This provider's $5.1M in total Medicare payments ranks in the 96th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 214170% from 2015 to 2023.
62% of their billing comes from a single procedure code (J0178 — Injection, aflibercept, 1 mg).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1449% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $59.00 | $38.79 | 1.52x | $20.21 | $465.52 | 12 | 11 |
| 2016 | $332.04 | $74.30 | 4.47x | $257.74 | $6.6K | 123 | 100 |
| 2017 | $349.87 | $135.45 | 2.58x | $214.42 | $37.1K | 394 | 339 |
| 2018 | $718.17 | $217.68 | 3.30x | $500.49 | $575.3K | 3.7K | 1.4K |
| 2019 | $503.89 | $149.75 | 3.36x | $354.14 | $773.1K | 4.5K | 1.6K |
| 2020 | $591.98 | $163.19 | 3.63x | $428.79 | $806.7K | 4.9K | 1.8K |
| 2021 | $538.35 | $143.76 | 3.74x | $394.59 | $868.4K | 5.0K | 2.0K |
| 2022 | $697.29 | $215.50 | 3.24x | $481.79 | $1.0M | 5.8K | 2.2K |
| 2023 | $649.63 | $215.69 | 3.01x | $433.94 | $997.5K | 6.3K | 2.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 4.3K | $3.1M | $722.79 | 2.46x |
| 67028 | Injection of drug into eye | 7.7K | $686.5K | $88.98 | 6.20x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 3.1K | $269.7K | $88.15 | 3.22x |
| 92134 | Diagnostic imaging of retina | 7.5K | $223.5K | $29.72 | 3.43x |
| J7999 | Compounded drug, not otherwise classified | 2.5K | $167.7K | $68.43 | 2.38x |
| J2778 | Injection, ranibizumab, 0.1 mg | 460 | $112.1K | $243.73 | 2.82x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 766 | $86.7K | $113.13 | 3.32x |
| J3490 | Unclassified drugs | 48 | $86.0K | $1.8K | 2.53x |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | 959 | $84.3K | $87.86 | 3.02x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 1.3K | $78.9K | $62.36 | 3.15x |
| 92235 | Imaging of blood vessels in back of eye using fluorescein dye | 544 | $43.2K | $79.38 | 3.16x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 110 | $28.4K | $258.21 | 8.38x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 323 | $21.0K | $65.03 | 2.85x |
| 67042 | Removal of membrane from the retina, pars plana approach | 15 | $13.6K | $905.64 | 3.31x |
| 76512 | Ultrasound of eye disease, growth, or structure | 306 | $12.4K | $40.65 | 5.16x |
| 92250 | Photography of the retina | 402 | $11.6K | $28.84 | 4.86x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 277 | $8.0K | $28.96 | 2.62x |
| 99205 | New patient outpatient visit, total time 60-74 minutes | 49 | $7.8K | $158.40 | 3.16x |
| J0179 | Injection, brolucizumab-dbll, 1 mg | 19 | $4.7K | $248.11 | 2.56x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 16 | $2.7K | $168.44 | 5.27x |
This provider submits charges 3.15 times higher than what Medicare actually pays.
A markup ratio of 3.15x means for every $100 Medicare pays, this provider initially charges $315. 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 OR for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Yujen Wang, MD | Medford, OR | $35.4M | ✓ 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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