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Provider 1033161195

NPI: 1033161195Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$13.3M

$13,344,783

Total Claims

311K

Beneficiaries

292K

1.1 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+69%
2019
$2.1M
-23%
2020
$1.6M
+26%
2021
$2.1M
-13%
2022
$1.8M
+24%
2023
$2.2M
-2%
2024
$2.2M

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 23% of total spending.

92014Top 25%

Ophthalmological exam, comprehensive, established patient

$3.1M

37K claims · 23.1%

Your Cost: $84.54/claim|Median: $47.08
1.8× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$2.7M

26K claims · 19.9%

Your Cost: $103.61/claim|Median: $59.72
1.7× median
V2020Top 25%

Frames, purchases

$2.2M

59K claims · 16.6%

Your Cost: $37.78/claim|Median: $19.33
2.0× median
V2103Top 10%

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

$1.8M

35K claims · 13.3%

Your Cost: $50.71/claim|Median: $18.82
2.7× median
92015Normal range

Determination of refractive state

$859K

63K claims · 6.4%

Your Cost: $13.57/claim|Median: $10.36
1.3× median
V2755Normal range

$609K

39K claims · 4.6%

Your Cost: $15.71/claim|Median: $12.60
1.2× median
99213Normal range

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

$556K

11K claims · 4.2%

Your Cost: $48.62/claim|Median: $37.81
1.3× median
99214Top 25%

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

$324K

4,223 claims · 2.4%

Your Cost: $76.72/claim|Median: $53.41
1.4× median
92250Normal range

Fundus photography with interpretation and report

$315K

10K claims · 2.4%

Your Cost: $31.03/claim|Median: $27.95
1.1× median
V2203Top 25%

$184K

3,090 claims · 1.4%

Your Cost: $59.70/claim|Median: $29.84
2.0× median
V2303Top 25%

$147K

1,978 claims · 1.1%

Your Cost: $74.13/claim|Median: $41.58
1.8× median
V2100Top 25%

Lens, sphere, single vision, plus or minus 4.00

$138K

3,838 claims · 1.0%

Your Cost: $36.05/claim|Median: $20.68
1.7× median
92060Top 25%

$110K

2,302 claims · 0.8%

Your Cost: $47.78/claim|Median: $35.83
1.3× median
V2104Top 10%

$98K

2,336 claims · 0.7%

Your Cost: $41.76/claim|Median: $16.70
2.5× median
92065Normal range

$62K

1,756 claims · 0.5%

Your Cost: $35.28/claim|Median: $30.29
1.2× median
92083Normal range

Visual field exam, extended testing, bilateral

$61K

1,977 claims · 0.5%

Your Cost: $30.84/claim|Median: $29.82
1.0× median
V2107Top 10%

$53K

1,068 claims · 0.4%

Your Cost: $49.27/claim|Median: $17.55
2.8× median
68761Normal range

$29K

423 claims · 0.2%

Your Cost: $69.37/claim|Median: $60.32
1.2× median
92133Normal range

$23K

1,226 claims · 0.2%

Your Cost: $19.04/claim|Median: $19.09
1.0× median
V2715Normal range

$19K

3,855 claims · 0.1%

Your Cost: $5.03/claim|Median: $7.16
0.7× median
92020Normal range

$8K

613 claims · 0.1%

Your Cost: $13.59/claim|Median: $12.46
1.1× median
V2300Normal range

$4K

99 claims · 0.0%

Your Cost: $42.07/claim|Median: $26.00
1.6× median
V2108Top 25%

$2K

44 claims · 0.0%

Your Cost: $47.10/claim|Median: $16.84
2.8× median
V2105Top 25%

$2K

42 claims · 0.0%

Your Cost: $48.75/claim|Median: $23.98
2.0× median
V2200Normal range

$1K

58 claims · 0.0%

Your Cost: $24.34/claim|Median: $28.94
0.8× median
76514Normal range

$686

151 claims · 0.0%

Your Cost: $4.54/claim|Median: $6.67
0.7× median
V2101Top 10%

$637

14 claims · 0.0%

Your Cost: $45.53/claim|Median: $17.09
2.7× median
V2204Top 10%

$597

12 claims · 0.0%

Your Cost: $49.78/claim|Median: $18.98
2.6× median
V2784Top 10%

Lens, polycarbonate or equal

$558

13 claims · 0.0%

Your Cost: $42.93/claim|Median: $9.50
4.5× median
G8731Normal range

$0

1,045 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
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