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Provider 1023199734

NPI: 1023199734Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.6M

$9,645,442

Total Claims

105K

Beneficiaries

83K

1.3 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018
$303K
+30%
2019
$395K
+148%
2020
$981K
+68%
2021
$1.6M
+23%
2022
$2.0M
+14%
2023
$2.3M
-15%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 58% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$5.6M

6,521 claims · 58.5%

Your Cost: $865.25/claim|Median: $730.09
1.2× median
J2777Normal range

$1.0M

1,082 claims · 10.6%

Your Cost: $947.23/claim|Median: $858.80
1.1× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$797K

20K claims · 8.3%

Your Cost: $40.04/claim|Median: $58.82
0.7× median
99213Normal range

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

$552K

14K claims · 5.7%

Your Cost: $38.57/claim|Median: $37.81
1.0× median
99214Normal range

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

$506K

11K claims · 5.2%

Your Cost: $45.23/claim|Median: $53.41
0.8× median
92134Normal range

$428K

28K claims · 4.4%

Your Cost: $15.30/claim|Median: $15.46
1.0× median
J9035Normal range

Injection, bevacizumab, 10 mg

$231K

3,747 claims · 2.4%

Your Cost: $61.67/claim|Median: $43.71
1.4× median
99203Normal range

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

$181K

2,565 claims · 1.9%

Your Cost: $70.72/claim|Median: $57.85
1.2× median
92015Normal range

Determination of refractive state

$96K

9,117 claims · 1.0%

Your Cost: $10.48/claim|Median: $10.36
1.0× median
J7999Normal range

$35K

3,682 claims · 0.4%

Your Cost: $9.43/claim|Median: $6.94
1.4× median
99204Normal range

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

$32K

355 claims · 0.3%

Your Cost: $90.93/claim|Median: $84.03
1.1× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$30K

124 claims · 0.3%

Your Cost: $240.24/claim|Median: $268.70
0.9× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$27K

392 claims · 0.3%

Your Cost: $67.77/claim|Median: $59.72
1.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$25K

785 claims · 0.3%

Your Cost: $31.49/claim|Median: $47.08
0.7× median
92136Normal range

$11K

971 claims · 0.1%

Your Cost: $11.44/claim|Median: $18.31
0.6× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$10K

1,579 claims · 0.1%

Your Cost: $6.63/claim|Median: $38.23
0.2× median
92250Normal range

Fundus photography with interpretation and report

$7K

333 claims · 0.1%

Your Cost: $20.46/claim|Median: $27.95
0.7× median
92235Normal range

$6K

163 claims · 0.1%

Your Cost: $35.74/claim|Median: $42.71
0.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2K

47 claims · 0.0%

Your Cost: $45.37/claim|Median: $23.99
1.9× median
92083Normal range

Visual field exam, extended testing, bilateral

$821

48 claims · 0.0%

Your Cost: $17.10/claim|Median: $29.82
0.6× median
92133Normal range

$707

42 claims · 0.0%

Your Cost: $16.83/claim|Median: $19.09
0.9× median
92020Normal range

$260

26 claims · 0.0%

Your Cost: $9.98/claim|Median: $12.46
0.8× median
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