This provider's $5.9M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $649.62 | $198.83 | 3.27x | $450.79 | $781.1K | 6.0K | 4.9K |
| 2015 | $632.69 | $227.46 | 2.78x | $405.23 | $643.2K | 5.2K | 4.4K |
| 2016 | $506.40 | $182.14 | 2.78x | $324.26 | $675.3K | 5.4K | 4.6K |
| 2017 | $408.24 | $142.11 | 2.87x | $266.13 | $642.6K | 5.8K | 5.2K |
| 2018 | $499.05 | $193.23 | 2.58x | $305.82 | $681.4K | 5.5K | 5.0K |
| 2019 | $548.25 | $206.83 | 2.65x | $341.42 | $680.1K | 5.3K | 4.6K |
| 2020 | $480.84 | $183.04 | 2.63x | $297.80 | $496.2K | 4.1K | 3.6K |
| 2021 | $488.78 | $178.43 | 2.74x | $310.35 | $465.1K | 3.6K | 3.3K |
| 2022 | $520.34 | $189.78 | 2.74x | $330.56 | $414.1K | 3.0K | 2.8K |
| 2023 | $464.49 | $170.90 | 2.72x | $293.59 | $438.8K | 3.2K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.4K | $936.2K | $662.58 | 3.24x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 2.4K | $776.4K | $320.04 | 2.99x |
| 68810 | Insertion of probe into the tear duct | 3.2K | $637.1K | $199.46 | 3.09x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 942 | $566.9K | $601.75 | 2.25x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 2.8K | $252.5K | $90.26 | 1.71x |
| 67917 | Extensive repair of turning-outward eyelid defect | 964 | $228.6K | $237.15 | 7.07x |
| 68761 | Closure of tear duct opening using plug | 2.1K | $193.3K | $93.04 | 3.11x |
| 68320 | Repair of conjunctiva | 310 | $149.3K | $481.57 | 1.77x |
| 92083 | Measurement of field of vision during daylight conditions | 3.3K | $141.3K | $42.98 | 2.31x |
| 67412 | Removal of growth in cavity behind eye | 237 | $137.2K | $578.71 | 2.98x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 967 | $125.9K | $130.25 | 1.71x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.0K | $119.2K | $115.06 | 1.84x |
| 67966 | Removal of over one-fourth of the eyelid involving lid margin | 223 | $116.4K | $522.06 | 3.40x |
| 92283 | Extended color vision examination | 3.0K | $114.7K | $38.48 | 1.69x |
| 92250 | Photography of the retina | 2.4K | $111.8K | $45.89 | 2.14x |
| 15004 | Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) | 382 | $107.2K | $280.69 | 2.03x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.2K | $106.6K | $86.00 | 1.68x |
| 15732 | Muscle flap wound repair at head and neck | 142 | $101.5K | $714.49 | 2.62x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 393 | $88.7K | $225.65 | 2.59x |
| 92285 | Photography of content of eyes | 4.9K | $71.9K | $14.81 | 4.20x |
This provider submits charges 2.88 times higher than what Medicare actually pays.
A markup ratio of 2.88x means for every $100 Medicare pays, this provider initially charges $288. 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 |
| John Myers, M.D. | Pensacola, FL | $69.4M | ✓ Clear |
| Thomas Baudo, M.D. | Vero Beach, FL | $64.2M | ✓ 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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