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Provider 1316146574

NPI: 1316146574Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.9M

$11,863,985

Total Claims

190K

Beneficiaries

179K

1.1 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$746K
+27%
2019
$947K
+40%
2020
$1.3M
+50%
2021
$2.0M
+24%
2022
$2.5M
-10%
2023
$2.2M
-5%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (92014 (Ophthalmological exam, comprehensive, established patient)) accounts for 30% of total spending.

92014Top 25%

Ophthalmological exam, comprehensive, established patient

$3.5M

40K claims · 29.8%

Your Cost: $88.37/claim|Median: $47.08
1.9× median
92004Top 5%

Ophthalmological exam, comprehensive, new patient

$3.0M

24K claims · 25.3%

Your Cost: $125.50/claim|Median: $59.72
2.1× median
92060Top 25%

$1.3M

23K claims · 11.3%

Your Cost: $58.02/claim|Median: $35.83
1.6× median
99214Normal range

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

$752K

15K claims · 6.3%

Your Cost: $50.98/claim|Median: $53.41
1.0× median
99213Top 25%

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

$724K

13K claims · 6.1%

Your Cost: $56.68/claim|Median: $37.81
1.5× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$546K

2,063 claims · 4.6%

Your Cost: $264.60/claim|Median: $268.70
1.0× median
99204Normal range

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

$528K

6,034 claims · 4.5%

Your Cost: $87.56/claim|Median: $84.03
1.0× median
92083Normal range

Visual field exam, extended testing, bilateral

$299K

8,049 claims · 2.5%

Your Cost: $37.18/claim|Median: $29.82
1.2× median
92133Normal range

$278K

14K claims · 2.3%

Your Cost: $20.41/claim|Median: $19.09
1.1× median
92250Normal range

Fundus photography with interpretation and report

$230K

9,170 claims · 1.9%

Your Cost: $25.11/claim|Median: $27.95
0.9× median
92015Normal range

Determination of refractive state

$142K

9,936 claims · 1.2%

Your Cost: $14.24/claim|Median: $10.36
1.4× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$126K

2,544 claims · 1.1%

Your Cost: $49.40/claim|Median: $38.23
1.3× median
92020Normal range

$118K

7,930 claims · 1.0%

Your Cost: $14.91/claim|Median: $12.46
1.2× median
92136Top 25%

$68K

2,380 claims · 0.6%

Your Cost: $28.55/claim|Median: $18.31
1.6× median
92202Normal range

$64K

6,900 claims · 0.5%

Your Cost: $9.32/claim|Median: $7.06
1.3× median
92134Normal range

$28K

1,282 claims · 0.2%

Your Cost: $21.79/claim|Median: $15.46
1.4× median
76514Normal range

$26K

3,959 claims · 0.2%

Your Cost: $6.58/claim|Median: $6.67
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$21K

651 claims · 0.2%

Your Cost: $31.60/claim|Median: $25.06
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$10K

107 claims · 0.1%

Your Cost: $96.68/claim|Median: $111.09
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$9K

95 claims · 0.1%

Your Cost: $93.18/claim|Median: $74.09
1.3× median
67311Normal range

$8K

12 claims · 0.1%

Your Cost: $631.54/claim|Median: $610.94
1.0× median
92225Normal range

$4K

365 claims · 0.0%

Your Cost: $11.84/claim|Median: $17.59
0.7× median
92145Normal range

$3K

538 claims · 0.0%

Your Cost: $6.04/claim|Median: $5.97
1.0× median
99203Top 25%

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

$3K

38 claims · 0.0%

Your Cost: $81.64/claim|Median: $57.85
1.4× median
92201Normal range

$2K

167 claims · 0.0%

Your Cost: $14.82/claim|Median: $12.88
1.2× median
92285Normal range

$2K

100 claims · 0.0%

Your Cost: $16.75/claim|Median: $16.47
1.0× median
68761Normal range

$1K

25 claims · 0.0%

Your Cost: $55.83/claim|Median: $60.32
0.9× median
92025Normal range

$189

12 claims · 0.0%

Your Cost: $15.74/claim|Median: $17.08
0.9× median
99072Normal range

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.54
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