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EYE ASSOCIATES OF NEW MEXICO LTD

Ophthalmology·ALBUQUERQUE, NM·NPI: 1104868520Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$47.0M

$46,986,540

Total Claims

508K

Beneficiaries

479K

1.1 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$6.0M
-4%
2019
$5.8M
-3%
2020
$5.6M
+37%
2021
$7.6M
+4%
2022
$8.0M
-6%
2023
$7.5M
-14%
2024
$6.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 44% of total spending.

J0178Top 25%

Injection, aflibercept, 1 mg

$20.8M

17K claims · 44.4%

Your Cost: $1,224.36/claim|Median: $730.09
1.7× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$5.3M

60K claims · 11.3%

Your Cost: $88.94/claim|Median: $59.72
1.5× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$5.0M

74K claims · 10.7%

Your Cost: $68.07/claim|Median: $47.08
1.4× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$3.6M

13K claims · 7.6%

Your Cost: $280.40/claim|Median: $268.70
1.0× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$2.5M

38K claims · 5.3%

Your Cost: $64.90/claim|Median: $58.82
1.1× median
99214Normal range

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

$1.8M

28K claims · 3.8%

Your Cost: $63.44/claim|Median: $53.41
1.2× median
92134Top 25%

$1.2M

45K claims · 2.5%

Your Cost: $26.42/claim|Median: $15.46
1.7× median
99213Normal range

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

$1.2M

25K claims · 2.5%

Your Cost: $47.48/claim|Median: $37.81
1.3× median
J9035Normal range

Injection, bevacizumab, 10 mg

$777K

13K claims · 1.7%

Your Cost: $60.40/claim|Median: $43.71
1.4× median
J2778Top 25%

$734K

995 claims · 1.6%

Your Cost: $737.39/claim|Median: $403.28
1.8× median
J2777Normal range

$576K

601 claims · 1.2%

Your Cost: $958.20/claim|Median: $858.80
1.1× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$554K

10K claims · 1.2%

Your Cost: $53.44/claim|Median: $38.23
1.4× median
67228Normal range

$422K

1,469 claims · 0.9%

Your Cost: $287.48/claim|Median: $256.67
1.1× median
V2020Normal range

Frames, purchases

$389K

19K claims · 0.8%

Your Cost: $20.67/claim|Median: $19.33
1.1× median
92015Normal range

Determination of refractive state

$353K

86K claims · 0.8%

Your Cost: $4.11/claim|Median: $10.36
0.4× median
92136Top 25%

$345K

11K claims · 0.7%

Your Cost: $30.55/claim|Median: $18.31
1.7× median
92340Top 25%

Fitting of spectacles, except for aphakia

$300K

10K claims · 0.6%

Your Cost: $28.98/claim|Median: $19.46
1.5× median
V2784Normal range

Lens, polycarbonate or equal

$264K

16K claims · 0.6%

Your Cost: $16.31/claim|Median: $9.50
1.7× median
99204Top 25%

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

$178K

1,454 claims · 0.4%

Your Cost: $122.48/claim|Median: $84.03
1.5× median
92083Normal range

Visual field exam, extended testing, bilateral

$114K

2,946 claims · 0.2%

Your Cost: $38.59/claim|Median: $29.82
1.3× median
92133Top 25%

$113K

4,197 claims · 0.2%

Your Cost: $26.83/claim|Median: $19.09
1.4× median
V2103Normal range

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

$104K

8,959 claims · 0.2%

Your Cost: $11.57/claim|Median: $18.82
0.6× median
S9999Top 10%

$68K

3,578 claims · 0.1%

Your Cost: $18.99/claim|Median: $5.38
3.5× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$63K

3,550 claims · 0.1%

Your Cost: $17.74/claim|Median: $20.68
0.9× median
92341Top 25%

$35K

1,055 claims · 0.1%

Your Cost: $33.40/claim|Median: $22.77
1.5× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$28K

256 claims · 0.1%

Your Cost: $109.98/claim|Median: $470.36
0.2× median
92020Normal range

$23K

1,466 claims · 0.0%

Your Cost: $15.63/claim|Median: $12.46
1.3× median
64612Normal range

$23K

259 claims · 0.0%

Your Cost: $87.24/claim|Median: $98.05
0.9× median
V2107Normal range

$22K

929 claims · 0.0%

Your Cost: $23.76/claim|Median: $17.55
1.4× median
V2203Normal range

$19K

1,316 claims · 0.0%

Your Cost: $14.27/claim|Median: $29.84
0.5× median
V2104Normal range

$18K

1,998 claims · 0.0%

Your Cost: $9.15/claim|Median: $16.70
0.5× median
92025Top 25%

$17K

695 claims · 0.0%

Your Cost: $24.65/claim|Median: $17.08
1.4× median
V2200Normal range

$15K

510 claims · 0.0%

Your Cost: $30.30/claim|Median: $28.94
1.0× median
99203Top 10%

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

$15K

141 claims · 0.0%

Your Cost: $104.40/claim|Median: $57.85
1.8× median
67113Normal range

$12K

12 claims · 0.0%

Your Cost: $1,006.49/claim|Median: $824.94
1.2× median
V2108Normal range

$11K

483 claims · 0.0%

Your Cost: $23.32/claim|Median: $16.84
1.4× median
V2025Normal range

$9K

403 claims · 0.0%

Your Cost: $23.03/claim|Median: $34.45
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$8K

255 claims · 0.0%

Your Cost: $33.01/claim|Median: $25.06
1.3× median
92002Top 25%

Intermediate eye exam, new patient

$8K

115 claims · 0.0%

Your Cost: $66.34/claim|Median: $41.61
1.6× median
J7999Normal range

$6K

399 claims · 0.0%

Your Cost: $15.38/claim|Median: $6.94
2.2× median
V2109Normal range

$6K

202 claims · 0.0%

Your Cost: $27.57/claim|Median: $12.24
2.3× median
68761Top 25%

$5K

50 claims · 0.0%

Your Cost: $104.45/claim|Median: $60.32
1.7× median
V2105Normal range

$5K

471 claims · 0.0%

Your Cost: $9.62/claim|Median: $23.98
0.4× median
V2111Top 25%

$4K

148 claims · 0.0%

Your Cost: $26.53/claim|Median: $14.17
1.9× median
76512Normal range

$3K

64 claims · 0.0%

Your Cost: $49.51/claim|Median: $43.41
1.1× median
V2112Top 25%

$2K

97 claims · 0.0%

Your Cost: $22.95/claim|Median: $11.37
2.0× median
66821Normal range

$2K

28 claims · 0.0%

Your Cost: $75.63/claim|Median: $83.06
0.9× median
V2715Normal range

$2K

247 claims · 0.0%

Your Cost: $6.29/claim|Median: $7.16
0.9× median
V2744Normal range

$1K

147 claims · 0.0%

Your Cost: $9.25/claim|Median: $10.12
0.9× median
V2101Normal range

$948

127 claims · 0.0%

Your Cost: $7.46/claim|Median: $17.09
0.4× median

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