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Provider 1255322806

NPI: 1255322806Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$10.6M

$10,552,350

Total Claims

55K

Beneficiaries

46K

1.2 claims/patient

Avg Cost/Claim

$192

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+7%
2019
$1.4M
+4%
2020
$1.5M
+9%
2021
$1.6M
+12%
2022
$1.8M
-10%
2023
$1.6M
-30%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 66% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$6.9M

6,548 claims · 65.8%

Your Cost: $1,059.92/claim|Median: $730.09
1.5× median
J2778Normal range

$2.1M

3,948 claims · 20.3%

Your Cost: $541.99/claim|Median: $403.28
1.3× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$702K

15K claims · 6.7%

Your Cost: $47.88/claim|Median: $58.82
0.8× median
92134Normal range

$283K

19K claims · 2.7%

Your Cost: $15.29/claim|Median: $15.46
1.0× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$262K

6,977 claims · 2.5%

Your Cost: $37.56/claim|Median: $38.23
1.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$105K

2,338 claims · 1.0%

Your Cost: $45.06/claim|Median: $47.08
1.0× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$51K

693 claims · 0.5%

Your Cost: $73.65/claim|Median: $35.30
2.1× median
J9035Normal range

Injection, bevacizumab, 10 mg

$32K

549 claims · 0.3%

Your Cost: $58.13/claim|Median: $43.71
1.3× median
99213Normal range

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

$13K

449 claims · 0.1%

Your Cost: $29.00/claim|Median: $37.81
0.8× median
99204Normal range

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

$12K

166 claims · 0.1%

Your Cost: $72.34/claim|Median: $84.03
0.9× median
99253Top 25%

$9K

108 claims · 0.1%

Your Cost: $86.52/claim|Median: $55.16
1.6× median
99214Normal range

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

$2K

29 claims · 0.0%

Your Cost: $55.85/claim|Median: $53.41
1.0× median
92250Normal range

Fundus photography with interpretation and report

$554

31 claims · 0.0%

Your Cost: $17.86/claim|Median: $27.95
0.6× median