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ASSOCIATED RETINAL CONSULTANTS, PC

Ophthalmology·ROYAL OAK, MI·NPI: 1215003793Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$21.1M

$21,115,425

Total Claims

144K

Beneficiaries

137K

1.1 claims/patient

Avg Cost/Claim

$147

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-2%
2019
$2.6M
-5%
2020
$2.5M
+27%
2021
$3.2M
+3%
2022
$3.3M
+13%
2023
$3.7M
-14%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 55% of total spending.

J0178Top 25%

Injection, aflibercept, 1 mg

$11.7M

11K claims · 55.4%

Your Cost: $1,109.02/claim|Median: $730.09
1.5× median
J2778Normal range

$4.9M

7,523 claims · 23.0%

Your Cost: $645.78/claim|Median: $403.28
1.6× median
99214Normal range

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

$1.1M

23K claims · 5.2%

Your Cost: $48.85/claim|Median: $53.41
0.9× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$799K

25K claims · 3.8%

Your Cost: $31.97/claim|Median: $58.82
0.5× median
J2777Normal range

$468K

447 claims · 2.2%

Your Cost: $1,045.95/claim|Median: $858.80
1.2× median
92134Normal range

$451K

32K claims · 2.1%

Your Cost: $14.15/claim|Median: $15.46
0.9× median
92235Normal range

$218K

4,153 claims · 1.0%

Your Cost: $52.46/claim|Median: $42.71
1.2× median
J9035Normal range

Injection, bevacizumab, 10 mg

$214K

4,251 claims · 1.0%

Your Cost: $50.43/claim|Median: $43.71
1.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$213K

8,267 claims · 1.0%

Your Cost: $25.81/claim|Median: $47.08
0.5× median
99204Normal range

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

$207K

2,439 claims · 1.0%

Your Cost: $84.79/claim|Median: $84.03
1.0× median
92250Normal range

Fundus photography with interpretation and report

$167K

8,750 claims · 0.8%

Your Cost: $19.07/claim|Median: $27.95
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$163K

1,719 claims · 0.8%

Your Cost: $94.71/claim|Median: $74.09
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$93K

822 claims · 0.4%

Your Cost: $113.43/claim|Median: $111.09
1.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$90K

1,355 claims · 0.4%

Your Cost: $66.78/claim|Median: $59.72
1.1× median
99213Normal range

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

$70K

2,056 claims · 0.3%

Your Cost: $33.81/claim|Median: $37.81
0.9× median
J7312Normal range

$56K

79 claims · 0.3%

Your Cost: $710.09/claim|Median: $710.09
1.0× median
92226Normal range

$55K

4,298 claims · 0.3%

Your Cost: $12.70/claim|Median: $12.45
1.0× median
67228Normal range

$54K

330 claims · 0.3%

Your Cost: $165.00/claim|Median: $256.67
0.6× median
92201Normal range

$47K

3,604 claims · 0.2%

Your Cost: $12.99/claim|Median: $12.88
1.0× median
76512Normal range

$26K

951 claims · 0.1%

Your Cost: $27.07/claim|Median: $43.41
0.6× median
67113Normal range

$24K

51 claims · 0.1%

Your Cost: $469.14/claim|Median: $824.94
0.6× median
92225Normal range

$18K

1,250 claims · 0.1%

Your Cost: $14.44/claim|Median: $17.59
0.8× median
J3590Normal range

Unclassified biologic drug injection

$6K

125 claims · 0.0%

Your Cost: $47.55/claim|Median: $24.77
1.9× median
92202Normal range

$6K

826 claims · 0.0%

Your Cost: $7.05/claim|Median: $7.06
1.0× median
92227Normal range

$5K

580 claims · 0.0%

Your Cost: $8.58/claim|Median: $7.85
1.1× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$2K

123 claims · 0.0%

Your Cost: $12.76/claim|Median: $38.23
0.3× median
J7999Top 5%

$1K

16 claims · 0.0%

Your Cost: $91.13/claim|Median: $6.94
13.1× median
99212Normal range

Office/outpatient visit, low complexity

$258

21 claims · 0.0%

Your Cost: $12.29/claim|Median: $25.06
0.5× median

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