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Provider 1174734560

NPI: 1174734560Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.4M

$15,427,556

Total Claims

319K

Beneficiaries

297K

1.1 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-4%
2019
$2.4M
-35%
2020
$1.5M
+31%
2021
$2.0M
-14%
2022
$1.7M
+63%
2023
$2.8M
-11%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (V2410) accounts for 28% of total spending.

V2410Top 25%

$4.4M

31K claims · 28.2%

Your Cost: $142.22/claim|Median: $86.18
1.7× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$3.4M

33K claims · 21.7%

Your Cost: $100.67/claim|Median: $47.08
2.1× median
V2020Top 25%

Frames, purchases

$1.8M

46K claims · 11.9%

Your Cost: $39.82/claim|Median: $19.33
2.1× median
V2784Top 25%

Lens, polycarbonate or equal

$1.1M

45K claims · 7.4%

Your Cost: $25.58/claim|Median: $9.50
2.7× median
V2103Top 10%

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

$1.1M

26K claims · 7.3%

Your Cost: $43.48/claim|Median: $18.82
2.3× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$1.1M

9,026 claims · 7.0%

Your Cost: $118.91/claim|Median: $59.72
2.0× median
92340Normal range

Fitting of spectacles, except for aphakia

$801K

45K claims · 5.2%

Your Cost: $17.79/claim|Median: $19.46
0.9× median
V2104Top 5%

$505K

10K claims · 3.3%

Your Cost: $49.90/claim|Median: $16.70
3.0× median
V2750Top 25%

$385K

14K claims · 2.5%

Your Cost: $28.50/claim|Median: $10.42
2.7× median
V2100Top 10%

Lens, sphere, single vision, plus or minus 4.00

$313K

7,243 claims · 2.0%

Your Cost: $43.23/claim|Median: $20.68
2.1× median
99213Top 25%

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

$269K

4,234 claims · 1.7%

Your Cost: $63.62/claim|Median: $37.81
1.7× median
V2105Top 10%

$97K

1,742 claims · 0.6%

Your Cost: $55.43/claim|Median: $23.98
2.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$59K

3,437 claims · 0.4%

Your Cost: $17.29/claim|Median: $12.93
1.3× median
92015Normal range

Determination of refractive state

$47K

43K claims · 0.3%

Your Cost: $1.09/claim|Median: $10.36
0.1× median
V2107Top 10%

$40K

878 claims · 0.3%

Your Cost: $45.75/claim|Median: $17.55
2.6× median
V2118Normal range

$10K

169 claims · 0.1%

Your Cost: $60.58/claim|Median: $60.58
1.0× median
V2108Top 5%

$4K

74 claims · 0.0%

Your Cost: $57.60/claim|Median: $16.84
3.4× median
99212Top 25%

Office/outpatient visit, low complexity

$3K

65 claims · 0.0%

Your Cost: $38.97/claim|Median: $25.06
1.6× median
V2199Normal range

$0

84 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.83
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