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Provider 1205847746

NPI: 1205847746Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.2M

$11,186,562

Total Claims

81K

Beneficiaries

65K

1.2 claims/patient

Avg Cost/Claim

$138

Monthly Spending Trend

Yearly Spending

2018
$487K
+50%
2019
$732K
+18%
2020
$865K
+80%
2021
$1.6M
+109%
2022
$3.2M
-39%
2023
$2.0M
+17%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 40% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$4.4M

4,787 claims · 39.7%

Your Cost: $927.28/claim|Median: $730.09
1.3× median
67028Top 5%

Intravitreal injection of a pharmacologic agent

$2.5M

9,594 claims · 22.0%

Your Cost: $256.65/claim|Median: $58.82
4.4× median
99214Top 5%

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

$1.9M

14K claims · 16.9%

Your Cost: $136.01/claim|Median: $53.41
2.5× median
92134Top 5%

$574K

13K claims · 5.1%

Your Cost: $44.64/claim|Median: $15.46
2.9× median
99204Normal range

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

$356K

3,558 claims · 3.2%

Your Cost: $99.94/claim|Median: $84.03
1.2× median
99213Top 10%

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

$250K

2,982 claims · 2.2%

Your Cost: $83.96/claim|Median: $37.81
2.2× median
92226Top 10%

$213K

5,535 claims · 1.9%

Your Cost: $38.48/claim|Median: $12.45
3.1× median
76512Normal range

$209K

4,739 claims · 1.9%

Your Cost: $44.17/claim|Median: $43.41
1.0× median
J9035Normal range

Injection, bevacizumab, 10 mg

$159K

2,752 claims · 1.4%

Your Cost: $57.60/claim|Median: $43.71
1.3× median
92225Top 10%

$124K

2,439 claims · 1.1%

Your Cost: $50.64/claim|Median: $17.59
2.9× median
99203Top 25%

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

$98K

1,191 claims · 0.9%

Your Cost: $82.06/claim|Median: $57.85
1.4× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$91K

1,557 claims · 0.8%

Your Cost: $58.16/claim|Median: $59.72
1.0× median
92201Top 25%

$83K

4,009 claims · 0.7%

Your Cost: $20.61/claim|Median: $12.88
1.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$52K

1,087 claims · 0.5%

Your Cost: $47.75/claim|Median: $47.08
1.0× median
92015Normal range

Determination of refractive state

$49K

4,938 claims · 0.4%

Your Cost: $10.02/claim|Median: $10.36
1.0× median
92202Top 25%

$33K

2,702 claims · 0.3%

Your Cost: $12.04/claim|Median: $7.06
1.7× median
67210Top 1%

$25K

53 claims · 0.2%

Your Cost: $477.99/claim|Median: $249.34
1.9× median
92133Top 25%

$24K

817 claims · 0.2%

Your Cost: $28.84/claim|Median: $19.09
1.5× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$14K

236 claims · 0.1%

Your Cost: $60.33/claim|Median: $38.23
1.6× median
V2020Normal range

Frames, purchases

$12K

546 claims · 0.1%

Your Cost: $21.40/claim|Median: $19.33
1.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$9K

412 claims · 0.1%

Your Cost: $21.12/claim|Median: $19.46
1.1× median
J7999Top 25%

$7K

284 claims · 0.1%

Your Cost: $23.55/claim|Median: $6.94
3.4× median
67228Top 25%

$5K

16 claims · 0.0%

Your Cost: $339.52/claim|Median: $256.67
1.3× median
92060Normal range

$3K

147 claims · 0.0%

Your Cost: $22.51/claim|Median: $35.83
0.6× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$2K

12 claims · 0.0%

Your Cost: $157.07/claim|Median: $268.70
0.6× median
67515Top 25%

$1K

20 claims · 0.0%

Your Cost: $55.62/claim|Median: $39.69
1.4× median
92083Normal range

Visual field exam, extended testing, bilateral

$495

13 claims · 0.0%

Your Cost: $38.07/claim|Median: $29.82
1.3× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$88

18 claims · 0.0%

Your Cost: $4.89/claim|Median: $2.91
1.7× median
92310Normal range

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $35.49
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