This provider averages 200 services per working day
Based on 499.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $44.4M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 200 services per working day raises questions about billing patterns.
63% 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 | $304.07 | $138.32 | 2.20x | $165.75 | $4.7M | 33.9K | 37 |
| 2015 | $308.01 | $141.63 | 2.17x | $166.38 | $4.6M | 32.4K | 34 |
| 2016 | $324.42 | $149.17 | 2.17x | $175.25 | $4.8M | 32.2K | 31 |
| 2017 | $334.09 | $154.37 | 2.16x | $179.72 | $4.4M | 28.8K | 35 |
| 2018 | $318.00 | $148.67 | 2.14x | $169.33 | $4.1M | 27.6K | 33 |
| 2019 | $276.74 | $137.75 | 2.01x | $138.99 | $4.3M | 31.5K | 37 |
| 2020 | $315.33 | $154.42 | 2.04x | $160.91 | $4.4M | 28.4K | 37 |
| 2021 | $300.08 | $144.86 | 2.07x | $155.22 | $4.4M | 30.1K | 37 |
| 2022 | $247.66 | $113.56 | 2.18x | $134.10 | $4.3M | 38.0K | 35 |
| 2023 | $48.35 | $20.31 | 2.38x | $28.04 | $4.4M | 216.9K | 36 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2778 | Injection, ranibizumab, 0.1 mg | 99.2K | $26.9M | $271.57 | 1.68x |
| 92014 | Established patient complete exam of visual system | 26.1K | $2.2M | $82.79 | 2.00x |
| 67028 | Injection of drug into eye | 27.4K | $2.1M | $78.41 | 3.06x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 58.1K | $1.7M | $29.17 | 2.06x |
| J0178 | Injection, aflibercept, 1 mg | 1.9K | $1.4M | $749.41 | 2.00x |
| 66984 | Removal of cataract with insertion of prosthetic lens | 3.0K | $1.3M | $447.07 | 4.47x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 11.2K | $827.1K | $73.91 | 3.38x |
| 92242 | Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye | 4.6K | $804.8K | $173.98 | 2.15x |
| 92134 | Imaging of retina | 25.7K | $751.9K | $29.30 | 3.40x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 3.0K | $684.3K | $226.96 | 4.19x |
| 92250 | Photography of the retina | 15.4K | $599.7K | $38.95 | 2.36x |
| 92240 | Imaging of blood vessels in back of eye using indocyanine-green dye | 3.8K | $599.6K | $157.46 | 2.29x |
| J3490 | Unclassified drugs | 308 | $528.6K | $1.7K | 1.63x |
| 92083 | Exam of visual field with extended testing | 10.0K | $414.7K | $41.66 | 2.54x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 6.4K | $357.5K | $56.21 | 1.71x |
| 83861 | Microfluid analysis of tears | 15.7K | $347.9K | $22.15 | 2.94x |
| 92275 | Recording of retinal electrical responses to external stimuli | 2.8K | $296.0K | $104.57 | 2.71x |
| 92133 | Imaging of optic nerve | 9.6K | $231.7K | $24.15 | 4.07x |
| 0191T | Internal insertion of eye fluid drainage device | 387 | $197.2K | $509.51 | 5.69x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 324 | $184.7K | $569.91 | 4.21x |
This provider submits charges 2.15 times higher than what Medicare actually pays.
A markup ratio of 2.15x means for every $100 Medicare pays, this provider initially charges $215. 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 MO for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Mari Keithahn, M.D. | Columbia, MO | $44.2M | ✓ 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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