This provider's $4.0M in total Medicare payments ranks in the 95th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 122% from 2015 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 |
|---|---|---|---|---|---|---|---|
| 2015 | $164.21 | $79.06 | 2.08x | $85.15 | $223.0K | 2.6K | 2.4K |
| 2016 | $173.94 | $84.38 | 2.06x | $89.56 | $323.7K | 4.2K | 3.7K |
| 2017 | $159.88 | $77.33 | 2.07x | $82.55 | $394.5K | 5.0K | 4.3K |
| 2018 | $169.19 | $83.34 | 2.03x | $85.85 | $519.2K | 6.3K | 5.5K |
| 2019 | $177.63 | $86.15 | 2.06x | $91.48 | $483.4K | 5.5K | 4.7K |
| 2020 | $179.10 | $85.80 | 2.09x | $93.30 | $490.6K | 5.4K | 4.6K |
| 2021 | $172.13 | $78.77 | 2.19x | $93.36 | $535.3K | 6.0K | 4.8K |
| 2022 | $268.24 | $130.05 | 2.06x | $138.19 | $564.7K | 6.3K | 5.0K |
| 2023 | $204.61 | $96.42 | 2.12x | $108.19 | $495.7K | 5.4K | 4.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66821 | Removal of recurring cataract in lens capsule using laser | 6.3K | $1.5M | $243.46 | 1.99x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 8.7K | $720.7K | $82.62 | 2.23x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.6K | $407.4K | $88.35 | 1.82x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.1K | $232.8K | $56.33 | 1.94x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 2.4K | $229.7K | $95.55 | 2.32x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 3.5K | $212.6K | $60.98 | 2.09x |
| 68761 | Closure of tear duct opening using plug | 867 | $125.9K | $145.24 | 2.06x |
| 92134 | Diagnostic imaging of retina | 3.9K | $109.4K | $27.79 | 2.41x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 965 | $103.6K | $107.40 | 2.32x |
| 92083 | Measurement of field of vision during daylight conditions | 4.0K | $103.2K | $26.05 | 3.65x |
| 92133 | Diagnostic imaging of optic nerve of eye | 3.2K | $72.5K | $22.49 | 2.90x |
| 65778 | Placement of amniotic membrane on eye surface for wound healing | 28 | $29.2K | $1.0K | 2.01x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 158 | $29.1K | $184.40 | 2.24x |
| 67840 | Removal of eyelid growth | 117 | $21.5K | $183.78 | 1.36x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 845 | $17.2K | $20.32 | 1.99x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 498 | $10.0K | $20.00 | 2.00x |
| 67800 | Removal of eyelid growth | 98 | $9.0K | $91.79 | 1.76x |
| 76514 | Ultrasound of corneal structure and measurement | 779 | $7.5K | $9.58 | 2.40x |
| 92285 | Photography of content of eyes | 452 | $7.2K | $15.92 | 1.88x |
| 66030 | Injection of medication into eye | 48 | $5.0K | $104.56 | 1.60x |
This provider submits charges 2.12 times higher than what Medicare actually pays.
A markup ratio of 2.12x means for every $100 Medicare pays, this provider initially charges $212. 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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