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Provider 1013330208

NPI: 1013330208Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,562,284

Total Claims

246K

Beneficiaries

219K

1.1 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+26%
2019
$1.7M
-28%
2020
$1.2M
+41%
2021
$1.7M
-15%
2022
$1.5M
+37%
2023
$2.0M
+1%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (V2410) accounts for 28% of total spending.

V2410Top 25%

$3.3M

23K claims · 28.2%

Your Cost: $140.08/claim|Median: $86.18
1.6× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$2.2M

22K claims · 18.8%

Your Cost: $100.82/claim|Median: $47.08
2.1× median
V2020Top 25%

Frames, purchases

$1.5M

38K claims · 12.9%

Your Cost: $39.79/claim|Median: $19.33
2.1× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$1.1M

8,971 claims · 9.3%

Your Cost: $119.25/claim|Median: $59.72
2.0× median
V2103Top 10%

Lens, sphere-cylinder, single vision, plus or minus 4.00

$907K

22K claims · 7.8%

Your Cost: $41.50/claim|Median: $18.82
2.2× median
V2784Top 25%

Lens, polycarbonate or equal

$865K

35K claims · 7.5%

Your Cost: $24.89/claim|Median: $9.50
2.6× median
92340Normal range

Fitting of spectacles, except for aphakia

$646K

36K claims · 5.6%

Your Cost: $17.86/claim|Median: $19.46
0.9× median
V2100Top 25%

Lens, sphere, single vision, plus or minus 4.00

$325K

8,436 claims · 2.8%

Your Cost: $38.50/claim|Median: $20.68
1.9× median
V2750Top 25%

$283K

10K claims · 2.4%

Your Cost: $28.26/claim|Median: $10.42
2.7× median
V2104Top 10%

$266K

5,654 claims · 2.3%

Your Cost: $47.03/claim|Median: $16.70
2.8× median
99212Top 25%

Office/outpatient visit, low complexity

$60K

1,551 claims · 0.5%

Your Cost: $38.49/claim|Median: $25.06
1.5× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$50K

798 claims · 0.4%

Your Cost: $63.08/claim|Median: $37.81
1.7× median
V2107Top 25%

$40K

956 claims · 0.3%

Your Cost: $41.76/claim|Median: $17.55
2.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$38K

2,224 claims · 0.3%

Your Cost: $17.07/claim|Median: $12.93
1.3× median
92015Normal range

Determination of refractive state

$33K

31K claims · 0.3%

Your Cost: $1.04/claim|Median: $10.36
0.1× median
V2105Top 25%

$25K

514 claims · 0.2%

Your Cost: $48.74/claim|Median: $23.98
2.0× median
V2430Normal range

$8K

67 claims · 0.1%

Your Cost: $126.28/claim|Median: $90.38
1.4× median
92341Normal range

$7K

341 claims · 0.1%

Your Cost: $19.19/claim|Median: $22.77
0.8× median
V2118Normal range

$4K

71 claims · 0.0%

Your Cost: $63.25/claim|Median: $60.58
1.0× median
V2200Normal range

$3K

113 claims · 0.0%

Your Cost: $28.49/claim|Median: $28.94
1.0× median
V2108Top 10%

$3K

56 claims · 0.0%

Your Cost: $49.39/claim|Median: $16.84
2.9× median
V2203Normal range

$2K

76 claims · 0.0%

Your Cost: $26.33/claim|Median: $29.84
0.9× median
92012Top 10%

Ophthalmological exam, intermediate, established patient

$860

12 claims · 0.0%

Your Cost: $71.69/claim|Median: $38.23
1.9× median
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