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Provider 1013453315

NPI: 1013453315Share
Active Billing Period:2018-01→2024-05(77 months)
Billing appears to have stoppedLast active: 2024-05

Total Paid

$8.5M

$8,543,005

Total Claims

165K

Beneficiaries

142K

1.2 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-9%
2019
$1.3M
-2%
2020
$1.3M
+1%
2021
$1.3M
-13%
2022
$1.1M
+54%
2023
$1.7M
-69%
2024
$523K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (92014 (Ophthalmological exam, comprehensive, established patient)) accounts for 14% of total spending.

92014Top 25%

Ophthalmological exam, comprehensive, established patient

$1.2M

16K claims · 14.1%

Your Cost: $74.67/claim|Median: $47.08
1.6× median
76512Normal range

$1.0M

19K claims · 12.1%

Your Cost: $55.24/claim|Median: $43.41
1.3× median
99213Top 25%

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

$821K

12K claims · 9.6%

Your Cost: $69.87/claim|Median: $37.81
1.8× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$805K

13K claims · 9.4%

Your Cost: $59.64/claim|Median: $38.23
1.6× median
92083Top 10%

Visual field exam, extended testing, bilateral

$769K

15K claims · 9.0%

Your Cost: $52.46/claim|Median: $29.82
1.8× median
68761Top 10%

$751K

6,646 claims · 8.8%

Your Cost: $113.03/claim|Median: $60.32
1.9× median
68040Top 5%

$662K

10K claims · 7.8%

Your Cost: $63.74/claim|Median: $30.05
2.1× median
92250Top 25%

Fundus photography with interpretation and report

$552K

14K claims · 6.5%

Your Cost: $38.68/claim|Median: $27.95
1.4× median
92100Top 10%

$394K

6,095 claims · 4.6%

Your Cost: $64.63/claim|Median: $30.29
2.1× median
99214Top 25%

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

$253K

2,591 claims · 3.0%

Your Cost: $97.74/claim|Median: $53.41
1.8× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$201K

1,682 claims · 2.4%

Your Cost: $119.70/claim|Median: $59.72
2.0× median
92226Normal range

$198K

12K claims · 2.3%

Your Cost: $16.55/claim|Median: $12.45
1.3× median
92286Normal range

$170K

5,304 claims · 2.0%

Your Cost: $32.00/claim|Median: $29.05
1.1× median
92020Top 25%

$162K

8,386 claims · 1.9%

Your Cost: $19.27/claim|Median: $12.46
1.5× median
92133Top 25%

$156K

5,240 claims · 1.8%

Your Cost: $29.81/claim|Median: $19.09
1.6× median
92273Top 25%

$89K

1,142 claims · 1.0%

Your Cost: $77.87/claim|Median: $53.16
1.5× median
92285Normal range

$60K

3,392 claims · 0.7%

Your Cost: $17.80/claim|Median: $16.47
1.1× median
92202Top 25%

$49K

3,632 claims · 0.6%

Your Cost: $13.46/claim|Median: $7.06
1.9× median
68801Top 25%

$46K

547 claims · 0.5%

Your Cost: $84.06/claim|Median: $49.95
1.7× median
95004Top 25%

Percutaneous allergy skin tests, each

$41K

189 claims · 0.5%

Your Cost: $217.79/claim|Median: $134.97
1.6× median
92134Top 25%

$36K

1,162 claims · 0.4%

Your Cost: $30.55/claim|Median: $15.46
2.0× median
92225Normal range

$29K

1,429 claims · 0.3%

Your Cost: $20.43/claim|Median: $17.59
1.2× median
92060Normal range

$25K

605 claims · 0.3%

Your Cost: $42.05/claim|Median: $35.83
1.2× median
76514Normal range

$14K

2,062 claims · 0.2%

Your Cost: $6.81/claim|Median: $6.67
1.0× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$10K

1,481 claims · 0.1%

Your Cost: $6.60/claim|Median: $20.68
0.3× median
67820Top 25%

$6K

253 claims · 0.1%

Your Cost: $22.96/claim|Median: $11.69
2.0× median
V2020Normal range

Frames, purchases

$5K

1,016 claims · 0.1%

Your Cost: $5.21/claim|Median: $19.33
0.3× median
92082Top 25%

$3K

79 claims · 0.0%

Your Cost: $43.92/claim|Median: $30.83
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$730

14 claims · 0.0%

Your Cost: $52.16/claim|Median: $25.06
2.1× median
92025Normal range

$365

33 claims · 0.0%

Your Cost: $11.06/claim|Median: $17.08
0.6× median
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