Medicare spending analysis for Ophthalmology providers
Ophthalmology accounts for $66.3B in Medicare payments across 172.7K providers.
The specialty's average markup of 2.9x is below the overall Medicare average of 3.77x.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $6.0B | 55.3M | 17.3K | — |
| 2015 | $6.2B | 56.2M | 17.3K | +3.3% |
| 2016 | $6.4B | 57.8M | 17.4K | +4.0% |
| 2017 | $6.5B | 57.5M | 17.4K | +1.1% |
| 2018 | $6.8B | 58.1M | 17.4K | +4.7% |
| 2019 | $7.1B | 58.8M | 17.5K | +5.4% |
| 2020 | $6.2B | 48.1M | 17.2K | -12.5% |
| 2021 | $7.0B | 52.7M | 17.0K | +11.9% |
| 2022 | $6.9B | 55.2M | 17.0K | -1.6% |
| 2023 | $7.2B | 89.6M | 17.0K | +5.4% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | David Warrow | MD | $15.1M | 1.5M | $9.78 |
| 2 | Wright Lauten | MS | $11.8M | 87.4K | $134.51 |
| 3 | Sunil Gupta | FL | $11.4M | 106.6K | $106.86 |
| 4 | John Welch | NE | $10.2M | 240.9K | $42.36 |
| 5 | Jason Ysasaga | TX | $9.9M | 203.0K | $48.88 |
| 6 | Ryan Rush | TX | $9.7M | 222.8K | $43.59 |
| 7 | Alexander Eaton | FL | $9.7M | 87.5K | $110.86 |
| 8 | Nathan Steinle | CA | $9.5M | 84.5K | $111.93 |
| 9 | Eric Jablon | SC | $8.9M | 44.8K | $198.58 |
| 10 | Allen Hu | MD | $8.9M | 966.9K | $9.19 |
| 11 | Kyle Alliman | IA | $8.7M | 195.8K | $44.56 |
| 12 | William Terrell | NE | $8.6M | 219.5K | $39.33 |
| 13 | Alex Kartvelishvili | IA | $8.1M | 183.5K | $44.35 |
| 14 | Hussein Wafapoor | FL | $8.1M | 108.3K | $75.15 |
| 15 | Robert Reinauer | TX | $8.1M | 109.6K | $74.09 |
| 16 | David Reed | MA | $7.7M | 62.9K | $123.00 |
| 17 | Tanuj Banker | FL | $7.7M | 62.0K | $124.49 |
| 18 | Torsten Wiegand | MA | $7.6M | 33.7K | $224.90 |
| 19 | Jawad Qureshi | TX | $7.6M | 189.8K | $39.90 |
| 20 | Sarju Patel | CA | $7.5M | 72.9K | $102.55 |
| 21 | David Dyer | KS | $7.5M | 87.0K | $85.80 |
| 22 | Antonio Aragon | TX | $7.3M | 158.5K | $46.23 |
| 23 | Prema Abraham | SD | $7.1M | 110.9K | $64.32 |
| 24 | Omesh Gupta | PA | $7.1M | 41.8K | $168.95 |
| 25 | Paul Boeke | IA | $7.1M | 76.1K | $92.85 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | $2.3B | 3.4M | $687.01 |
| J2777 | Injection, faricimab-svoa, 0.1 mg | $965.2M | 33.4M | $28.91 |
| 66984 | Removal of cataract with insertion of prosthetic lens | $578.5M | 1.8M | $324.86 |
| 92014 | Established patient complete exam of visual system | $507.9M | 5.8M | $87.16 |
| 67028 | Injection of drug into eye | $320.2M | 3.5M | $92.17 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $283.6M | 3.2M | $87.85 |
| J2778 | Injection, ranibizumab, 0.1 mg | $281.4M | 1.6M | $181.02 |
| 92134 | Imaging of retina | $203.2M | 6.9M | $29.37 |
| 92012 | Established patient problem focused exam of visual system | $168.9M | 2.6M | $65.79 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $166.6M | 2.7M | $62.23 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | $137.2M | 555.4K | $246.98 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $101.1M | 907.6K | $111.43 |
| J3490 | Unclassified drugs | $97.4M | 81.6K | $1.2K |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | $95.8M | 442.2K | $216.77 |
| 92004 | New patient complete exam of visual system | $79.7M | 802.4K | $99.38 |
| 92083 | Exam of visual field with extended testing | $79.6M | 1.8M | $43.98 |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | $57.3M | 114.7K | $499.87 |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | $49.8M | 414.5K | $120.05 |
| 92250 | Photography of the retina | $46.4M | 1.7M | $27.30 |
| 92133 | Imaging of optic nerve | $45.8M | 1.8M | $24.95 |
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.