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RETINA VITREOUS ASSOCIATES MEDICAL GROUP

Specialist·LOS ANGELES, CA·NPI: 1134164023Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$24.0M

$24,026,583

Total Claims

402K

Beneficiaries

378K

1.1 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+48%
2019
$2.9M
+13%
2020
$3.3M
+12%
2021
$3.7M
+6%
2022
$3.9M
+18%
2023
$4.6M
-22%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (67028 (Intravitreal injection of a pharmacologic agent)) accounts for 28% of total spending.

67028Normal range

Intravitreal injection of a pharmacologic agent

$6.8M

64K claims · 28.3%

Your Cost: $107.06/claim|Median: $58.82
1.8× median
J0178Normal range

Injection, aflibercept, 1 mg

$5.4M

11K claims · 22.5%

Your Cost: $501.33/claim|Median: $730.09
0.7× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$2.9M

67K claims · 12.1%

Your Cost: $43.60/claim|Median: $47.08
0.9× median
92134Normal range

$1.8M

121K claims · 7.3%

Your Cost: $14.50/claim|Median: $15.46
0.9× median
J9035Normal range

Injection, bevacizumab, 10 mg

$1.7M

32K claims · 7.0%

Your Cost: $53.51/claim|Median: $43.71
1.2× median
Q5128Normal range

$1.6M

4,699 claims · 6.6%

Your Cost: $338.23/claim|Median: $502.53
0.7× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$1.5M

34K claims · 6.1%

Your Cost: $43.14/claim|Median: $38.23
1.1× median
J2778Normal range

$634K

1,697 claims · 2.6%

Your Cost: $373.43/claim|Median: $403.28
0.9× median
J2777Normal range

$448K

872 claims · 1.9%

Your Cost: $514.10/claim|Median: $858.80
0.6× median
99204Normal range

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

$289K

6,924 claims · 1.2%

Your Cost: $41.75/claim|Median: $84.03
0.5× median
92202Normal range

$161K

22K claims · 0.7%

Your Cost: $7.50/claim|Median: $7.06
1.1× median
92235Normal range

$161K

5,410 claims · 0.7%

Your Cost: $29.70/claim|Median: $42.71
0.7× median
92226Normal range

$139K

11K claims · 0.6%

Your Cost: $13.27/claim|Median: $12.45
1.1× median
J3490Top 1%

Unclassified drugs

$128K

286 claims · 0.5%

Your Cost: $447.33/claim|Median: $5.70
78.5× median
92250Normal range

Fundus photography with interpretation and report

$91K

6,581 claims · 0.4%

Your Cost: $13.88/claim|Median: $27.95
0.5× median
J7999Top 25%

$76K

2,776 claims · 0.3%

Your Cost: $27.22/claim|Median: $6.94
3.9× median
76512Normal range

$63K

2,524 claims · 0.3%

Your Cost: $25.09/claim|Median: $43.41
0.6× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$61K

2,034 claims · 0.3%

Your Cost: $29.79/claim|Median: $59.72
0.5× median
99214Normal range

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

$54K

1,612 claims · 0.2%

Your Cost: $33.49/claim|Median: $53.41
0.6× median
92225Normal range

$26K

2,161 claims · 0.1%

Your Cost: $12.25/claim|Median: $17.59
0.7× median
J2781Normal range

$20K

43 claims · 0.1%

Your Cost: $469.82/claim|Median: $469.82
1.0× median
92201Normal range

$19K

2,340 claims · 0.1%

Your Cost: $8.10/claim|Median: $12.88
0.6× median
67228Normal range

$14K

95 claims · 0.1%

Your Cost: $149.00/claim|Median: $256.67
0.6× median
J0177Normal range

$8K

14 claims · 0.0%

Your Cost: $566.27/claim|Median: $869.28
0.7× median
99024Top 25%

$5K

1,402 claims · 0.0%

Your Cost: $3.27/claim|Median: $0.15
21.8× median
99213Normal range

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

$3K

126 claims · 0.0%

Your Cost: $25.25/claim|Median: $37.81
0.7× median
J3300Normal range

$584

24 claims · 0.0%

Your Cost: $24.34/claim|Median: $37.55
0.6× median
76510Normal range

$384

14 claims · 0.0%

Your Cost: $27.44/claim|Median: $58.86
0.5× median

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