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Provider 1043221922

NPI: 1043221922Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.9M

$9,878,443

Total Claims

160K

Beneficiaries

155K

1.0 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+21%
2019
$1.8M
-24%
2020
$1.4M
-4%
2021
$1.3M
-14%
2022
$1.1M
+28%
2023
$1.4M
-7%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (92014 (Ophthalmological exam, comprehensive, established patient)) accounts for 30% of total spending.

92014Top 5%

Ophthalmological exam, comprehensive, established patient

$2.9M

27K claims · 29.5%

Your Cost: $108.61/claim|Median: $47.08
2.3× median
92060Top 25%

$2.8M

53K claims · 28.2%

Your Cost: $52.42/claim|Median: $35.83
1.5× median
99204Top 25%

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

$1.4M

9,851 claims · 13.7%

Your Cost: $137.14/claim|Median: $84.03
1.6× median
92015Top 25%

Determination of refractive state

$818K

48K claims · 8.3%

Your Cost: $17.04/claim|Median: $10.36
1.6× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$542K

3,025 claims · 5.5%

Your Cost: $179.20/claim|Median: $111.09
1.6× median
99214Top 5%

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

$421K

3,527 claims · 4.3%

Your Cost: $119.30/claim|Median: $53.41
2.2× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$380K

7,519 claims · 3.8%

Your Cost: $50.48/claim|Median: $38.23
1.3× median
67311Normal range

$222K

502 claims · 2.2%

Your Cost: $442.29/claim|Median: $610.94
0.7× median
99213Top 5%

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

$86K

844 claims · 0.9%

Your Cost: $101.96/claim|Median: $37.81
2.7× median
92226Top 5%

$79K

1,055 claims · 0.8%

Your Cost: $75.19/claim|Median: $12.45
6.0× median
92133Top 5%

$68K

1,342 claims · 0.7%

Your Cost: $50.46/claim|Median: $19.09
2.6× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$65K

1,018 claims · 0.7%

Your Cost: $63.38/claim|Median: $35.30
1.8× median
92201Top 25%

$47K

2,144 claims · 0.5%

Your Cost: $22.02/claim|Median: $12.88
1.7× median
67312Normal range

$31K

58 claims · 0.3%

Your Cost: $540.30/claim|Median: $1,792.56
0.3× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$14K

152 claims · 0.1%

Your Cost: $90.16/claim|Median: $121.58
0.7× median
67314Normal range

$12K

22 claims · 0.1%

Your Cost: $553.07/claim|Median: $578.21
1.0× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$12K

124 claims · 0.1%

Your Cost: $97.16/claim|Median: $51.25
1.9× median
92083Top 1%

Visual field exam, extended testing, bilateral

$8K

88 claims · 0.1%

Your Cost: $91.52/claim|Median: $29.82
3.1× median
92225Top 5%

$5K

86 claims · 0.1%

Your Cost: $63.23/claim|Median: $17.59
3.6× median
99254Normal range

$5K

59 claims · 0.1%

Your Cost: $85.38/claim|Median: $81.43
1.0× median
99215Top 25%

Office/outpatient visit, high complexity

$5K

34 claims · 0.0%

Your Cost: $134.92/claim|Median: $74.09
1.8× median
99212Top 10%

Office/outpatient visit, low complexity

$3K

46 claims · 0.0%

Your Cost: $57.05/claim|Median: $25.06
2.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$2K

97 claims · 0.0%

Your Cost: $18.89/claim|Median: $12.93
1.5× median
76519Top 1%

$2K

14 claims · 0.0%

Your Cost: $108.67/claim|Median: $22.90
4.7× median
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