This provider averages 66 services per working day
Based on 164.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $19.7M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 66 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 340% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 93% in 2018
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 | $213.38 | $93.52 | 2.28x | $119.86 | $833.8K | 8.9K | 17 |
| 2015 | $210.33 | $87.01 | 2.42x | $123.32 | $785.7K | 9.0K | 16 |
| 2016 | $212.14 | $88.81 | 2.39x | $123.33 | $803.5K | 9.0K | 17 |
| 2017 | $241.23 | $101.10 | 2.39x | $140.13 | $921.2K | 9.1K | 15 |
| 2018 | $308.02 | $140.64 | 2.19x | $167.38 | $1.8M | 12.6K | 18 |
| 2019 | $223.54 | $120.18 | 1.86x | $103.36 | $2.9M | 24.1K | 19 |
| 2020 | $278.67 | $136.22 | 2.05x | $142.45 | $2.5M | 18.5K | 18 |
| 2021 | $347.72 | $125.72 | 2.77x | $222.00 | $2.5M | 19.9K | 18 |
| 2022 | $514.13 | $143.30 | 3.59x | $370.83 | $3.0M | 21.1K | 17 |
| 2023 | $510.86 | $113.05 | 4.52x | $397.81 | $3.7M | 32.4K | 20 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 10.2K | $7.3M | $712.48 | 2.45x |
| J2778 | Injection, ranibizumab, 0.1 mg | 15.3K | $3.8M | $249.48 | 2.48x |
| 92014 | Established patient complete exam of visual system | 26.2K | $2.6M | $99.17 | 2.17x |
| 67028 | Injection of drug into eye | 12.5K | $1.1M | $90.93 | 5.54x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 11.7K | $954.9K | $81.43 | 3.06x |
| 92134 | Imaging of retina | 24.7K | $822.7K | $33.24 | 6.31x |
| 92250 | Photography of the retina | 12.9K | $640.4K | $49.55 | 2.16x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 5.5K | $499.1K | $91.39 | 2.09x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 10.7K | $303.3K | $28.24 | 4.43x |
| J9035 | Injection, bevacizumab, 10 mg | 4.2K | $223.0K | $53.39 | 1.65x |
| 92004 | New patient complete exam of visual system | 1.7K | $205.7K | $119.27 | 1.81x |
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 14.2K | $180.6K | $12.73 | 6.60x |
| 92287 | Imaging of front third of eye using a special camera after injection of a dye | 1.4K | $173.2K | $123.87 | 2.48x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.1K | $148.2K | $129.54 | 2.31x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 6.6K | $142.0K | $21.67 | 2.19x |
| 67210 | Destruction of growth of retina using a laser | 232 | $99.4K | $428.57 | 3.46x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 85 | $99.0K | $1.2K | 4.72x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 277 | $95.8K | $345.79 | 5.68x |
| 76512 | 2d ultrasound scan of eye tissue and structures | 920 | $49.7K | $54.04 | 5.02x |
| 67042 | Removal of membrane from the retina, pars plana approach | 40 | $43.3K | $1.1K | 2.46x |
This provider submits charges 2.87 times higher than what Medicare actually pays.
A markup ratio of 2.87x means for every $100 Medicare pays, this provider initially charges $287. 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 MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Michael Elman, M.D. | Baltimore, MD | $68.5M | ✓ Clear |
| David Warrow, M.D. | Hagerstown, MD | $65.5M | ✓ Clear |
| Raymond Sjaarda, M.D. | Baltimore, MD | $47.2M | ✓ Clear |
| Allen Hu, MD | Hagerstown, MD | $45.7M | ✓ Clear |
| James Rial, M.D. | Salisbury, MD | $45.2M | ✓ 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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