This provider averages 69 services per working day
Based on 102.9K total services over 6 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.2M in total Medicare payments ranks in the 96th percentile of Ophthalmology providers nationally.
Averaging 69 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 495314% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 723% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $126.00 | $66.93 | 1.88x | $59.07 | $803.16 | 12 | 1 |
| 2019 | $94.63 | $30.84 | 3.07x | $63.79 | $3.3K | 106 | 5 |
| 2020 | $242.42 | $51.26 | 4.73x | $191.16 | $26.9K | 525 | 9 |
| 2021 | $722.71 | $85.36 | 8.47x | $637.35 | $163.7K | 1.9K | 18 |
| 2022 | $233.38 | $78.32 | 2.98x | $155.06 | $1.0M | 13.1K | 24 |
| 2023 | $126.22 | $45.57 | 2.77x | $80.65 | $4.0M | 87.3K | 20 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 84.7K | $2.5M | $29.05 | 2.58x |
| J0178 | Injection, aflibercept, 1 mg | 1.7K | $1.2M | $694.25 | 1.80x |
| J2778 | Injection, ranibizumab, 0.1 mg | 3.3K | $622.9K | $186.09 | 2.79x |
| 67028 | Injection of drug into eye | 3.6K | $300.0K | $83.88 | 7.11x |
| 92134 | Imaging of retina | 5.0K | $131.9K | $26.11 | 3.96x |
| J3590 | Unclassified biologics | 396 | $94.3K | $238.12 | 2.86x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1.5K | $82.7K | $56.93 | 2.54x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 599 | $45.8K | $76.52 | 2.97x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 47 | $42.0K | $892.82 | 7.99x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 45 | $37.1K | $824.26 | 8.54x |
| 92014 | Established patient complete exam of visual system | 437 | $35.4K | $81.01 | 3.28x |
| 66984 | Removal of cataract with insertion of prosthetic lens | 91 | $33.0K | $362.88 | 18.71x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 175 | $27.9K | $159.34 | 1.57x |
| 67041 | Removal of membrane from the retina | 23 | $20.1K | $872.21 | 9.96x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 191 | $18.6K | $97.34 | 4.08x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 15 | $9.9K | $657.38 | 12.87x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 122 | $8.7K | $71.67 | 2.98x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 40 | $8.5K | $212.43 | 7.24x |
| 92004 | New patient complete exam of visual system | 96 | $8.0K | $83.12 | 3.62x |
| 92250 | Photography of the retina | 303 | $7.1K | $23.56 | 6.56x |
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 IA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Kyle Alliman, M.D. | West Des Moines, IA | $83.3M | ✓ Clear |
| David Saggau, MD | West Des Moines, IA | $73.8M | ✓ Clear |
| Jared Nielsen, M.D., M.S. | West Des Moines, IA | $68.1M | ✓ Clear |
| Alex Kartvelishvili, M.D. | Iowa City, IA | $45.0M | ✓ Clear |
| Michael Wadzinski, M.D. | Sioux City, IA | $37.7M | ✓ 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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