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ASSOCIATED RETINAL CONSULTANTS LLC

Ophthalmology·VAUXHALL, NJ·NPI: 1164578894Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$25.2M

$25,189,028

Total Claims

404K

Beneficiaries

328K

1.2 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+1%
2019
$2.6M
-23%
2020
$2.0M
+57%
2021
$3.2M
+50%
2022
$4.8M
+28%
2023
$6.1M
-36%
2024
$3.9M

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 42% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$10.5M

13K claims · 41.7%

Your Cost: $832.01/claim|Median: $730.09
1.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$4.7M

79K claims · 18.8%

Your Cost: $59.92/claim|Median: $47.08
1.3× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$2.7M

53K claims · 10.7%

Your Cost: $50.57/claim|Median: $58.82
0.9× median
92134Normal range

$2.2M

94K claims · 8.6%

Your Cost: $22.94/claim|Median: $15.46
1.5× median
99204Top 25%

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

$990K

8,782 claims · 3.9%

Your Cost: $112.73/claim|Median: $84.03
1.3× median
J0177Normal range

$585K

1,077 claims · 2.3%

Your Cost: $543.07/claim|Median: $869.28
0.6× median
92004Top 5%

Ophthalmological exam, comprehensive, new patient

$434K

3,436 claims · 1.7%

Your Cost: $126.30/claim|Median: $59.72
2.1× median
J2778Top 25%

$400K

572 claims · 1.6%

Your Cost: $700.16/claim|Median: $403.28
1.7× median
99214Normal range

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

$361K

5,078 claims · 1.4%

Your Cost: $71.14/claim|Median: $53.41
1.3× median
92226Normal range

$327K

21K claims · 1.3%

Your Cost: $15.28/claim|Median: $12.45
1.2× median
99213Normal range

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

$310K

6,805 claims · 1.2%

Your Cost: $45.52/claim|Median: $37.81
1.2× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$286K

6,021 claims · 1.1%

Your Cost: $47.58/claim|Median: $38.23
1.2× median
J9035Normal range

Injection, bevacizumab, 10 mg

$257K

4,607 claims · 1.0%

Your Cost: $55.81/claim|Median: $43.71
1.3× median
92202Normal range

$246K

34K claims · 1.0%

Your Cost: $7.33/claim|Median: $7.06
1.0× median
92250Top 25%

Fundus photography with interpretation and report

$188K

4,524 claims · 0.7%

Your Cost: $41.50/claim|Median: $27.95
1.5× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$145K

557 claims · 0.6%

Your Cost: $260.59/claim|Median: $268.70
1.0× median
92201Normal range

$111K

6,519 claims · 0.4%

Your Cost: $17.02/claim|Median: $12.88
1.3× median
92015Normal range

Determination of refractive state

$99K

8,113 claims · 0.4%

Your Cost: $12.19/claim|Median: $10.36
1.2× median
92060Top 10%

$96K

1,517 claims · 0.4%

Your Cost: $63.15/claim|Median: $35.83
1.8× median
92225Normal range

$80K

4,042 claims · 0.3%

Your Cost: $19.80/claim|Median: $17.59
1.1× median
92235Top 25%

$31K

406 claims · 0.1%

Your Cost: $75.24/claim|Median: $42.71
1.8× median
99244Top 10%

Office or other outpatient consultation, moderate complexity

$23K

124 claims · 0.1%

Your Cost: $184.73/claim|Median: $121.58
1.5× median
J3590Top 25%

Unclassified biologic drug injection

$22K

288 claims · 0.1%

Your Cost: $77.98/claim|Median: $24.77
3.1× median
J2777Normal range

$22K

46 claims · 0.1%

Your Cost: $485.73/claim|Median: $858.80
0.6× median
92136Normal range

$20K

952 claims · 0.1%

Your Cost: $21.47/claim|Median: $18.31
1.2× median
92083Normal range

Visual field exam, extended testing, bilateral

$13K

433 claims · 0.1%

Your Cost: $30.95/claim|Median: $29.82
1.0× median
92340Normal range

Fitting of spectacles, except for aphakia

$13K

670 claims · 0.1%

Your Cost: $19.33/claim|Median: $19.46
1.0× median
92133Normal range

$11K

525 claims · 0.0%

Your Cost: $20.51/claim|Median: $19.09
1.1× median
Q5128Normal range

$7K

14 claims · 0.0%

Your Cost: $501.87/claim|Median: $502.53
1.0× median
92020Normal range

$6K

520 claims · 0.0%

Your Cost: $11.25/claim|Median: $12.46
0.9× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$3K

26 claims · 0.0%

Your Cost: $133.64/claim|Median: $51.25
2.6× median
99203Top 10%

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

$3K

28 claims · 0.0%

Your Cost: $108.52/claim|Median: $57.85
1.9× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$3K

14 claims · 0.0%

Your Cost: $188.75/claim|Median: $111.09
1.7× median
76512Normal range

$634

18 claims · 0.0%

Your Cost: $35.20/claim|Median: $43.41
0.8× median
99212Top 25%

Office/outpatient visit, low complexity

$598

14 claims · 0.0%

Your Cost: $42.69/claim|Median: $25.06
1.7× median
J7999Normal range

$482

321 claims · 0.0%

Your Cost: $1.50/claim|Median: $6.94
0.2× median
G8427Normal range

$370

9,857 claims · 0.0%

Your Cost: $0.04/claim|Median: $0.02
1.9× median
4040FNormal range

$46

5,108 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.15
0.1× median
1036FNormal range

$0

9,334 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
4177FNormal range

$0

1,079 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.19
2021F

$0

2,710 claims · 0.0%

G8482Normal range

$0

1,540 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
G9974Normal range

$0

417 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.05
2023FNormal range

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.13
G8397Normal range

$0

2,787 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
G9902Normal range

$0

48 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
2022FNormal range

$0

3,488 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.07
G9903Normal range

$0

3,656 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
2019F

$0

625 claims · 0.0%

5010FNormal range

$0

2,798 claims · 0.0%

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

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