This provider's $3.8M in total Medicare payments ranks in the 95th percentile of Ophthalmology providers nationally.
Their average markup ratio of 6.33x is significantly above the specialty median of 2.9x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 57% in 2021
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 | $1.5K | $223.26 | 6.77x | $1.3K | $590.5K | 6.3K | 4.3K |
| 2015 | $1.2K | $197.60 | 6.04x | $996.26 | $356.1K | 3.8K | 2.9K |
| 2016 | $1.2K | $163.11 | 7.24x | $1.0K | $357.8K | 4.6K | 3.5K |
| 2017 | $871.78 | $128.56 | 6.78x | $743.22 | $360.7K | 5.2K | 4.0K |
| 2018 | $859.86 | $135.15 | 6.36x | $724.71 | $370.9K | 5.6K | 4.4K |
| 2019 | $846.78 | $121.69 | 6.96x | $725.09 | $360.6K | 5.2K | 3.9K |
| 2020 | $926.10 | $119.95 | 7.72x | $806.15 | $259.6K | 3.9K | 3.3K |
| 2021 | $929.91 | $156.68 | 5.94x | $773.23 | $407.8K | 5.5K | 4.4K |
| 2022 | $1.0K | $151.24 | 6.77x | $872.05 | $378.7K | 5.5K | 4.5K |
| 2023 | $1.0K | $145.53 | 7.21x | $904.07 | $403.4K | 6.0K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 6.9K | $691.6K | $100.60 | 4.90x |
| 92083 | Measurement of field of vision during daylight conditions | 11.9K | $642.6K | $53.95 | 6.99x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 7.9K | $566.7K | $71.47 | 4.78x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 1.5K | $309.5K | $212.39 | 8.89x |
| 92250 | Photography of the retina | 5.5K | $260.0K | $47.53 | 7.85x |
| 66984 | Removal of cataract with insertion of lens | 379 | $183.7K | $484.68 | 7.19x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 5.4K | $124.4K | $23.07 | 5.42x |
| 92133 | Diagnostic imaging of optic nerve of eye | 3.9K | $121.7K | $30.88 | 7.74x |
| 76513 | Ultrasound of eye using water bath method | 959 | $120.0K | $125.12 | 6.36x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.3K | $90.1K | $68.80 | 5.72x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 346 | $86.8K | $250.73 | 8.82x |
| 66250 | Revision or repair of operative wound of eye | 178 | $85.8K | $482.05 | 7.13x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 247 | $71.6K | $289.78 | 5.46x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 535 | $67.5K | $126.22 | 5.03x |
| 65820 | Incision to improve eye fluid flow | 75 | $51.8K | $691.22 | 5.96x |
| 66170 | Creation of eye fluid drainage tract | 50 | $50.1K | $1.0K | 5.41x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 1.3K | $29.3K | $23.20 | 4.73x |
| 66180 | Creation of shunt to improve eye fluid flow | 35 | $29.1K | $830.51 | 6.07x |
| 66762 | Creation of openings in iris for eye fluid drainage using laser, 1 or more sessions | 63 | $26.7K | $423.96 | 5.03x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 149 | $20.5K | $137.60 | 5.13x |
This provider submits charges 6.33 times higher than what Medicare actually pays.
A markup ratio of 6.33x means for every $100 Medicare pays, this provider initially charges $633. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jonathan Jonisch, MD | Great Neck, NY | $52.3M | ✓ Clear |
| Jeffrey Josef, M.D. | Suffern, NY | $52.2M | ✓ Clear |
| Brett Rosenblatt | Great Neck, NY | $50.0M | ✓ Clear |
| Kenneth Graham | Great Neck, NY | $47.1M | ✓ Clear |
| Glenn Stoller, M.D. | Rockville Centre, NY | $46.4M | ✓ 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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