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Provider 1093233348

NPI: 1093233348Share
Active Billing Period:2018-02→2024-12(83 months)

Total Paid

$12.1M

$12,067,526

Total Claims

216K

Beneficiaries

202K

1.1 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$898K
+24%
2019
$1.1M
+13%
2020
$1.3M
+31%
2021
$1.6M
+5%
2022
$1.7M
+54%
2023
$2.6M
+5%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (V2410) accounts for 35% of total spending.

V2410Top 10%

$4.3M

27K claims · 35.4%

Your Cost: $159.70/claim|Median: $86.18
1.9× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$1.7M

16K claims · 14.1%

Your Cost: $104.73/claim|Median: $47.08
2.2× median
V2020Top 25%

Frames, purchases

$1.1M

26K claims · 8.9%

Your Cost: $41.74/claim|Median: $19.33
2.2× median
V2103Top 10%

Lens, sphere-cylinder, single vision, plus or minus 4.00

$1.0M

22K claims · 8.5%

Your Cost: $46.89/claim|Median: $18.82
2.5× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$971K

8,280 claims · 8.1%

Your Cost: $117.33/claim|Median: $59.72
2.0× median
V2784Top 25%

Lens, polycarbonate or equal

$943K

30K claims · 7.8%

Your Cost: $31.97/claim|Median: $9.50
3.4× median
92340Normal range

Fitting of spectacles, except for aphakia

$620K

33K claims · 5.1%

Your Cost: $19.01/claim|Median: $19.46
1.0× median
V2025Top 5%

$534K

6,001 claims · 4.4%

Your Cost: $88.98/claim|Median: $34.45
2.6× median
V2104Top 10%

$258K

5,318 claims · 2.1%

Your Cost: $48.52/claim|Median: $16.70
2.9× median
V2750Top 25%

$160K

5,615 claims · 1.3%

Your Cost: $28.41/claim|Median: $10.42
2.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$132K

7,353 claims · 1.1%

Your Cost: $17.93/claim|Median: $12.93
1.4× median
92310Top 5%

$88K

766 claims · 0.7%

Your Cost: $115.15/claim|Median: $35.49
3.2× median
V2100Top 25%

Lens, sphere, single vision, plus or minus 4.00

$79K

2,273 claims · 0.7%

Your Cost: $34.86/claim|Median: $20.68
1.7× median
92012Top 10%

Ophthalmological exam, intermediate, established patient

$65K

908 claims · 0.5%

Your Cost: $71.56/claim|Median: $38.23
1.9× median
V2521Top 10%

$47K

287 claims · 0.4%

Your Cost: $164.35/claim|Median: $80.77
2.0× median
V2107Top 10%

$33K

674 claims · 0.3%

Your Cost: $48.76/claim|Median: $17.55
2.8× median
V2105Top 25%

$31K

589 claims · 0.3%

Your Cost: $52.06/claim|Median: $23.98
2.2× median
92015Normal range

Determination of refractive state

$25K

25K claims · 0.2%

Your Cost: $1.01/claim|Median: $10.36
0.1× median
V2108Top 10%

$7K

133 claims · 0.1%

Your Cost: $54.02/claim|Median: $16.84
3.2× median
V2520Top 10%

$6K

45 claims · 0.0%

Your Cost: $131.78/claim|Median: $68.48
1.9× median
V2745Top 25%

$701

43 claims · 0.0%

Your Cost: $16.31/claim|Median: $6.56
2.5× median
V2744Normal range

$578

65 claims · 0.0%

Your Cost: $8.89/claim|Median: $10.12
0.9× median
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