This provider's $6.7M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
65% of their billing comes from a single procedure code (92014 — Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits).
AI-generated analysis based on Medicare payment data.
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 | $130.70 | $75.43 | 1.73x | $55.27 | $648.3K | 6.7K | 5.1K |
| 2015 | $132.61 | $75.08 | 1.77x | $57.53 | $642.9K | 6.5K | 5.0K |
| 2016 | $134.16 | $75.72 | 1.77x | $58.44 | $667.8K | 6.3K | 4.9K |
| 2017 | $131.84 | $74.08 | 1.78x | $57.76 | $700.2K | 6.8K | 5.0K |
| 2018 | $144.53 | $82.22 | 1.76x | $62.31 | $714.1K | 6.9K | 5.1K |
| 2019 | $149.71 | $87.63 | 1.71x | $62.08 | $798.7K | 7.2K | 5.3K |
| 2020 | $149.59 | $87.39 | 1.71x | $62.20 | $513.7K | 4.4K | 3.5K |
| 2021 | $152.46 | $86.53 | 1.76x | $65.93 | $672.0K | 5.7K | 4.1K |
| 2022 | $157.50 | $85.36 | 1.85x | $72.14 | $648.3K | 5.6K | 4.1K |
| 2023 | $181.75 | $80.20 | 2.27x | $101.55 | $664.2K | 5.8K | 4.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 40.1K | $4.4M | $109.02 | 1.55x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 13.8K | $1.8M | $130.22 | 1.44x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 5.7K | $419.5K | $73.46 | 1.78x |
| 67820 | Removal of eyelashes by forceps | 1.6K | $56.8K | $34.64 | 3.44x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 602 | $14.0K | $23.22 | 2.62x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 116 | $9.6K | $82.90 | 1.51x |
| 92002 | Eye and medical examination for diagnosis and treatment, new patient | 71 | $5.0K | $70.64 | 2.07x |
This provider submits charges 1.55 times higher than what Medicare actually pays.
A markup ratio of 1.55x means for every $100 Medicare pays, this provider initially charges $155. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Nathan Steinle, M.D. | Santa Barbara, CA | $63.1M | ✓ Clear |
| Stephen Couvillion, MD | Santa Barbara, CA | $47.7M | ✓ Clear |
| Margaret Chang, M.D. | Sacramento, CA | $47.6M | ✓ Clear |
| David Boyer, MD | Los Angeles, CA | $47.5M | ✓ Clear |
| Alessandro Castellarin, M.D. | Santa Barbara, CA | $46.9M | ✓ 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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