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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
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Methodology•Download Data
  1. Home
  2. Providers
  3. Dante Pieramici
👁️
MDIndividual

Dante Pieramici, M.D.

NPI: 1992804504
Santa Barbara, CA
10 years of data
Ophthalmology
$37.6M
Total Payments
192
Beneficiaries
254.6K
Services
2.41x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$37.6M
Specialty median$383.7K
Rank #134 of 189 in specialty

📋 Key Findings

1Billed $37.6M over 10 years
22.41x markup ratio (above median)
399th percentile in Ophthalmology by payments
4102 services/day — unusually high
58 procedures with >3x markup

This provider averages 102 services per working day

Based on 254.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $37.6M in total Medicare payments ranks in the 99th percentile of Ophthalmology providers nationally.

Averaging 102 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$335.09$135.762.47x$199.33$3.2M23.3K19
2015$405.18$151.042.68x$254.14$3.6M23.7K21
2016$368.10$152.872.41x$215.23$3.6M23.6K21
2017$335.64$152.142.21x$183.50$3.6M23.4K17
2018$353.82$161.352.19x$192.47$3.9M24.4K18
2019$366.80$160.642.28x$206.16$4.1M25.7K21
2020$432.15$185.432.33x$246.72$3.7M19.8K17
2021$463.28$197.232.35x$266.05$4.1M20.9K17
2022$388.49$156.412.48x$232.08$4.1M26.0K20
2023$228.67$85.032.69x$143.64$3.7M43.5K21

Top Procedures (20)

J2778Injection, ranibizumab, 0.1 mg
$16.1M
58.3K services$275.28/svc1.83x markup
J0178Injection, aflibercept, 1 mg
$11.1M
15.0K services$739.47/svc2.03x markup
92014Established patient complete exam of visual system
$2.1M
21.5K services$97.61/svc1.68x markup
67028Injection of drug into eye⚠ 9.1x markup
$1.8M
18.9K services$96.53/svc9.12x markup
92134Imaging of retina⚠ 3.6x markup
$1.3M
36.6K services$34.69/svc3.57x markup
J2777Injection, faricimab-svoa, 0.1 mg
$1.0M
35.5K services$29.17/svc2.40x markup
92012Established patient problem focused exam of visual system
$885.5K
12.5K services$71.09/svc1.60x markup
92235Exam of retinal blood vessels using a special camera after injection of a dye
$532.0K
6.1K services$86.63/svc2.04x markup
92226Examination of eye by ophthalmoscope with retinal drawing⚠ 3.7x markup
$520.1K
25.6K services$20.28/svc3.71x markup
J3490Unclassified drugs
$471.9K
1.1K services$446.50/svc2.45x markup
92250Photography of the retina
$342.1K
7.9K services$43.48/svc2.20x markup
67228Destruction of leaking blood vessels of retina using laser⚠ 3.8x markup
$244.1K
575 services$424.55/svc3.78x markup
99204New patient office or other outpatient visit, 45-59 minutes
$186.3K
1.5K services$128.10/svc1.62x markup
92004New patient complete exam of visual system
$134.4K
1.1K services$118.52/svc1.55x markup
Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg⚠ 3.5x markup
$128.5K
589 services$218.17/svc3.49x markup
765122d ultrasound scan of eye tissue and structures⚠ 3.7x markup
$103.6K
1.7K services$60.83/svc3.70x markup
92287Imaging of front third of eye using a special camera after injection of a dye
$90.4K
734 services$123.19/svc1.42x markup
67041Removal of membrane of retina⚠ 4.7x markup
$87.6K
91 services$963.16/svc4.73x markup
J7999Compounded drug, not otherwise classified
$67.1K
1.0K services$64.42/svc1.56x markup
92225Examination of eye by ophthalmoscope with retinal drawing⚠ 3.3x markup
$66.2K
2.9K services$22.80/svc3.30x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
J2778Injection, ranibizumab, 0.1 mg58.3K$16.1M$275.281.83x
J0178Injection, aflibercept, 1 mg15.0K$11.1M$739.472.03x
92014Established patient complete exam of visual system21.5K$2.1M$97.611.68x
67028Injection of drug into eye18.9K$1.8M$96.539.12x
92134Imaging of retina36.6K$1.3M$34.693.57x
J2777Injection, faricimab-svoa, 0.1 mg35.5K$1.0M$29.172.40x
92012Established patient problem focused exam of visual system12.5K$885.5K$71.091.60x
92235Exam of retinal blood vessels using a special camera after injection of a dye6.1K$532.0K$86.632.04x
92226Examination of eye by ophthalmoscope with retinal drawing25.6K$520.1K$20.283.71x
J3490Unclassified drugs1.1K$471.9K$446.502.45x
92250Photography of the retina7.9K$342.1K$43.482.20x
67228Destruction of leaking blood vessels of retina using laser575$244.1K$424.553.78x
99204New patient office or other outpatient visit, 45-59 minutes1.5K$186.3K$128.101.62x
92004New patient complete exam of visual system1.1K$134.4K$118.521.55x
Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg589$128.5K$218.173.49x
765122d ultrasound scan of eye tissue and structures1.7K$103.6K$60.833.70x
92287Imaging of front third of eye using a special camera after injection of a dye734$90.4K$123.191.42x
67041Removal of membrane of retina91$87.6K$963.164.73x
J7999Compounded drug, not otherwise classified1.0K$67.1K$64.421.56x
92225Examination of eye by ophthalmoscope with retinal drawing2.9K$66.2K$22.803.30x

Markup Analysis

Charge-to-Payment Ratio

2.41x

This provider submits charges 2.41 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.41x means for every $100 Medicare pays, this provider initially charges $241. This is higher than the national average.

Location

Santa Barbara, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ophthalmology providers in CA for peer comparison.

Dante Pieramici (you)
$37.6M
Nathan Steinle, M.D.
$63.1M
Stephen Couvillion, MD
$47.7M
Margaret Chang, M.D.
$47.6M
David Boyer, MD
$47.5M
Alessandro Castellarin, M.D.
$46.9M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Nathan Steinle, M.D.Santa Barbara, CA$63.1M✓ Clear
Stephen Couvillion, MDSanta Barbara, CA$47.7M✓ Clear
Margaret Chang, M.D.Sacramento, CA$47.6M✓ Clear
David Boyer, MDLos Angeles, CA$47.5M✓ Clear
Alessandro Castellarin, M.D.Santa Barbara, CA$46.9M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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