This provider's $8.9M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 121% from 2014 to 2023.
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 | $527.05 | $129.40 | 4.07x | $397.65 | $451.9K | 6.5K | 3.7K |
| 2015 | $476.49 | $133.64 | 3.57x | $342.85 | $543.1K | 7.9K | 5.3K |
| 2016 | $370.56 | $138.37 | 2.68x | $232.19 | $758.2K | 9.7K | 6.8K |
| 2017 | $413.40 | $155.09 | 2.67x | $258.31 | $953.4K | 9.8K | 7.0K |
| 2018 | $520.50 | $160.74 | 3.24x | $359.76 | $1.1M | 10.7K | 7.9K |
| 2019 | $555.97 | $153.76 | 3.62x | $402.21 | $1.1M | 11.1K | 8.4K |
| 2020 | $610.96 | $185.71 | 3.29x | $425.25 | $993.2K | 9.9K | 7.7K |
| 2021 | $537.23 | $174.96 | 3.07x | $362.27 | $1.1M | 10.7K | 8.8K |
| 2022 | $533.20 | $157.61 | 3.38x | $375.59 | $933.6K | 9.3K | 7.3K |
| 2023 | $552.21 | $162.79 | 3.39x | $389.42 | $997.4K | 10.4K | 8.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 12.1K | $1.2M | $100.64 | 2.69x |
| 66984 | Removal of cataract with insertion of lens | 2.5K | $1.2M | $470.52 | 2.84x |
| 68761 | Closure of tear duct opening using plug | 10.3K | $817.3K | $79.18 | 3.38x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.3K | $611.7K | $268.41 | 3.67x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 7.8K | $543.7K | $70.05 | 2.78x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 2.0K | $419.6K | $207.85 | 3.41x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.0K | $401.3K | $132.80 | 2.68x |
| 92250 | Photography of the retina | 9.0K | $368.8K | $40.87 | 3.26x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 1.3K | $323.1K | $241.68 | 3.50x |
| 66982 | Removal of cataract with insertion of lens | 454 | $277.8K | $612.00 | 2.70x |
| 92083 | Measurement of field of vision during daylight conditions | 5.4K | $269.6K | $49.87 | 2.82x |
| 92134 | Diagnostic imaging of retina | 6.9K | $229.8K | $33.33 | 2.85x |
| 65778 | Insertion of amniotic membrane to eye surface | 171 | $190.3K | $1.1K | 2.64x |
| 67028 | Injection of drug into eye | 2.1K | $172.5K | $83.54 | 3.17x |
| 99205 | New patient outpatient visit, total time 60-74 minutes | 872 | $158.6K | $181.94 | 3.73x |
| 67145 | Preventive retinal detachment treatment by heat or laser, 1 or more sessions | 350 | $134.1K | $383.06 | 3.46x |
| 67031 | Laser release of scar tissue between the lens and retina | 378 | $119.4K | $315.77 | 3.54x |
| 92275 | Recording of retinal electrical responses to external stimuli | 992 | $117.9K | $118.85 | 2.76x |
| 0191T | Internal insertion of eye fluid drainage device | 216 | $109.1K | $505.16 | 4.20x |
| 65820 | Incision to improve eye fluid flow | 156 | $105.6K | $677.23 | 3.69x |
This provider submits charges 3.12 times higher than what Medicare actually pays.
A markup ratio of 3.12x means for every $100 Medicare pays, this provider initially charges $312. 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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