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CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, P.A.

Ophthalmology·CHARLOTTE, NC·NPI: 1043287469Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$20.4M

$20,412,376

Total Claims

379K

Beneficiaries

312K

1.2 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+26%
2019
$2.6M
-22%
2020
$2.0M
+43%
2021
$2.9M
+13%
2022
$3.3M
+11%
2023
$3.6M
+9%
2024
$4.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 15% of total spending.

99213Normal range

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

$3.1M

70K claims · 15.4%

Your Cost: $44.68/claim|Median: $37.81
1.2× median
99214Normal range

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

$2.8M

53K claims · 14.0%

Your Cost: $53.83/claim|Median: $53.41
1.0× median
J0178Normal range

Injection, aflibercept, 1 mg

$2.3M

3,391 claims · 11.5%

Your Cost: $692.49/claim|Median: $730.09
0.9× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1.5M

27K claims · 7.4%

Your Cost: $56.49/claim|Median: $47.08
1.2× median
S0620Top 25%

$1.4M

16K claims · 6.9%

Your Cost: $85.46/claim|Median: $43.56
2.0× median
99243Normal range

Office or other outpatient consultation, low complexity

$1.3M

15K claims · 6.3%

Your Cost: $87.99/claim|Median: $82.43
1.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$1.2M

8,903 claims · 5.8%

Your Cost: $132.12/claim|Median: $121.58
1.1× median
99204Normal range

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

$1.0M

11K claims · 5.1%

Your Cost: $94.20/claim|Median: $84.03
1.1× median
S0621Top 25%

$1.0M

14K claims · 5.0%

Your Cost: $72.07/claim|Median: $44.45
1.6× median
99203Normal range

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

$806K

12K claims · 3.9%

Your Cost: $67.53/claim|Median: $57.85
1.2× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$478K

6,149 claims · 2.3%

Your Cost: $77.77/claim|Median: $59.72
1.3× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$419K

9,354 claims · 2.1%

Your Cost: $44.84/claim|Median: $58.82
0.8× median
92567Normal range

$379K

35K claims · 1.9%

Your Cost: $10.68/claim|Median: $11.50
0.9× median
92060Normal range

$341K

9,943 claims · 1.7%

Your Cost: $34.27/claim|Median: $35.83
1.0× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$313K

13K claims · 1.5%

Your Cost: $24.54/claim|Median: $27.28
0.9× median
69436Normal range

Tympanostomy, general anesthesia

$260K

2,084 claims · 1.3%

Your Cost: $124.66/claim|Median: $205.50
0.6× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$227K

3,178 claims · 1.1%

Your Cost: $71.55/claim|Median: $144.04
0.5× median
92134Normal range

$184K

18K claims · 0.9%

Your Cost: $10.50/claim|Median: $15.46
0.7× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$174K

923 claims · 0.9%

Your Cost: $188.87/claim|Median: $331.68
0.6× median
69210Normal range

$143K

4,918 claims · 0.7%

Your Cost: $29.09/claim|Median: $21.74
1.3× median
95117Normal range

$88K

12K claims · 0.4%

Your Cost: $7.12/claim|Median: $8.34
0.9× median
31575Normal range

$85K

1,247 claims · 0.4%

Your Cost: $68.45/claim|Median: $68.78
1.0× median
92587Normal range

$84K

3,329 claims · 0.4%

Your Cost: $25.35/claim|Median: $19.24
1.3× median
92340Normal range

Fitting of spectacles, except for aphakia

$78K

5,164 claims · 0.4%

Your Cost: $15.20/claim|Median: $19.46
0.8× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$69K

1,908 claims · 0.3%

Your Cost: $35.95/claim|Median: $38.23
0.9× median
31231Normal range

Nasal endoscopy, diagnostic

$63K

746 claims · 0.3%

Your Cost: $83.98/claim|Median: $98.77
0.9× median
92579Normal range

$54K

1,680 claims · 0.3%

Your Cost: $32.26/claim|Median: $30.58
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$53K

1,828 claims · 0.3%

Your Cost: $28.86/claim|Median: $25.06
1.2× median
92083Normal range

Visual field exam, extended testing, bilateral

$50K

1,500 claims · 0.2%

Your Cost: $33.15/claim|Median: $29.82
1.1× median
92504Normal range

$44K

2,559 claims · 0.2%

Your Cost: $17.18/claim|Median: $16.07
1.1× median
95115Normal range

$32K

5,224 claims · 0.2%

Your Cost: $6.11/claim|Median: $6.96
0.9× median
J9035Normal range

Injection, bevacizumab, 10 mg

$23K

905 claims · 0.1%

Your Cost: $25.84/claim|Median: $43.71
0.6× median
92133Normal range

$21K

1,116 claims · 0.1%

Your Cost: $19.07/claim|Median: $19.09
1.0× median
92370Normal range

$21K

2,350 claims · 0.1%

Your Cost: $9.01/claim|Median: $7.23
1.2× median
J2777Normal range

$19K

27 claims · 0.1%

Your Cost: $693.60/claim|Median: $858.80
0.8× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$15K

72 claims · 0.1%

Your Cost: $206.10/claim|Median: $268.70
0.8× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$15K

278 claims · 0.1%

Your Cost: $52.25/claim|Median: $23.99
2.2× median
92015Normal range

Determination of refractive state

$14K

1,670 claims · 0.1%

Your Cost: $8.11/claim|Median: $10.36
0.8× median
42830Normal range

$12K

112 claims · 0.1%

Your Cost: $111.41/claim|Median: $341.04
0.3× median
31622Normal range

$12K

164 claims · 0.1%

Your Cost: $74.07/claim|Median: $107.57
0.7× median
67311Normal range

$6K

14 claims · 0.0%

Your Cost: $454.91/claim|Median: $610.94
0.7× median
31615Normal range

$6K

65 claims · 0.0%

Your Cost: $95.99/claim|Median: $95.99
1.0× median
99223Top 10%

Initial hospital care, per day, high complexity

$6K

46 claims · 0.0%

Your Cost: $134.21/claim|Median: $67.32
2.0× median
92136Normal range

$5K

261 claims · 0.0%

Your Cost: $19.02/claim|Median: $18.31
1.0× median
92020Normal range

$5K

552 claims · 0.0%

Your Cost: $8.74/claim|Median: $12.46
0.7× median
92511Top 25%

$5K

45 claims · 0.0%

Your Cost: $106.23/claim|Median: $80.41
1.3× median
92250Normal range

Fundus photography with interpretation and report

$5K

173 claims · 0.0%

Your Cost: $27.17/claim|Median: $27.95
1.0× median
92588Normal range

Vestibular evoked myogenic potential testing, each side

$5K

121 claims · 0.0%

Your Cost: $38.24/claim|Median: $31.08
1.2× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$4K

130 claims · 0.0%

Your Cost: $30.64/claim|Median: $16.77
1.8× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$3K

40 claims · 0.0%

Your Cost: $80.37/claim|Median: $51.25
1.6× median

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