This provider averages 60 services per working day
Based on 149.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.2M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Averaging 60 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 53% from 2014 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $387.85 | $208.77 | 1.86x | $179.08 | $938.8K | 11.2K | 7.4K |
| 2015 | $347.90 | $186.92 | 1.86x | $160.98 | $903.6K | 11.4K | 7.2K |
| 2016 | $356.91 | $149.23 | 2.39x | $207.68 | $1.0M | 12.2K | 7.3K |
| 2017 | $331.21 | $133.24 | 2.49x | $197.97 | $935.6K | 13.4K | 7.4K |
| 2018 | $324.78 | $136.31 | 2.38x | $188.47 | $1.0M | 15.3K | 8.5K |
| 2019 | $349.48 | $148.16 | 2.36x | $201.32 | $1.3M | 16.4K | 8.2K |
| 2020 | $292.28 | $119.55 | 2.44x | $172.73 | $1.1M | 15.0K | 7.6K |
| 2021 | $285.64 | $125.34 | 2.28x | $160.30 | $1.3M | 18.4K | 8.6K |
| 2022 | $269.18 | $114.49 | 2.35x | $154.69 | $1.3M | 17.7K | 8.2K |
| 2023 | $258.01 | $107.92 | 2.39x | $150.09 | $1.4M | 18.2K | 7.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 38.1K | $2.7M | $69.69 | 1.68x |
| J0178 | Injection, aflibercept, 1 mg | 3.5K | $2.6M | $731.58 | 2.06x |
| 67028 | Injection of drug into eye | 17.1K | $1.5M | $89.29 | 3.67x |
| 92134 | Diagnostic imaging of retina | 42.7K | $1.5M | $34.04 | 2.66x |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 9.1K | $914.7K | $100.87 | 1.69x |
| J9035 | Injection, bevacizumab, 10 mg | 11.9K | $526.5K | $44.26 | 1.66x |
| 92235 | Examination of retinal blood vessels by ophthalmoscope | 3.0K | $444.8K | $148.18 | 1.96x |
| 92250 | Photography of the retina | 5.0K | $264.2K | $52.73 | 2.17x |
| 92225 | Examination of eye by ophthalmoscope with retinal drawing | 4.5K | $168.9K | $37.16 | 3.05x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 356 | $163.2K | $458.42 | 2.83x |
| 92226 | Examination of eye by ophthalmoscope with retinal drawing | 4.0K | $136.1K | $33.95 | 2.73x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 774 | $98.1K | $126.79 | 1.55x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 207 | $92.6K | $447.17 | 2.68x |
| 92201 | Extended examination of eye with drawing of retina | 3.0K | $59.3K | $19.89 | 3.88x |
| 92202 | Extended examination of eye with drawing of optic nerve and surrounding area (macula) | 4.5K | $56.3K | $12.53 | 5.46x |
| J2778 | Injection, ranibizumab, 0.1 mg | 119 | $36.8K | $309.52 | 1.59x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 430 | $14.5K | $33.80 | 1.78x |
| 92002 | Eye and medical examination for diagnosis and treatment, new patient | 190 | $14.1K | $74.04 | 1.85x |
| 76512 | Ultrasound of eye disease, growth, or structure | 237 | $13.9K | $58.58 | 2.10x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 199 | $13.2K | $66.12 | 1.70x |
This provider submits charges 2.28 times higher than what Medicare actually pays.
A markup ratio of 2.28x means for every $100 Medicare pays, this provider initially charges $228. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jonathan Jonisch, MD | Great Neck, NY | $52.3M | ✓ Clear |
| Jeffrey Josef, M.D. | Suffern, NY | $52.2M | ✓ Clear |
| Brett Rosenblatt | Great Neck, NY | $50.0M | ✓ Clear |
| Kenneth Graham | Great Neck, NY | $47.1M | ✓ Clear |
| Glenn Stoller, M.D. | Rockville Centre, NY | $46.4M | ✓ 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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