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Provider 1083757322

NPI: 1083757322Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.5M

$17,527,172

Total Claims

80K

Beneficiaries

69K

1.2 claims/patient

Avg Cost/Claim

$220

Monthly Spending Trend

Yearly Spending

2018
$344K
+108%
2019
$716K
+130%
2020
$1.6M
+16%
2021
$1.9M
+62%
2022
$3.1M
+37%
2023
$4.2M
+32%
2024
$5.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 42% of total spending.

J0178Top 10%

Injection, aflibercept, 1 mg

$7.4M

4,847 claims · 42.2%

Your Cost: $1,525.19/claim|Median: $730.09
2.1× median
67028Top 5%

Intravitreal injection of a pharmacologic agent

$5.9M

20K claims · 33.8%

Your Cost: $292.37/claim|Median: $58.82
5.0× median
Q5128Normal range

$784K

1,148 claims · 4.5%

Your Cost: $683.16/claim|Median: $502.53
1.4× median
J2778Normal range

$762K

1,907 claims · 4.3%

Your Cost: $399.76/claim|Median: $403.28
1.0× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$684K

11K claims · 3.9%

Your Cost: $63.70/claim|Median: $38.23
1.7× median
92134Top 10%

$674K

19K claims · 3.8%

Your Cost: $35.01/claim|Median: $15.46
2.3× median
J9035Top 25%

Injection, bevacizumab, 10 mg

$492K

6,783 claims · 2.8%

Your Cost: $72.60/claim|Median: $43.71
1.7× median
92250Top 25%

Fundus photography with interpretation and report

$201K

4,606 claims · 1.1%

Your Cost: $43.60/claim|Median: $27.95
1.6× median
92235Top 25%

$157K

1,805 claims · 0.9%

Your Cost: $87.09/claim|Median: $42.71
2.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$150K

3,328 claims · 0.9%

Your Cost: $45.09/claim|Median: $47.08
1.0× median
67228Normal range

$68K

206 claims · 0.4%

Your Cost: $327.78/claim|Median: $256.67
1.3× median
92226Top 10%

$61K

1,532 claims · 0.3%

Your Cost: $39.64/claim|Median: $12.45
3.2× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$59K

905 claims · 0.3%

Your Cost: $64.73/claim|Median: $59.72
1.1× median
99204Normal range

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

$39K

433 claims · 0.2%

Your Cost: $90.89/claim|Median: $84.03
1.1× median
J0177Normal range

$23K

14 claims · 0.1%

Your Cost: $1,655.20/claim|Median: $869.28
1.9× median
99212Top 25%

Office/outpatient visit, low complexity

$18K

359 claims · 0.1%

Your Cost: $50.20/claim|Median: $25.06
2.0× median
92202Top 25%

$15K

1,015 claims · 0.1%

Your Cost: $14.57/claim|Median: $7.06
2.1× median
J3490Top 1%

Unclassified drugs

$12K

17 claims · 0.1%

Your Cost: $691.55/claim|Median: $5.70
121.3× median
92201Top 25%

$8K

353 claims · 0.0%

Your Cost: $24.04/claim|Median: $12.88
1.9× median
99213Normal range

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

$4K

138 claims · 0.0%

Your Cost: $30.34/claim|Median: $37.81
0.8× median
92225Top 10%

$3K

54 claims · 0.0%

Your Cost: $48.36/claim|Median: $17.59
2.7× median
76512Normal range

$2K

51 claims · 0.0%

Your Cost: $41.71/claim|Median: $43.41
1.0× median
99214Top 5%

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

$2K

16 claims · 0.0%

Your Cost: $131.58/claim|Median: $53.41
2.5× median
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