This provider averages 82 services per working day
Based on 206.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $44.0M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 82 services per working day raises questions about billing patterns.
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 | $320.62 | $247.66 | 1.29x | $72.96 | $4.4M | 17.6K | 14 |
| 2015 | $315.93 | $243.12 | 1.30x | $72.81 | $4.3M | 17.9K | 16 |
| 2016 | $329.43 | $249.74 | 1.32x | $79.69 | $4.5M | 18.1K | 14 |
| 2017 | $319.38 | $243.90 | 1.31x | $75.48 | $4.8M | 19.7K | 12 |
| 2018 | $320.86 | $246.95 | 1.30x | $73.91 | $5.0M | 20.4K | 13 |
| 2019 | $331.19 | $239.47 | 1.38x | $91.72 | $4.7M | 19.7K | 14 |
| 2020 | $342.82 | $255.34 | 1.34x | $87.48 | $3.7M | 14.3K | 10 |
| 2021 | $338.83 | $259.82 | 1.30x | $79.01 | $4.3M | 16.5K | 11 |
| 2022 | $288.54 | $202.47 | 1.43x | $86.07 | $4.1M | 20.3K | 14 |
| 2023 | $159.21 | $99.93 | 1.59x | $59.28 | $4.2M | 41.7K | 12 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 30.3K | $22.6M | $743.47 | 1.29x |
| J2778 | Injection, ranibizumab, 0.1 mg | 51.3K | $14.4M | $280.39 | 1.32x |
| 67028 | Injection of drug into eye | 21.6K | $2.3M | $104.28 | 1.87x |
| 92012 | Established patient problem focused exam of visual system | 21.3K | $1.6M | $74.88 | 1.45x |
| 92134 | Imaging of retina | 26.1K | $961.2K | $36.76 | 1.52x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 29.9K | $874.2K | $29.20 | 1.31x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 11.6K | $377.8K | $32.63 | 1.72x |
| 92014 | Established patient complete exam of visual system | 3.1K | $324.5K | $103.75 | 1.57x |
| 92250 | Photography of the retina | 5.0K | $228.9K | $45.36 | 1.64x |
| 92004 | New patient complete exam of visual system | 1.4K | $178.3K | $125.56 | 1.87x |
| J3590 | Unclassified biologics | 85 | $118.7K | $1.4K | 1.56x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 1.1K | $38.3K | $34.98 | 1.36x |
| 92201 | Extended exam of the back part of the eye with retinal drawing | 1.2K | $25.9K | $21.83 | 1.59x |
| 76512 | 2d ultrasound scan of eye tissue and structures | 310 | $23.5K | $75.91 | 1.52x |
| 92235 | Imaging of blood vessels in back of eye using fluorescein dye | 124 | $17.0K | $136.91 | 1.34x |
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 985 | $13.7K | $13.87 | 5.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 167 | $10.4K | $62.49 | 1.34x |
| J9035 | Injection, bevacizumab, 10 mg | 253 | $6.8K | $26.99 | 1.39x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 43 | $1.7K | $40.20 | 1.35x |
| 92083 | Measurement of field of vision during daylight conditions | 27 | $1.6K | $59.19 | 1.28x |
This provider submits charges 1.35 times higher than what Medicare actually pays.
A markup ratio of 1.35x means for every $100 Medicare pays, this provider initially charges $135. 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 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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