This provider's $6.0M in total Medicare payments ranks in the 97th percentile of Ophthalmology providers nationally.
Medicare payments to this provider grew 548% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 112% in 2017
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 | $378.34 | $83.08 | 4.55x | $295.26 | $123.5K | 1.9K | 1.5K |
| 2015 | $566.50 | $125.54 | 4.51x | $440.96 | $254.2K | 3.3K | 2.6K |
| 2016 | $431.57 | $91.65 | 4.71x | $339.92 | $247.6K | 3.6K | 2.8K |
| 2017 | $572.20 | $147.17 | 3.89x | $425.03 | $524.2K | 7.5K | 4.9K |
| 2018 | $795.29 | $222.55 | 3.57x | $572.74 | $716.6K | 9.4K | 5.7K |
| 2019 | $650.56 | $173.43 | 3.75x | $477.13 | $701.2K | 9.5K | 6.2K |
| 2020 | $666.36 | $178.84 | 3.73x | $487.52 | $571.4K | 6.4K | 4.7K |
| 2021 | $776.68 | $204.01 | 3.81x | $572.67 | $914.2K | 9.6K | 7.0K |
| 2022 | $739.75 | $196.79 | 3.76x | $542.96 | $1.1M | 11.6K | 8.8K |
| 2023 | $698.06 | $174.63 | 4.00x | $523.43 | $800.4K | 10.5K | 7.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 68761 | Closure of tear duct opening using plug | 3.5K | $543.8K | $157.20 | 2.34x |
| 65778 | Insertion of amniotic membrane to eye surface | 357 | $495.9K | $1.4K | 1.44x |
| 92250 | Photography of the retina | 8.8K | $414.5K | $47.17 | 3.39x |
| 92273 | Full field recording of retinal electrical responses to external stimuli with interpretation and report | 3.3K | $407.3K | $124.21 | 2.58x |
| 92136 | Measurement of corneal curvature and depth of eye | 6.6K | $403.5K | $60.72 | 4.12x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 3.6K | $370.4K | $103.52 | 2.13x |
| 66984 | Removal of cataract with insertion of lens | 676 | $352.1K | $520.82 | 6.91x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 4.3K | $321.3K | $74.71 | 2.01x |
| 92134 | Diagnostic imaging of retina | 8.9K | $320.3K | $35.91 | 11.14x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.8K | $299.7K | $108.77 | 2.30x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.1K | $272.2K | $131.06 | 2.64x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.7K | $265.7K | $72.21 | 3.99x |
| 93890 | Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain) | 600 | $138.2K | $230.27 | 1.88x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 602 | $136.8K | $227.18 | 1.91x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 416 | $125.3K | $301.13 | 6.64x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 4.8K | $112.7K | $23.47 | 7.46x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 948 | $103.5K | $109.14 | 1.83x |
| 66982 | Removal of cataract with insertion of lens | 152 | $101.5K | $667.95 | 5.39x |
| 92083 | Measurement of field of vision during daylight conditions | 1.6K | $90.1K | $55.33 | 2.73x |
| 83861 | Microfluid analysis of tears | 3.6K | $79.1K | $22.14 | 2.26x |
This provider submits charges 3.67 times higher than what Medicare actually pays.
A markup ratio of 3.67x means for every $100 Medicare pays, this provider initially charges $367. 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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