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Provider 1134246853

NPI: 1134246853Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,340,524

Total Claims

67K

Beneficiaries

54K

1.3 claims/patient

Avg Cost/Claim

$124

Monthly Spending Trend

Yearly Spending

2018
$761K
+41%
2019
$1.1M
+3%
2020
$1.1M
+2%
2021
$1.1M
+39%
2022
$1.6M
-0%
2023
$1.6M
-25%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 75% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$6.3M

8,070 claims · 75.3%

Your Cost: $777.83/claim|Median: $730.09
1.1× median
J2777Top 25%

$850K

668 claims · 10.2%

Your Cost: $1,271.74/claim|Median: $858.80
1.5× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$650K

15K claims · 7.8%

Your Cost: $42.98/claim|Median: $58.82
0.7× median
92134Normal range

$271K

26K claims · 3.3%

Your Cost: $10.44/claim|Median: $15.46
0.7× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$131K

8,100 claims · 1.6%

Your Cost: $16.12/claim|Median: $38.23
0.4× median
J9035Normal range

Injection, bevacizumab, 10 mg

$72K

4,526 claims · 0.9%

Your Cost: $16.01/claim|Median: $43.71
0.4× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$31K

1,710 claims · 0.4%

Your Cost: $18.23/claim|Median: $47.08
0.4× median
99214Normal range

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

$21K

812 claims · 0.3%

Your Cost: $25.97/claim|Median: $53.41
0.5× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$17K

153 claims · 0.2%

Your Cost: $113.15/claim|Median: $121.58
0.9× median
92225Normal range

$5K

668 claims · 0.1%

Your Cost: $7.91/claim|Median: $17.59
0.4× median
92250Normal range

Fundus photography with interpretation and report

$5K

254 claims · 0.1%

Your Cost: $20.32/claim|Median: $27.95
0.7× median
99204Normal range

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

$3K

78 claims · 0.0%

Your Cost: $41.05/claim|Median: $84.03
0.5× median
92226Normal range

$3K

441 claims · 0.0%

Your Cost: $6.96/claim|Median: $12.45
0.6× median
92201Normal range

$2K

192 claims · 0.0%

Your Cost: $9.15/claim|Median: $12.88
0.7× median
99213Normal range

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

$1K

97 claims · 0.0%

Your Cost: $12.66/claim|Median: $37.81
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$100

18 claims · 0.0%

Your Cost: $5.55/claim|Median: $25.06
0.2× median
92202Normal range

$80

18 claims · 0.0%

Your Cost: $4.42/claim|Median: $7.06
0.6× median
99024Normal range

$0

411 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15
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