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Provider 1083911929

NPI: 1083911929Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,347,351

Total Claims

105K

Beneficiaries

94K

1.1 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2018
$604K
+22%
2019
$736K
+22%
2020
$896K
+12%
2021
$1.0M
+2%
2022
$1.0M
+125%
2023
$2.3M
+20%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (65778) accounts for 39% of total spending.

65778Top 10%

$3.6M

3,617 claims · 38.8%

Your Cost: $1,002.15/claim|Median: $282.76
3.5× median
68761Top 10%

$2.3M

16K claims · 24.2%

Your Cost: $141.03/claim|Median: $60.32
2.3× median
99213Normal range

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

$763K

18K claims · 8.2%

Your Cost: $42.43/claim|Median: $37.81
1.1× median
68801Normal range

$664K

18K claims · 7.1%

Your Cost: $37.90/claim|Median: $49.95
0.8× median
92083Top 25%

Visual field exam, extended testing, bilateral

$384K

8,688 claims · 4.1%

Your Cost: $44.19/claim|Median: $29.82
1.5× median
92250Normal range

Fundus photography with interpretation and report

$298K

9,619 claims · 3.2%

Your Cost: $31.00/claim|Median: $27.95
1.1× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$229K

598 claims · 2.4%

Your Cost: $382.35/claim|Median: $268.70
1.4× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$224K

2,515 claims · 2.4%

Your Cost: $89.13/claim|Median: $47.08
1.9× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$198K

1,677 claims · 2.1%

Your Cost: $118.04/claim|Median: $59.72
2.0× median
92134Top 25%

$181K

6,174 claims · 1.9%

Your Cost: $29.34/claim|Median: $15.46
1.9× median
92020Top 25%

$120K

6,182 claims · 1.3%

Your Cost: $19.38/claim|Median: $12.46
1.6× median
92133Normal range

$109K

4,202 claims · 1.2%

Your Cost: $26.01/claim|Median: $19.09
1.4× median
66821Top 25%

$105K

616 claims · 1.1%

Your Cost: $170.36/claim|Median: $83.06
2.1× median
99204Normal range

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

$68K

764 claims · 0.7%

Your Cost: $88.64/claim|Median: $84.03
1.1× median
99214Normal range

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

$55K

981 claims · 0.6%

Your Cost: $55.74/claim|Median: $53.41
1.0× median
76514Normal range

$42K

6,302 claims · 0.5%

Your Cost: $6.69/claim|Median: $6.67
1.0× median
67820Normal range

$12K

1,054 claims · 0.1%

Your Cost: $11.55/claim|Median: $11.69
1.0× median
76519Normal range

$11K

343 claims · 0.1%

Your Cost: $31.39/claim|Median: $22.90
1.4× median
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