This provider's $5.6M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 1589% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 215% in 2015
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 | $893.41 | $82.92 | 10.77x | $810.49 | $29.9K | 377 | 342 |
| 2015 | $861.73 | $148.94 | 5.79x | $712.79 | $94.3K | 663 | 578 |
| 2016 | $621.24 | $158.01 | 3.93x | $463.23 | $236.4K | 1.3K | 1.0K |
| 2017 | $431.43 | $138.00 | 3.13x | $293.43 | $421.8K | 4.1K | 3.2K |
| 2018 | $433.84 | $136.96 | 3.17x | $296.88 | $1.0M | 9.4K | 5.3K |
| 2019 | $404.24 | $144.25 | 2.80x | $259.99 | $1.2M | 10.9K | 5.4K |
| 2020 | $291.11 | $103.26 | 2.82x | $187.85 | $734.6K | 7.1K | 3.7K |
| 2021 | $264.47 | $84.29 | 3.14x | $180.18 | $813.1K | 8.2K | 4.0K |
| 2022 | $254.34 | $78.66 | 3.23x | $175.68 | $618.5K | 6.9K | 3.9K |
| 2023 | $251.53 | $76.22 | 3.30x | $175.31 | $505.5K | 5.6K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 20.1K | $2.1M | $101.93 | 2.62x |
| 68761 | Closure of tear duct opening using plug | 11.0K | $1.8M | $165.23 | 4.61x |
| 66984 | Removal of cataract with insertion of lens | 832 | $406.1K | $488.10 | 3.64x |
| 92235 | Imaging of blood vessels in back of eye using fluorescein dye | 2.8K | $232.0K | $82.65 | 2.82x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $210.1K | $123.21 | 2.61x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 738 | $204.7K | $277.36 | 2.66x |
| 92250 | Photography of the retina | 4.7K | $152.4K | $32.22 | 3.10x |
| 92133 | Diagnostic imaging of optic nerve of eye | 3.8K | $108.0K | $28.35 | 2.78x |
| 66982 | Removal of cataract with insertion of lens | 110 | $66.5K | $604.31 | 3.69x |
| 92083 | Measurement of field of vision during daylight conditions | 1.6K | $48.7K | $30.90 | 2.61x |
| 92136 | Measurement of corneal curvature and depth of eye | 1.0K | $45.6K | $43.89 | 2.57x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 624 | $43.3K | $69.42 | 2.66x |
| 0191T | Internal insertion of eye fluid drainage device | 252 | $41.3K | $163.88 | 11.15x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 412 | $31.3K | $75.91 | 2.30x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 1.2K | $25.4K | $20.33 | 2.63x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 209 | $23.6K | $112.70 | 2.69x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 39 | $20.5K | $525.09 | 2.61x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 93 | $18.0K | $193.65 | 2.67x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 328 | $17.3K | $52.74 | 2.01x |
| 67820 | Removal of eyelashes by forceps | 536 | $10.5K | $19.65 | 4.01x |
This provider submits charges 3.45 times higher than what Medicare actually pays.
A markup ratio of 3.45x means for every $100 Medicare pays, this provider initially charges $345. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Nathan Steinle, M.D. | Santa Barbara, CA | $63.1M | ✓ Clear |
| Stephen Couvillion, MD | Santa Barbara, CA | $47.7M | ✓ Clear |
| Margaret Chang, M.D. | Sacramento, CA | $47.6M | ✓ Clear |
| David Boyer, MD | Los Angeles, CA | $47.5M | ✓ Clear |
| Alessandro Castellarin, M.D. | Santa Barbara, CA | $46.9M | ✓ 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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