This provider averages 87 services per working day
Based on 217.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $24.9M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 87 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 348% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 55% in 2016
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 | $427.06 | $172.57 | 2.47x | $254.49 | $851.6K | 4.9K | 17 |
| 2015 | $301.92 | $142.55 | 2.12x | $159.37 | $1.2M | 8.6K | 19 |
| 2016 | $330.74 | $160.14 | 2.07x | $170.60 | $1.9M | 11.8K | 17 |
| 2017 | $415.20 | $197.59 | 2.10x | $217.61 | $2.3M | 11.9K | 15 |
| 2018 | $351.08 | $180.67 | 1.94x | $170.41 | $2.8M | 15.7K | 18 |
| 2019 | $354.19 | $178.70 | 1.98x | $175.49 | $3.0M | 16.9K | 19 |
| 2020 | $424.09 | $210.03 | 2.02x | $214.06 | $3.1M | 14.6K | 18 |
| 2021 | $442.64 | $211.70 | 2.09x | $230.94 | $2.7M | 12.7K | 17 |
| 2022 | $219.60 | $100.79 | 2.18x | $118.81 | $3.2M | 31.5K | 19 |
| 2023 | $94.11 | $42.96 | 2.19x | $51.15 | $3.8M | 88.9K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2778 | Injection, ranibizumab, 0.1 mg | 41.3K | $11.4M | $277.13 | 1.73x |
| J0178 | Injection, aflibercept, 1 mg | 6.6K | $4.7M | $718.38 | 2.05x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 99.7K | $2.9M | $29.17 | 2.02x |
| 92014 | Established patient complete exam of visual system | 14.7K | $1.3M | $87.66 | 2.72x |
| 67028 | Injection of drug into eye | 14.7K | $1.1M | $78.31 | 2.72x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 14.3K | $1.1M | $75.95 | 2.99x |
| 92250 | Photography of the retina | 9.4K | $382.0K | $40.71 | 3.34x |
| 92134 | Imaging of retina | 10.7K | $323.1K | $30.14 | 2.94x |
| 67210 | Destruction of growth of retina using a laser | 743 | $290.9K | $391.50 | 2.59x |
| J3590 | Unclassified biologics | 154 | $271.4K | $1.8K | 2.00x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 576 | $201.9K | $350.51 | 2.94x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 465 | $156.9K | $337.37 | 5.82x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 211 | $144.8K | $686.10 | 2.78x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 561 | $85.5K | $152.42 | 1.50x |
| 67041 | Removal of membrane of retina | 85 | $75.1K | $883.26 | 2.99x |
| J3490 | Unclassified drugs | 44 | $74.5K | $1.7K | 3.95x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 510 | $61.4K | $120.36 | 1.99x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 61 | $55.4K | $907.71 | 2.11x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 675 | $50.4K | $74.67 | 2.56x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 308 | $32.9K | $106.83 | 2.88x |
This provider submits charges 2.09 times higher than what Medicare actually pays.
A markup ratio of 2.09x means for every $100 Medicare pays, this provider initially charges $209. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jonathan Jonisch, MD | Great Neck, NY | $52.3M | ✓ Clear |
| Jeffrey Josef, M.D. | Suffern, NY | $52.2M | ✓ Clear |
| Brett Rosenblatt | Great Neck, NY | $50.0M | ✓ Clear |
| Kenneth Graham | Great Neck, NY | $47.1M | ✓ Clear |
| Glenn Stoller, M.D. | Rockville Centre, NY | $46.4M | ✓ 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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