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Provider 1295808012

NPI: 1295808012Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.1M

$14,077,634

Total Claims

816K

Beneficiaries

800K

1.0 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+1%
2019
$1.9M
-20%
2020
$1.5M
+25%
2021
$1.8M
+23%
2022
$2.3M
+10%
2023
$2.5M
-8%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (V2020 (Frames, purchases)) accounts for 37% of total spending.

V2020Normal range

Frames, purchases

$5.2M

240K claims · 36.6%

Your Cost: $21.47/claim|Median: $19.33
1.1× median
V2103Normal range

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

$2.4M

149K claims · 17.1%

Your Cost: $16.12/claim|Median: $18.82
0.9× median
V2784Normal range

Lens, polycarbonate or equal

$1.6M

225K claims · 11.1%

Your Cost: $6.97/claim|Median: $9.50
0.7× median
V2025Normal range

$980K

20K claims · 7.0%

Your Cost: $50.08/claim|Median: $34.45
1.5× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$896K

61K claims · 6.4%

Your Cost: $14.70/claim|Median: $20.68
0.7× median
V2104Normal range

$716K

43K claims · 5.1%

Your Cost: $16.66/claim|Median: $16.70
1.0× median
V2410Normal range

$579K

10K claims · 4.1%

Your Cost: $55.40/claim|Median: $86.18
0.6× median
V2783Normal range

$575K

7,972 claims · 4.1%

Your Cost: $72.12/claim|Median: $63.17
1.1× median
V2107Normal range

$244K

15K claims · 1.7%

Your Cost: $16.79/claim|Median: $17.55
1.0× median
V2105Normal range

$243K

11K claims · 1.7%

Your Cost: $21.28/claim|Median: $23.98
0.9× median
V2203Normal range

$166K

8,202 claims · 1.2%

Your Cost: $20.20/claim|Median: $29.84
0.7× median
V2200Normal range

$130K

6,313 claims · 0.9%

Your Cost: $20.54/claim|Median: $28.94
0.7× median
V2108Normal range

$98K

5,513 claims · 0.7%

Your Cost: $17.72/claim|Median: $16.84
1.1× median
V2121Normal range

$76K

2,037 claims · 0.5%

Your Cost: $37.19/claim|Median: $52.94
0.7× median
V2101Normal range

$50K

3,339 claims · 0.4%

Your Cost: $15.11/claim|Median: $17.09
0.9× median
V2111Top 25%

$49K

1,722 claims · 0.3%

Your Cost: $28.24/claim|Median: $14.17
2.0× median
V2109Normal range

$39K

1,805 claims · 0.3%

Your Cost: $21.52/claim|Median: $12.24
1.8× median
V2204Normal range

$28K

1,392 claims · 0.2%

Your Cost: $19.79/claim|Median: $18.98
1.0× median
V2112Top 25%

$27K

965 claims · 0.2%

Your Cost: $27.92/claim|Median: $11.37
2.5× median
V2430Normal range

$21K

311 claims · 0.1%

Your Cost: $66.14/claim|Median: $90.38
0.7× median
V2207Normal range

$17K

838 claims · 0.1%

Your Cost: $20.76/claim|Median: $15.90
1.3× median
V2106Normal range

$12K

460 claims · 0.1%

Your Cost: $25.41/claim|Median: $17.33
1.5× median
V2114Top 25%

$3K

56 claims · 0.0%

Your Cost: $59.65/claim|Median: $15.04
4.0× median
92340Top 5%

Fitting of spectacles, except for aphakia

$3K

56 claims · 0.0%

Your Cost: $47.27/claim|Median: $19.46
2.4× median
V2715Normal range

$2K

1,187 claims · 0.0%

Your Cost: $1.60/claim|Median: $7.16
0.2× median
V2102Normal range

$256

12 claims · 0.0%

Your Cost: $21.31/claim|Median: $20.15
1.1× median
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