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Provider 1114012689

NPI: 1114012689Share
Active Billing Period:2019-01→2024-11(71 months)

Total Paid

$9.2M

$9,153,195

Total Claims

391K

Beneficiaries

342K

1.1 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2019
$2.0M
+0%
2020
$2.0M
-45%
2021
$1.1M
+89%
2022
$2.1M
-18%
2023
$1.7M
-80%
2024
$339K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (92014 (Ophthalmological exam, comprehensive, established patient)) accounts for 32% of total spending.

92014Normal range

Ophthalmological exam, comprehensive, established patient

$3.0M

56K claims · 32.5%

Your Cost: $52.68/claim|Median: $47.08
1.1× median
V2100Top 5%

Lens, sphere, single vision, plus or minus 4.00

$2.8M

37K claims · 30.2%

Your Cost: $74.17/claim|Median: $20.68
3.6× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$1.9M

28K claims · 20.6%

Your Cost: $66.10/claim|Median: $59.72
1.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$411K

62K claims · 4.5%

Your Cost: $6.63/claim|Median: $19.46
0.3× median
V2025Normal range

$384K

9,921 claims · 4.2%

Your Cost: $38.71/claim|Median: $34.45
1.1× median
V2200Top 5%

$293K

2,506 claims · 3.2%

Your Cost: $117.08/claim|Median: $28.94
4.0× median
V2020Normal range

Frames, purchases

$262K

80K claims · 2.9%

Your Cost: $3.26/claim|Median: $19.33
0.2× median
3072FTop 1%

$108K

1,793 claims · 1.2%

Your Cost: $60.50/claim|Median: $0.71
85.2× median
V2103Normal range

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

$27K

45K claims · 0.3%

Your Cost: $0.59/claim|Median: $18.82
0.0× median
92341Normal range

$17K

1,689 claims · 0.2%

Your Cost: $10.29/claim|Median: $22.77
0.5× median
V2799Top 25%

$11K

378 claims · 0.1%

Your Cost: $29.98/claim|Median: $8.94
3.4× median
2022FTop 5%

$6K

416 claims · 0.1%

Your Cost: $15.59/claim|Median: $0.07
222.7× median
V2784Normal range

Lens, polycarbonate or equal

$4K

10K claims · 0.0%

Your Cost: $0.41/claim|Median: $9.50
0.0× median
V2203Normal range

$2K

2,568 claims · 0.0%

Your Cost: $0.79/claim|Median: $29.84
0.0× median
V2750Normal range

$1K

3,866 claims · 0.0%

Your Cost: $0.29/claim|Median: $10.42
0.0× median
V2744Normal range

$790

2,699 claims · 0.0%

Your Cost: $0.29/claim|Median: $10.12
0.0× median
V2781Normal range

$530

1,848 claims · 0.0%

Your Cost: $0.29/claim|Median: $29.17
0.0× median
G8398Normal range

$294

17K claims · 0.0%

Your Cost: $0.02/claim|Median: $0.51
0.0× median
G8397Normal range

$212

24K claims · 0.0%

Your Cost: $0.01/claim|Median: $0.03
0.3× median
V2104Normal range

$148

861 claims · 0.0%

Your Cost: $0.17/claim|Median: $16.70
0.0× median
V2107Normal range

$10

300 claims · 0.0%

Your Cost: $0.03/claim|Median: $17.55
0.0× median
92015Normal range

Determination of refractive state

$0

1,711 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.36
S0595Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.18
2023FNormal range

$0

43 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.13
92310Normal range

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $35.49
2021F

$0

45 claims · 0.0%

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