Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1336489210

NPI: 1336489210Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.0M

$12,041,839

Total Claims

251K

Beneficiaries

214K

1.2 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+24%
2019
$1.6M
-12%
2020
$1.4M
+20%
2021
$1.7M
-5%
2022
$1.6M
+49%
2023
$2.4M
-9%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (V2410) accounts for 28% of total spending.

V2410Top 25%

$3.4M

25K claims · 28.2%

Your Cost: $137.70/claim|Median: $86.18
1.6× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$2.2M

22K claims · 18.3%

Your Cost: $98.63/claim|Median: $47.08
2.1× median
V2020Top 25%

Frames, purchases

$1.5M

37K claims · 12.2%

Your Cost: $39.90/claim|Median: $19.33
2.1× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$1.2M

11K claims · 10.0%

Your Cost: $113.62/claim|Median: $59.72
1.9× median
V2784Top 25%

Lens, polycarbonate or equal

$977K

36K claims · 8.1%

Your Cost: $27.16/claim|Median: $9.50
2.9× median
V2103Top 10%

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

$957K

22K claims · 7.9%

Your Cost: $43.48/claim|Median: $18.82
2.3× median
92340Normal range

Fitting of spectacles, except for aphakia

$634K

36K claims · 5.3%

Your Cost: $17.68/claim|Median: $19.46
0.9× median
V2104Top 10%

$432K

8,887 claims · 3.6%

Your Cost: $48.61/claim|Median: $16.70
2.9× median
V2750Top 25%

$312K

11K claims · 2.6%

Your Cost: $28.27/claim|Median: $10.42
2.7× median
V2100Top 25%

Lens, sphere, single vision, plus or minus 4.00

$198K

4,980 claims · 1.6%

Your Cost: $39.85/claim|Median: $20.68
1.9× median
V2105Top 10%

$85K

1,577 claims · 0.7%

Your Cost: $54.20/claim|Median: $23.98
2.3× median
99212Top 25%

Office/outpatient visit, low complexity

$64K

1,695 claims · 0.5%

Your Cost: $37.81/claim|Median: $25.06
1.5× median
92015Normal range

Determination of refractive state

$55K

33K claims · 0.5%

Your Cost: $1.65/claim|Median: $10.36
0.2× median
99213Top 25%

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

$21K

362 claims · 0.2%

Your Cost: $59.25/claim|Median: $37.81
1.6× median
V2107Top 10%

$16K

346 claims · 0.1%

Your Cost: $47.02/claim|Median: $17.55
2.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$15K

855 claims · 0.1%

Your Cost: $17.15/claim|Median: $12.93
1.3× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$4K

56 claims · 0.0%

Your Cost: $67.06/claim|Median: $38.23
1.8× median
92002Top 25%

Intermediate eye exam, new patient

$3K

46 claims · 0.0%

Your Cost: $60.04/claim|Median: $41.61
1.4× median
← All providersHow we detect fraud →