This provider averages 70 services per working day
Based on 174.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $12.2M in total Medicare payments ranks in the 98th percentile of Ophthalmology providers nationally.
Averaging 70 services per working day raises questions about billing patterns.
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 | $594.05 | $146.60 | 4.05x | $447.45 | $1.3M | 18.1K | 16.5K |
| 2015 | $576.83 | $137.84 | 4.18x | $438.99 | $1.4M | 18.7K | 17.4K |
| 2016 | $577.05 | $136.38 | 4.23x | $440.67 | $1.5M | 19.6K | 18.4K |
| 2017 | $556.77 | $129.47 | 4.30x | $427.30 | $1.5M | 20.3K | 18.9K |
| 2018 | $556.83 | $126.86 | 4.39x | $429.97 | $1.2M | 17.2K | 15.8K |
| 2019 | $614.53 | $136.01 | 4.52x | $478.52 | $1.2M | 17.1K | 15.7K |
| 2020 | $642.09 | $136.39 | 4.71x | $505.70 | $985.3K | 14.2K | 12.5K |
| 2021 | $673.42 | $145.90 | 4.62x | $527.52 | $1.2M | 18.0K | 15.6K |
| 2022 | $613.25 | $130.34 | 4.71x | $482.91 | $1.1M | 17.5K | 15.0K |
| 2023 | $572.35 | $127.06 | 4.50x | $445.29 | $815.9K | 14.0K | 12.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | 20.7K | $1.9M | $94.16 | 1.57x |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | 26.0K | $1.8M | $70.34 | 1.58x |
| 92083 | Measurement of field of vision during daylight conditions | 22.5K | $1.2M | $54.22 | 1.94x |
| 92250 | Photography of the retina | 21.3K | $1.1M | $50.05 | 3.02x |
| 66984 | Removal of cataract with insertion of lens | 1.6K | $875.6K | $549.34 | 6.10x |
| 92275 | Recording of retinal electrical responses to external stimuli | 5.8K | $796.3K | $136.59 | 1.43x |
| 92133 | Diagnostic imaging of optic nerve of eye | 19.1K | $612.0K | $31.98 | 5.16x |
| 66982 | Removal of cataract with insertion of lens | 743 | $526.5K | $708.65 | 5.29x |
| 95930 | Measurement and recording of nerve conduction patterns using visually-evoked stimulation | 4.4K | $505.6K | $114.49 | 1.66x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.5K | $465.2K | $305.47 | 3.93x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 1.8K | $426.4K | $238.32 | 5.88x |
| 92286 | Microscopic evaluation of deep cells of the eye | 10.1K | $327.2K | $32.53 | 4.48x |
| 92020 | Examination of cornea and iris using lens device and slit lamp | 13.4K | $289.3K | $21.53 | 2.79x |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | 2.4K | $264.0K | $112.18 | 1.57x |
| 92136 | Measurement of corneal curvature and depth of eye | 4.5K | $245.2K | $55.07 | 3.43x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 731 | $201.0K | $274.93 | 4.36x |
| 83861 | Microfluid analysis of tears | 8.3K | $183.8K | $22.04 | 1.81x |
| 92134 | Diagnostic imaging of retina | 4.0K | $136.3K | $34.37 | 4.83x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.7K | $108.5K | $64.26 | 1.77x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 641 | $74.1K | $115.62 | 1.38x |
This provider submits charges 2.88 times higher than what Medicare actually pays.
A markup ratio of 2.88x means for every $100 Medicare pays, this provider initially charges $288. 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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