This provider averages 71 services per working day
Based on 177.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $25.1M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.
Averaging 71 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 472% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 67% in 2019
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 | $344.13 | $82.43 | 4.17x | $261.70 | $828.2K | 10.0K | 23 |
| 2015 | $347.23 | $84.86 | 4.09x | $262.37 | $925.5K | 10.9K | 22 |
| 2016 | $379.23 | $100.45 | 3.78x | $278.78 | $1.2M | 11.5K | 24 |
| 2017 | $354.07 | $114.70 | 3.09x | $239.37 | $1.4M | 12.3K | 23 |
| 2018 | $372.56 | $136.15 | 2.74x | $236.41 | $1.8M | 12.9K | 22 |
| 2019 | $397.04 | $185.69 | 2.14x | $211.35 | $2.9M | 15.8K | 20 |
| 2020 | $432.27 | $206.19 | 2.10x | $226.08 | $3.3M | 15.9K | 22 |
| 2021 | $474.69 | $233.43 | 2.03x | $241.26 | $3.9M | 16.8K | 21 |
| 2022 | $455.19 | $218.42 | 2.08x | $236.77 | $4.2M | 19.1K | 19 |
| 2023 | $192.68 | $90.87 | 2.12x | $101.81 | $4.7M | 52.1K | 19 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 15.2K | $10.9M | $721.22 | 1.73x |
| J2778 | Injection, ranibizumab, 0.1 mg | 23.7K | $5.9M | $248.79 | 2.01x |
| 67028 | Injection of drug into eye | 23.6K | $1.9M | $82.20 | 7.83x |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 36.8K | $1.1M | $28.93 | 1.73x |
| 92134 | Imaging of retina | 25.9K | $773.4K | $29.91 | 3.88x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 12.6K | $719.6K | $57.12 | 1.49x |
| 92014 | Established patient complete exam of visual system | 6.2K | $520.2K | $84.14 | 1.49x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 5.5K | $459.0K | $83.59 | 1.47x |
| J3590 | Unclassified biologics | 6.8K | $367.2K | $53.73 | 1.51x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 5.8K | $361.2K | $62.32 | 1.38x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 399 | $355.2K | $890.35 | 4.15x |
| J9035 | Injection, bevacizumab, 10 mg | 5.5K | $327.4K | $59.02 | 1.55x |
| 67228 | Destruction of leaking blood vessels of retina using laser | 588 | $241.3K | $410.32 | 3.31x |
| 67210 | Destruction of growth of retina using a laser | 550 | $211.3K | $384.13 | 3.05x |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 2.3K | $167.6K | $73.27 | 2.71x |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 1.1K | $164.2K | $155.35 | 3.22x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 98 | $102.4K | $1.0K | 4.13x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 86 | $85.7K | $997.03 | 3.27x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 127 | $82.8K | $651.97 | 3.02x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 190 | $69.7K | $366.64 | 2.70x |
This provider submits charges 2.41 times higher than what Medicare actually pays.
A markup ratio of 2.41x means for every $100 Medicare pays, this provider initially charges $241. 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 SC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Eric Jablon, M.D. | Charleston, SC | $49.1M | ✓ Clear |
| John Wells, MD | West Columbia, SC | $38.6M | ✓ Clear |
| John Payne, MD | West Columbia, SC | $37.4M | ✓ Clear |
| John Kerrison, M.D. | Charleston, SC | $35.7M | ✓ Clear |
| David Johnson, MD | West Columbia, SC | $34.8M | ✓ 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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