 | $64.0K | $64.72 | 1.39x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 65 | $30.9K | $475.55 | 1.65x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 116 | $30.9K | $266.11 | 1.39x |
This provider submits charges 1.39 times higher than what Medicare actually pays.
A markup ratio of 1.39x means for every $100 Medicare pays, this provider initially charges $139. This is lower 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Sohail Hasan, MD | Harvey, IL | $37.2M | ✓ 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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