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Provider 1316329733

NPI: 1316329733Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.6M

$8,581,572

Total Claims

125K

Beneficiaries

79K

1.6 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$762K
+42%
2019
$1.1M
+5%
2020
$1.1M
+13%
2021
$1.3M
+22%
2022
$1.6M
+2%
2023
$1.6M
-25%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 59% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$5.0M

11K claims · 58.6%

Your Cost: $471.09/claim|Median: $730.09
0.6× median
J2778Normal range

$1.7M

5,363 claims · 19.6%

Your Cost: $313.89/claim|Median: $403.28
0.8× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$683K

23K claims · 8.0%

Your Cost: $29.09/claim|Median: $58.82
0.5× median
Q5128Normal range

$291K

756 claims · 3.4%

Your Cost: $385.49/claim|Median: $502.53
0.8× median
92250Normal range

Fundus photography with interpretation and report

$161K

8,395 claims · 1.9%

Your Cost: $19.16/claim|Median: $27.95
0.7× median
92134Normal range

$145K

22K claims · 1.7%

Your Cost: $6.63/claim|Median: $15.46
0.4× median
92235Normal range

$95K

3,765 claims · 1.1%

Your Cost: $25.26/claim|Median: $42.71
0.6× median
99213Normal range

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

$90K

5,589 claims · 1.0%

Your Cost: $16.05/claim|Median: $37.81
0.4× median
J9035Normal range

Injection, bevacizumab, 10 mg

$87K

6,323 claims · 1.0%

Your Cost: $13.79/claim|Median: $43.71
0.3× median
99204Normal range

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

$70K

1,688 claims · 0.8%

Your Cost: $41.72/claim|Median: $84.03
0.5× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$67K

9,401 claims · 0.8%

Your Cost: $7.10/claim|Median: $38.23
0.2× median
J3590Top 10%

Unclassified biologic drug injection

$62K

46 claims · 0.7%

Your Cost: $1,353.08/claim|Median: $24.77
54.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$47K

3,348 claims · 0.6%

Your Cost: $14.17/claim|Median: $47.08
0.3× median
J3490Top 1%

Unclassified drugs

$39K

32 claims · 0.5%

Your Cost: $1,229.94/claim|Median: $5.70
215.8× median
J0177Normal range

$21K

23 claims · 0.2%

Your Cost: $915.98/claim|Median: $869.28
1.1× median
99214Normal range

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

$11K

579 claims · 0.1%

Your Cost: $18.96/claim|Median: $53.41
0.4× median
67228Normal range

$2K

21 claims · 0.0%

Your Cost: $81.81/claim|Median: $256.67
0.3× median
2024FNormal range

$0

1,358 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.14
G9744Normal range

$0

2,006 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09
2026FNormal range

$0

1,356 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.25
G8752Normal range

$0

1,446 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
2022FNormal range

$0

1,353 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.07
1036FNormal range

$0

2,694 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
2021F

$0

1,064 claims · 0.0%

G9974Normal range

$0

907 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.05
2019F

$0

673 claims · 0.0%

G9903Normal range

$0

1,647 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
5010FNormal range

$0

1,202 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
G8952Normal range

$0

406 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
G8754Normal range

$0

1,889 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
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