This provider averages 180 services per working day
Based on 450.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $69.4M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 180 services per working day raises questions about billing patterns.
61% of their billing comes from a single procedure code (J2778 — Injection, ranibizumab, 0.1 mg).
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 | $467.78 | $138.57 | 3.38x | $329.21 | $6.3M | 45.6K | 26 |
| 2015 | $468.56 | $136.29 | 3.44x | $332.27 | $6.4M | 47.1K | 28 |
| 2016 | $489.14 | $139.59 | 3.50x | $349.55 | $6.5M | 46.6K | 28 |
| 2017 | $479.18 | $136.52 | 3.51x | $342.66 | $6.5M | 47.8K | 27 |
| 2018 | $505.44 | $145.22 | 3.48x | $360.22 | $7.0M | 48.5K | 23 |
| 2019 | $559.84 | $157.17 | 3.56x | $402.67 | $7.7M | 48.9K | 22 |
| 2020 | $686.34 | $187.48 | 3.66x | $498.86 | $8.3M | 44.5K | 22 |
| 2021 | $699.62 | $187.73 | 3.73x | $511.89 | $8.2M | 43.7K | 25 |
| 2022 | $732.13 | $184.80 | 3.96x | $547.33 | $7.0M | 37.7K | 23 |
| 2023 | $579.28 | $133.71 | 4.33x | $445.57 | $5.4M | 40.5K | 23 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2778 | Injection, ranibizumab, 0.1 mg | 154.7K | $41.8M | $270.38 | 3.70x |
| J0178 | Injection, aflibercept, 1 mg | 14.9K | $11.0M | $736.70 | 2.51x |
| 92014 | Established patient complete exam of visual system | 57.6K | $5.1M | $87.80 | 2.65x |
| 67028 | Injection of drug into eye | 54.3K | $4.4M | $81.39 | 8.06x |
| 92134 | Imaging of retina | 64.9K | $2.1M | $31.74 | 2.82x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 44.8K | $840.0K | $18.75 | 2.86x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 595 | $568.2K | $955.02 | 3.18x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 4.0K | $457.6K | $113.92 | 2.84x |
| J3490 | Unclassified drugs | 7.6K | $356.4K | $47.06 | 4.83x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 3.3K | $272.9K | $82.71 | 3.11x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 9.4K | $271.5K | $29.01 | 3.24x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 4.2K | $252.7K | $60.12 | 2.32x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 1.6K | $245.1K | $157.02 | 2.50x |
| J9035 | Injection, bevacizumab, 10 mg | 4.2K | $239.6K | $57.36 | 3.63x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 633 | $229.3K | $362.32 | 2.90x |
| J7999 | Compounded drug, not otherwise classified | 3.4K | $177.0K | $52.56 | 3.99x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 345 | $137.1K | $397.33 | 3.48x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 5.9K | $127.5K | $21.46 | 2.78x |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 990 | $119.2K | $120.36 | 3.03x |
| 92250 | Photography of the retina | 2.7K | $112.7K | $41.96 | 3.45x |
This provider submits charges 3.65 times higher than what Medicare actually pays.
A markup ratio of 3.65x means for every $100 Medicare pays, this provider initially charges $365. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Alexander Eaton, MD | Fort Myers, FL | $99.5M | ✓ Clear |
| Sunil Gupta, M.D. | Pensacola, FL | $86.1M | ✓ Clear |
| Hussein Wafapoor, M.D. | Fort Myers, FL | $70.9M | ✓ Clear |
| Thomas Baudo, M.D. | Vero Beach, FL | $64.2M | ✓ Clear |
| Keye Wong, M.D. | Sarasota, FL | $55.2M | ✓ 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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