This provider averages 64 services per working day
Based on 159.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $12.7M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Averaging 64 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 204% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 243% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $180.41 | $74.22 | 2.43x | $106.19 | $1.1M | 14.7K | 22 |
| 2015 | $174.79 | $69.74 | 2.51x | $105.05 | $512.7K | 7.4K | 15 |
| 2016 | $223.27 | $99.19 | 2.25x | $124.08 | $143.9K | 1.5K | 9 |
| 2017 | $211.68 | $102.80 | 2.06x | $108.88 | $493.1K | 4.8K | 18 |
| 2018 | $148.90 | $74.96 | 1.99x | $73.94 | $789.3K | 10.5K | 18 |
| 2019 | $211.65 | $109.75 | 1.93x | $101.90 | $1.1M | 10.2K | 20 |
| 2020 | $204.46 | $116.42 | 1.76x | $88.04 | $1.2M | 10.0K | 16 |
| 2021 | $162.64 | $89.24 | 1.82x | $73.40 | $1.4M | 15.4K | 19 |
| 2022 | $203.18 | $112.43 | 1.81x | $90.75 | $2.7M | 24.0K | 23 |
| 2023 | $103.76 | $53.90 | 1.93x | $49.86 | $3.3M | 61.4K | 22 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 5.1K | $3.8M | $736.93 | 1.42x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 61.8K | $1.8M | $29.26 | 1.90x |
| 67028 | Injection of drug into eye | 11.6K | $1.0M | $88.61 | 3.39x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 4.3K | $677.0K | $156.09 | 1.65x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 6.3K | $644.1K | $101.71 | 2.13x |
| 92014 | Established patient complete exam of visual system | 6.4K | $621.7K | $97.11 | 1.58x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 5.2K | $458.6K | $88.65 | 2.72x |
| 92134 | Imaging of retina | 12.0K | $390.8K | $32.69 | 3.38x |
| J3490 | Unclassified drugs | 216 | $382.7K | $1.8K | 1.96x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 327 | $330.9K | $1.0K | 2.10x |
| J2778 | Injection, ranibizumab, 0.1 mg | 1.0K | $298.8K | $294.67 | 1.66x |
| 92242 | Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye | 1.5K | $283.7K | $192.36 | 1.96x |
| J7313 | Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg | 817 | $281.4K | $344.46 | 1.56x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 2.2K | $265.6K | $120.36 | 1.68x |
| J9035 | Injection, bevacizumab, 10 mg | 7.3K | $243.3K | $33.54 | 1.59x |
| 92250 | Photography of the retina | 4.5K | $176.2K | $39.56 | 2.71x |
| J0179 | Injection, brolucizumab-dbll, 1 mg | 660 | $164.7K | $249.57 | 1.40x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 395 | $126.3K | $319.68 | 3.55x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 163 | $120.1K | $736.74 | 1.99x |
| J7314 | Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg | 234 | $96.5K | $412.23 | 1.48x |
This provider submits charges 1.95 times higher than what Medicare actually pays.
A markup ratio of 1.95x means for every $100 Medicare pays, this provider initially charges $195. 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 |
| Michael Mcclintock, M.D. | Chicago, IL | $34.3M | ✓ 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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