This provider averages 52 services per working day
Based on 130.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $29.7M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 52 services per working day raises questions about billing patterns.
66% of their billing comes from a single procedure code (J0178 — Injection, aflibercept, 1 mg).
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 | $517.57 | $222.20 | 2.33x | $295.37 | $2.6M | 11.6K | 25 |
| 2015 | $594.80 | $261.27 | 2.28x | $333.53 | $2.4M | 9.1K | 20 |
| 2016 | $469.68 | $253.35 | 1.85x | $216.33 | $2.2M | 8.8K | 17 |
| 2017 | $466.23 | $254.37 | 1.83x | $211.86 | $2.4M | 9.3K | 22 |
| 2018 | $549.44 | $269.36 | 2.04x | $280.08 | $2.6M | 9.7K | 19 |
| 2019 | $521.03 | $273.50 | 1.91x | $247.53 | $3.2M | 11.6K | 19 |
| 2020 | $564.35 | $305.67 | 1.85x | $258.68 | $3.7M | 12.3K | 17 |
| 2021 | $579.50 | $306.66 | 1.89x | $272.84 | $3.6M | 11.7K | 17 |
| 2022 | $534.33 | $272.98 | 1.96x | $261.35 | $3.4M | 12.6K | 15 |
| 2023 | $205.40 | $105.89 | 1.94x | $99.51 | $3.5M | 33.2K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 26.7K | $19.6M | $734.68 | 1.72x |
| J2778 | Injection, ranibizumab, 0.1 mg | 20.2K | $5.4M | $269.30 | 1.89x |
| 67028 | Injection of drug into eye | 16.8K | $1.4M | $83.55 | 4.35x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 24.1K | $692.7K | $28.79 | 1.74x |
| 92134 | Imaging of retina | 18.7K | $524.1K | $28.07 | 3.06x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 5.9K | $315.0K | $53.52 | 2.86x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 2.3K | $187.2K | $81.70 | 2.33x |
| J3590 | Unclassified biologics | 2.1K | $166.6K | $80.63 | 2.97x |
| 92012 | Established patient problem focused exam of visual system | 2.8K | $152.1K | $54.94 | 2.34x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.3K | $151.8K | $113.40 | 2.45x |
| 67041 | Removal of membrane of retina | 161 | $142.3K | $883.83 | 3.42x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 184 | $115.7K | $628.83 | 3.27x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1.4K | $106.7K | $77.07 | 2.77x |
| J3490 | Unclassified drugs | 53 | $94.1K | $1.8K | 1.40x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 182 | $80.4K | $441.74 | 3.19x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina, with removal of vitreous fluid | 76 | $75.3K | $991.36 | 3.55x |
| 67042 | Removal of membrane from the retina, pars plana approach | 79 | $72.5K | $917.38 | 2.87x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 58 | $65.5K | $1.1K | 5.31x |
| 92250 | Photography of the retina | 1.4K | $57.7K | $40.76 | 2.32x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 567 | $41.5K | $73.14 | 2.83x |
This provider submits charges 1.98 times higher than what Medicare actually pays.
A markup ratio of 1.98x means for every $100 Medicare pays, this provider initially charges $198. This is lower 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 KY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Inder Singal, MD | Louisville, KY | $35.2M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data