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Provider 1124080080

NPI: 1124080080Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$11.9M

$11,926,253

Total Claims

602K

Beneficiaries

590K

1.0 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+23%
2019
$1.6M
-25%
2020
$1.2M
+42%
2021
$1.7M
+31%
2022
$2.2M
-3%
2023
$2.1M
-16%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (V2020 (Frames, purchases)) accounts for 29% of total spending.

V2020Normal range

Frames, purchases

$3.5M

157K claims · 29.2%

Your Cost: $22.14/claim|Median: $19.33
1.1× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$2.8M

150K claims · 23.8%

Your Cost: $18.86/claim|Median: $20.68
0.9× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1.7M

46K claims · 14.1%

Your Cost: $36.17/claim|Median: $47.08
0.8× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$1.2M

32K claims · 10.3%

Your Cost: $38.37/claim|Median: $59.72
0.6× median
S0621Normal range

$1.2M

30K claims · 9.7%

Your Cost: $38.91/claim|Median: $44.45
0.9× median
S0620Normal range

$593K

15K claims · 5.0%

Your Cost: $38.42/claim|Median: $43.56
0.9× median
92015Normal range

Determination of refractive state

$500K

77K claims · 4.2%

Your Cost: $6.52/claim|Median: $10.36
0.6× median
V2784Normal range

Lens, polycarbonate or equal

$356K

65K claims · 3.0%

Your Cost: $5.47/claim|Median: $9.50
0.6× median
V2103Top 25%

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

$58K

1,890 claims · 0.5%

Your Cost: $30.88/claim|Median: $18.82
1.6× median
V2750Normal range

$22K

26K claims · 0.2%

Your Cost: $0.85/claim|Median: $10.42
0.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$5K

394 claims · 0.0%

Your Cost: $13.77/claim|Median: $19.46
0.7× median
99213Normal range

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

$1K

43 claims · 0.0%

Your Cost: $24.48/claim|Median: $37.81
0.6× median
92310Normal range

$872

24 claims · 0.0%

Your Cost: $36.33/claim|Median: $35.49
1.0× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$743

25 claims · 0.0%

Your Cost: $29.72/claim|Median: $38.23
0.8× median
V2200Normal range

$495

24 claims · 0.0%

Your Cost: $20.63/claim|Median: $28.94
0.7× median
92002Normal range

Intermediate eye exam, new patient

$439

14 claims · 0.0%

Your Cost: $31.33/claim|Median: $41.61
0.8× median
92250Normal range

Fundus photography with interpretation and report

$232

43 claims · 0.0%

Your Cost: $5.39/claim|Median: $27.95
0.2× median
V2799Normal range

$30

169 claims · 0.0%

Your Cost: $0.18/claim|Median: $8.94
0.0× median
M1208Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.05
S9986Normal range

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.86
1036FNormal range

$0

41 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
G8785Normal range

$0

57 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.19
G8427Normal range

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
G8428Normal range

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
V2715Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.16
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