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Provider 1215161047

NPI: 1215161047Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$10.4M

$10,387,918

Total Claims

257K

Beneficiaries

250K

1.0 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-1%
2019
$1.4M
-24%
2020
$1.1M
+34%
2021
$1.5M
+9%
2022
$1.6M
+6%
2023
$1.7M
+2%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (92014 (Ophthalmological exam, comprehensive, established patient)) accounts for 27% of total spending.

92014Top 10%

Ophthalmological exam, comprehensive, established patient

$2.8M

28K claims · 26.5%

Your Cost: $99.61/claim|Median: $47.08
2.1× median
92004Top 5%

Ophthalmological exam, comprehensive, new patient

$1.2M

8,763 claims · 11.5%

Your Cost: $135.83/claim|Median: $59.72
2.3× median
92012Top 5%

Ophthalmological exam, intermediate, established patient

$1.1M

13K claims · 10.1%

Your Cost: $81.69/claim|Median: $38.23
2.1× median
92250Top 25%

Fundus photography with interpretation and report

$967K

25K claims · 9.3%

Your Cost: $39.35/claim|Median: $27.95
1.4× median
92083Top 5%

Visual field exam, extended testing, bilateral

$616K

10K claims · 5.9%

Your Cost: $58.72/claim|Median: $29.82
2.0× median
99214Top 10%

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

$606K

5,520 claims · 5.8%

Your Cost: $109.84/claim|Median: $53.41
2.1× median
92015Normal range

Determination of refractive state

$526K

34K claims · 5.1%

Your Cost: $15.55/claim|Median: $10.36
1.5× median
92134Top 10%

$517K

14K claims · 5.0%

Your Cost: $36.20/claim|Median: $15.46
2.3× median
99204Top 10%

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

$353K

2,195 claims · 3.4%

Your Cost: $160.69/claim|Median: $84.03
1.9× median
92133Top 10%

$334K

10K claims · 3.2%

Your Cost: $33.02/claim|Median: $19.09
1.7× median
99213Top 10%

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

$327K

3,946 claims · 3.1%

Your Cost: $82.79/claim|Median: $37.81
2.2× median
92201Top 25%

$278K

13K claims · 2.7%

Your Cost: $21.98/claim|Median: $12.88
1.7× median
92226Top 25%

$165K

5,378 claims · 1.6%

Your Cost: $30.69/claim|Median: $12.45
2.5× median
92132Normal range

$134K

6,254 claims · 1.3%

Your Cost: $21.39/claim|Median: $16.48
1.3× median
92285Normal range

$119K

6,538 claims · 1.1%

Your Cost: $18.14/claim|Median: $16.47
1.1× median
92225Top 25%

$114K

3,774 claims · 1.1%

Your Cost: $30.34/claim|Median: $17.59
1.7× median
92020Top 10%

$100K

4,326 claims · 1.0%

Your Cost: $23.18/claim|Median: $12.46
1.9× median
92002Top 5%

Intermediate eye exam, new patient

$64K

795 claims · 0.6%

Your Cost: $80.60/claim|Median: $41.61
1.9× median
92136Top 10%

$49K

1,168 claims · 0.5%

Your Cost: $41.94/claim|Median: $18.31
2.3× median
76514Top 10%

$40K

3,728 claims · 0.4%

Your Cost: $10.69/claim|Median: $6.67
1.6× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$24K

70 claims · 0.2%

Your Cost: $341.97/claim|Median: $268.70
1.3× median
65778Top 5%

$18K

14 claims · 0.2%

Your Cost: $1,308.90/claim|Median: $282.76
4.6× median
92202Top 25%

$15K

973 claims · 0.1%

Your Cost: $15.17/claim|Median: $7.06
2.1× median
68761Top 25%

$13K

124 claims · 0.1%

Your Cost: $106.20/claim|Median: $60.32
1.8× median
66761Normal range

$6K

28 claims · 0.1%

Your Cost: $217.23/claim|Median: $159.16
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$3K

74 claims · 0.0%

Your Cost: $43.58/claim|Median: $25.06
1.7× median
92340Normal range

Fitting of spectacles, except for aphakia

$435

29 claims · 0.0%

Your Cost: $15.00/claim|Median: $19.46
0.8× median
99072Normal range

$289

5,906 claims · 0.0%

Your Cost: $0.05/claim|Median: $0.54
0.1× median
G8427Normal range

$3

27K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
0.0× median
1036FNormal range

$0

23K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
0.0× median
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