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Provider 1023063187

NPI: 1023063187Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.0M

$15,959,842

Total Claims

279K

Beneficiaries

251K

1.1 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+7%
2019
$2.5M
-17%
2020
$2.1M
+30%
2021
$2.7M
-12%
2022
$2.4M
-13%
2023
$2.1M
-13%
2024
$1.8M

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 19% of total spending.

92014Top 25%

Ophthalmological exam, comprehensive, established patient

$3.1M

44K claims · 19.4%

Your Cost: $69.99/claim|Median: $47.08
1.5× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$2.7M

27K claims · 16.9%

Your Cost: $101.48/claim|Median: $59.72
1.7× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$2.4M

9,601 claims · 15.2%

Your Cost: $252.28/claim|Median: $268.70
0.9× median
00142Top 25%

$1.5M

20K claims · 9.3%

Your Cost: $75.05/claim|Median: $43.11
1.7× median
99213Normal range

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

$992K

37K claims · 6.2%

Your Cost: $27.12/claim|Median: $37.81
0.7× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$818K

17K claims · 5.1%

Your Cost: $49.01/claim|Median: $38.23
1.3× median
99214Normal range

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

$677K

19K claims · 4.2%

Your Cost: $35.23/claim|Median: $53.41
0.7× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$588K

8,640 claims · 3.7%

Your Cost: $68.11/claim|Median: $84.03
0.8× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$586K

8,690 claims · 3.7%

Your Cost: $67.43/claim|Median: $58.82
1.1× median
92134Normal range

$384K

19K claims · 2.4%

Your Cost: $20.61/claim|Median: $15.46
1.3× median
J0178Top 25%

Injection, aflibercept, 1 mg

$334K

307 claims · 2.1%

Your Cost: $1,088.12/claim|Median: $730.09
1.5× median
92250Normal range

Fundus photography with interpretation and report

$245K

9,201 claims · 1.5%

Your Cost: $26.67/claim|Median: $27.95
1.0× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$224K

3,535 claims · 1.4%

Your Cost: $63.41/claim|Median: $57.85
1.1× median
92133Normal range

$204K

11K claims · 1.3%

Your Cost: $18.19/claim|Median: $19.09
1.0× median
92083Normal range

Visual field exam, extended testing, bilateral

$178K

5,958 claims · 1.1%

Your Cost: $29.85/claim|Median: $29.82
1.0× median
92136Normal range

$157K

8,381 claims · 1.0%

Your Cost: $18.74/claim|Median: $18.31
1.0× median
92015Normal range

Determination of refractive state

$126K

10K claims · 0.8%

Your Cost: $12.38/claim|Median: $10.36
1.2× median
J7999Top 10%

$111K

2,187 claims · 0.7%

Your Cost: $50.90/claim|Median: $6.94
7.3× median
J9035Top 10%

Injection, bevacizumab, 10 mg

$93K

722 claims · 0.6%

Your Cost: $128.72/claim|Median: $43.71
2.9× median
V2020Normal range

Frames, purchases

$63K

3,306 claims · 0.4%

Your Cost: $19.08/claim|Median: $19.33
1.0× median
V2784Top 25%

Lens, polycarbonate or equal

$58K

2,975 claims · 0.4%

Your Cost: $19.57/claim|Median: $9.50
2.1× median
66821Normal range

$58K

632 claims · 0.4%

Your Cost: $91.60/claim|Median: $83.06
1.1× median
00145Top 25%

$47K

266 claims · 0.3%

Your Cost: $178.07/claim|Median: $88.13
2.0× median
92002Top 10%

Intermediate eye exam, new patient

$37K

535 claims · 0.2%

Your Cost: $68.43/claim|Median: $41.61
1.6× median
76519Normal range

$33K

1,557 claims · 0.2%

Your Cost: $21.07/claim|Median: $22.90
0.9× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$31K

1,250 claims · 0.2%

Your Cost: $24.86/claim|Median: $20.68
1.2× median
V2624Normal range

$27K

1,063 claims · 0.2%

Your Cost: $25.45/claim|Median: $30.48
0.8× median
92020Normal range

$26K

2,039 claims · 0.2%

Your Cost: $12.88/claim|Median: $12.46
1.0× median
J2778Normal range

$25K

40 claims · 0.2%

Your Cost: $618.59/claim|Median: $403.28
1.5× median
00140Normal range

$16K

155 claims · 0.1%

Your Cost: $100.73/claim|Median: $69.43
1.5× median
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