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Provider 1083707822

NPI: 1083707822Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.6M

$11,612,243

Total Claims

55K

Beneficiaries

49K

1.1 claims/patient

Avg Cost/Claim

$213

Monthly Spending Trend

Yearly Spending

2018
$632K
-3%
2019
$615K
+42%
2020
$873K
+116%
2021
$1.9M
+40%
2022
$2.6M
-10%
2023
$2.4M
+10%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (67028 (Intravitreal injection of a pharmacologic agent)) accounts for 38% of total spending.

67028Top 5%

Intravitreal injection of a pharmacologic agent

$4.5M

14K claims · 38.5%

Your Cost: $311.33/claim|Median: $58.82
5.3× median
J0178Top 1%

Injection, aflibercept, 1 mg

$4.4M

1,747 claims · 37.8%

Your Cost: $2,509.69/claim|Median: $730.09
3.4× median
92134Top 10%

$573K

17K claims · 4.9%

Your Cost: $34.04/claim|Median: $15.46
2.2× median
Q5128Top 1%

$504K

479 claims · 4.3%

Your Cost: $1,052.51/claim|Median: $502.53
2.1× median
J2778Top 10%

$466K

444 claims · 4.0%

Your Cost: $1,049.74/claim|Median: $403.28
2.6× median
92250Top 25%

Fundus photography with interpretation and report

$261K

5,734 claims · 2.2%

Your Cost: $45.46/claim|Median: $27.95
1.6× median
99214Normal range

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

$257K

3,790 claims · 2.2%

Your Cost: $67.71/claim|Median: $53.41
1.3× median
J9035Top 10%

Injection, bevacizumab, 10 mg

$253K

2,496 claims · 2.2%

Your Cost: $101.54/claim|Median: $43.71
2.3× median
92235Top 25%

$243K

3,000 claims · 2.1%

Your Cost: $81.02/claim|Median: $42.71
1.9× median
99213Normal range

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

$165K

5,023 claims · 1.4%

Your Cost: $32.77/claim|Median: $37.81
0.9× median
67228Normal range

$23K

69 claims · 0.2%

Your Cost: $326.17/claim|Median: $256.67
1.3× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$7K

504 claims · 0.1%

Your Cost: $14.71/claim|Median: $47.08
0.3× median
99204Normal range

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

$5K

61 claims · 0.0%

Your Cost: $83.36/claim|Median: $84.03
1.0× median
99203Top 25%

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

$5K

57 claims · 0.0%

Your Cost: $79.26/claim|Median: $57.85
1.4× median
76512Normal range

$734

14 claims · 0.0%

Your Cost: $52.45/claim|Median: $43.41
1.2× median
J7999Normal range

$78

13 claims · 0.0%

Your Cost: $5.96/claim|Median: $6.94
0.9× median
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