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Provider 1326062084

NPI: 1326062084Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,507,666

Total Claims

165K

Beneficiaries

160K

1.0 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$965K
+83%
2019
$1.8M
-35%
2020
$1.1M
+28%
2021
$1.5M
-7%
2022
$1.4M
+13%
2023
$1.5M
-17%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (66984 (Extracapsular cataract removal with IOL insertion)) accounts for 37% of total spending.

66984Top 5%

Extracapsular cataract removal with IOL insertion

$3.6M

3,674 claims · 37.4%

Your Cost: $967.24/claim|Median: $268.70
3.6× median
99204Normal range

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

$1.7M

19K claims · 18.4%

Your Cost: $92.71/claim|Median: $84.03
1.1× median
99213Normal range

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

$954K

29K claims · 10.0%

Your Cost: $33.08/claim|Median: $37.81
0.9× median
99214Normal range

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

$919K

18K claims · 9.7%

Your Cost: $50.58/claim|Median: $53.41
0.9× median
99203Top 25%

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

$863K

11K claims · 9.1%

Your Cost: $79.66/claim|Median: $57.85
1.4× median
92015Normal range

Determination of refractive state

$323K

35K claims · 3.4%

Your Cost: $9.29/claim|Median: $10.36
0.9× median
92202Top 25%

$200K

13K claims · 2.1%

Your Cost: $15.10/claim|Median: $7.06
2.1× median
92225Top 10%

$161K

3,386 claims · 1.7%

Your Cost: $47.62/claim|Median: $17.59
2.7× median
92020Top 25%

$149K

7,960 claims · 1.6%

Your Cost: $18.74/claim|Median: $12.46
1.5× median
92083Normal range

Visual field exam, extended testing, bilateral

$121K

3,731 claims · 1.3%

Your Cost: $32.36/claim|Median: $29.82
1.1× median
92133Top 10%

$119K

3,368 claims · 1.3%

Your Cost: $35.31/claim|Median: $19.09
1.8× median
92136Top 25%

$104K

3,297 claims · 1.1%

Your Cost: $31.68/claim|Median: $18.31
1.7× median
92226Top 10%

$66K

1,707 claims · 0.7%

Your Cost: $38.55/claim|Median: $12.45
3.1× median
92134Top 25%

$56K

1,848 claims · 0.6%

Your Cost: $30.46/claim|Median: $15.46
2.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$47K

453 claims · 0.5%

Your Cost: $103.55/claim|Median: $121.58
0.9× median
67028Top 5%

Intravitreal injection of a pharmacologic agent

$27K

72 claims · 0.3%

Your Cost: $377.40/claim|Median: $58.82
6.4× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$22K

1,447 claims · 0.2%

Your Cost: $15.53/claim|Median: $47.08
0.3× median
99243Normal range

Office or other outpatient consultation, low complexity

$22K

285 claims · 0.2%

Your Cost: $77.02/claim|Median: $82.43
0.9× median
92132Top 10%

$18K

638 claims · 0.2%

Your Cost: $27.89/claim|Median: $16.48
1.7× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$7K

1,396 claims · 0.1%

Your Cost: $4.71/claim|Median: $59.72
0.1× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$5K

180 claims · 0.0%

Your Cost: $25.48/claim|Median: $38.23
0.7× median
76514Top 10%

$5K

408 claims · 0.0%

Your Cost: $11.13/claim|Median: $6.67
1.7× median
76519Top 10%

$4K

60 claims · 0.0%

Your Cost: $61.97/claim|Median: $22.90
2.7× median
V2020Normal range

Frames, purchases

$3K

2,952 claims · 0.0%

Your Cost: $1.17/claim|Median: $19.33
0.1× median
92060Normal range

$3K

89 claims · 0.0%

Your Cost: $35.80/claim|Median: $35.83
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$2K

48 claims · 0.0%

Your Cost: $49.23/claim|Median: $40.11
1.2× median
J9035Top 25%

Injection, bevacizumab, 10 mg

$2K

28 claims · 0.0%

Your Cost: $74.82/claim|Median: $43.71
1.7× median
92082Normal range

$2K

51 claims · 0.0%

Your Cost: $38.93/claim|Median: $30.83
1.3× median
92340Normal range

Fitting of spectacles, except for aphakia

$2K

3,365 claims · 0.0%

Your Cost: $0.56/claim|Median: $19.46
0.0× median
92250Top 10%

Fundus photography with interpretation and report

$1K

32 claims · 0.0%

Your Cost: $46.49/claim|Median: $27.95
1.7× median
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