This provider's $4.6M in total Medicare payments ranks in the 99th percentile of Optometry providers nationally.
Medicare payments to this provider grew 180% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 204% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $340.88 | $152.70 | 2.23x | $188.18 | $194.1K | 1.0K | 839 |
| 2017 | $250.21 | $122.51 | 2.04x | $127.70 | $589.5K | 4.1K | 3.2K |
| 2018 | $242.20 | $111.85 | 2.17x | $130.35 | $699.8K | 5.7K | 4.7K |
| 2019 | $253.03 | $117.22 | 2.16x | $135.81 | $656.8K | 7.9K | 6.1K |
| 2020 | $258.06 | $119.74 | 2.16x | $138.32 | $662.2K | 6.4K | 5.0K |
| 2021 | $256.20 | $122.06 | 2.10x | $134.14 | $690.0K | 7.4K | 5.8K |
| 2022 | $263.43 | $117.57 | 2.24x | $145.86 | $581.6K | 7.4K | 5.7K |
| 2023 | $235.00 | $103.69 | 2.27x | $131.31 | $543.7K | 7.4K | 5.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 65778 | Insertion of amniotic membrane to eye surface | 1.8K | $2.2M | $1.2K | 1.98x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 6.8K | $604.9K | $88.34 | 2.41x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 7.3K | $490.8K | $67.54 | 2.19x |
| 68761 | Closure of tear duct opening using plug | 3.6K | $249.8K | $69.40 | 2.97x |
| 83861 | Microfluid analysis of tears | 7.8K | $172.5K | $22.13 | 1.63x |
| 92273 | Full field recording of retinal electrical responses to external stimuli with interpretation and report | 1.5K | $163.0K | $109.17 | 2.04x |
| 92083 | Measurement of field of vision during daylight conditions | 2.7K | $120.9K | $45.37 | 2.39x |
| 92134 | Diagnostic imaging of retina | 3.9K | $114.9K | $29.84 | 2.38x |
| 92250 | Photography of the retina | 3.2K | $114.5K | $36.31 | 2.58x |
| 92283 | Extended color vision examination | 2.6K | $113.1K | $43.46 | 2.15x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 1.1K | $106.7K | $95.46 | 2.65x |
| 92133 | Diagnostic imaging of optic nerve of eye | 2.7K | $73.5K | $27.27 | 2.35x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 727 | $16.0K | $21.99 | 2.09x |
| 92284 | Evaluation of eye adaptation to light and dark (rods and cones) | 260 | $12.2K | $47.05 | 2.15x |
| 92201 | Extended examination of eye with drawing of retina | 485 | $9.0K | $18.52 | 2.41x |
| 92002 | Eye and medical examination for diagnosis and treatment, new patient | 127 | $7.1K | $56.03 | 2.52x |
| 67820 | Removal of eyelashes by forceps | 274 | $6.1K | $22.38 | 3.27x |
| 76514 | Ultrasound of corneal structure and measurement | 319 | $2.9K | $9.24 | 2.63x |
| 92136 | Measurement of corneal curvature and depth of eye | 63 | $2.3K | $37.01 | 2.22x |
| 92025 | Computerized mapping of corneal curvature | 54 | $1.4K | $25.60 | 2.38x |
This provider submits charges 2.17 times higher than what Medicare actually pays.
A markup ratio of 2.17x means for every $100 Medicare pays, this provider initially charges $217. This is higher than the national average.
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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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