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Provider 1194021386

NPI: 1194021386Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.9M

$11,878,996

Total Claims

246K

Beneficiaries

228K

1.1 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+3%
2019
$1.6M
-24%
2020
$1.2M
+23%
2021
$1.5M
+11%
2022
$1.7M
+38%
2023
$2.3M
-9%
2024
$2.1M

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%

$3.3M

23K claims · 27.7%

Your Cost: $141.04/claim|Median: $86.18
1.6× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$2.7M

26K claims · 22.7%

Your Cost: $102.06/claim|Median: $47.08
2.2× median
V2020Top 25%

Frames, purchases

$1.5M

36K claims · 12.2%

Your Cost: $40.66/claim|Median: $19.33
2.1× median
V2784Top 25%

Lens, polycarbonate or equal

$901K

34K claims · 7.6%

Your Cost: $26.65/claim|Median: $9.50
2.8× median
V2103Top 10%

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

$863K

21K claims · 7.3%

Your Cost: $41.70/claim|Median: $18.82
2.2× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$801K

6,589 claims · 6.7%

Your Cost: $121.49/claim|Median: $59.72
2.0× median
92340Normal range

Fitting of spectacles, except for aphakia

$631K

35K claims · 5.3%

Your Cost: $18.12/claim|Median: $19.46
0.9× median
V2104Top 10%

$398K

8,391 claims · 3.4%

Your Cost: $47.47/claim|Median: $16.70
2.8× median
V2750Top 25%

$318K

11K claims · 2.7%

Your Cost: $28.46/claim|Median: $10.42
2.7× median
V2100Top 25%

Lens, sphere, single vision, plus or minus 4.00

$235K

6,091 claims · 2.0%

Your Cost: $38.56/claim|Median: $20.68
1.9× median
99212Top 25%

Office/outpatient visit, low complexity

$93K

2,401 claims · 0.8%

Your Cost: $38.64/claim|Median: $25.06
1.5× median
99213Top 25%

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

$66K

1,051 claims · 0.6%

Your Cost: $62.85/claim|Median: $37.81
1.7× median
V2105Top 10%

$62K

1,173 claims · 0.5%

Your Cost: $52.50/claim|Median: $23.98
2.2× median
92015Normal range

Determination of refractive state

$43K

33K claims · 0.4%

Your Cost: $1.27/claim|Median: $10.36
0.1× median
V2107Top 25%

$22K

522 claims · 0.2%

Your Cost: $41.73/claim|Median: $17.55
2.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$5K

295 claims · 0.0%

Your Cost: $17.17/claim|Median: $12.93
1.3× median
V2108Top 25%

$3K

56 claims · 0.0%

Your Cost: $45.02/claim|Median: $16.84
2.7× median
V2744Normal range

$3K

126 claims · 0.0%

Your Cost: $19.95/claim|Median: $10.12
2.0× median
92012Top 10%

Ophthalmological exam, intermediate, established patient

$2K

34 claims · 0.0%

Your Cost: $71.32/claim|Median: $38.23
1.9× median
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