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Provider 1346663051

NPI: 1346663051Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$11.6M

$11,562,955

Total Claims

195K

Beneficiaries

183K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$931K
+97%
2019
$1.8M
-28%
2020
$1.3M
+104%
2021
$2.7M
-36%
2022
$1.7M
+1%
2023
$1.7M
-23%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (92014 (Ophthalmological exam, comprehensive, established patient)) accounts for 19% of total spending.

92014Top 10%

Ophthalmological exam, comprehensive, established patient

$2.2M

22K claims · 18.7%

Your Cost: $98.14/claim|Median: $47.08
2.1× median
92004Top 5%

Ophthalmological exam, comprehensive, new patient

$2.1M

17K claims · 18.6%

Your Cost: $126.44/claim|Median: $59.72
2.1× median
92012Top 10%

Ophthalmological exam, intermediate, established patient

$1.1M

16K claims · 9.6%

Your Cost: $71.03/claim|Median: $38.23
1.9× median
68761Top 25%

$880K

7,831 claims · 7.6%

Your Cost: $112.37/claim|Median: $60.32
1.9× median
92134Top 10%

$796K

24K claims · 6.9%

Your Cost: $33.72/claim|Median: $15.46
2.2× median
92250Normal range

Fundus photography with interpretation and report

$569K

15K claims · 4.9%

Your Cost: $38.53/claim|Median: $27.95
1.4× median
92083Top 10%

Visual field exam, extended testing, bilateral

$436K

7,917 claims · 3.8%

Your Cost: $55.08/claim|Median: $29.82
1.8× median
99213Top 10%

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

$409K

5,707 claims · 3.5%

Your Cost: $71.62/claim|Median: $37.81
1.9× median
92133Top 25%

$346K

11K claims · 3.0%

Your Cost: $30.59/claim|Median: $19.09
1.6× median
99214Top 10%

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

$345K

3,293 claims · 3.0%

Your Cost: $104.75/claim|Median: $53.41
2.0× median
92202Top 25%

$282K

20K claims · 2.4%

Your Cost: $14.24/claim|Median: $7.06
2.0× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$231K

2,517 claims · 2.0%

Your Cost: $91.92/claim|Median: $58.82
1.6× median
92225Top 25%

$190K

6,119 claims · 1.6%

Your Cost: $31.05/claim|Median: $17.59
1.8× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$178K

410 claims · 1.5%

Your Cost: $433.91/claim|Median: $268.70
1.6× median
99212Top 25%

Office/outpatient visit, low complexity

$167K

3,653 claims · 1.4%

Your Cost: $45.79/claim|Median: $25.06
1.8× median
92226Top 25%

$163K

6,041 claims · 1.4%

Your Cost: $26.99/claim|Median: $12.45
2.2× median
92020Top 10%

$149K

6,466 claims · 1.3%

Your Cost: $23.01/claim|Median: $12.46
1.8× median
J9035Normal range

Injection, bevacizumab, 10 mg

$107K

1,749 claims · 0.9%

Your Cost: $60.95/claim|Median: $43.71
1.4× median
99204Top 10%

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

$92K

633 claims · 0.8%

Your Cost: $144.95/claim|Median: $84.03
1.7× median
67228Normal range

$92K

289 claims · 0.8%

Your Cost: $317.08/claim|Median: $256.67
1.2× median
92235Top 25%

$90K

1,015 claims · 0.8%

Your Cost: $89.05/claim|Median: $42.71
2.1× median
66761Top 25%

$85K

328 claims · 0.7%

Your Cost: $260.25/claim|Median: $159.16
1.6× median
92273Top 10%

$76K

741 claims · 0.7%

Your Cost: $102.12/claim|Median: $53.16
1.9× median
92145Top 10%

$56K

4,520 claims · 0.5%

Your Cost: $12.29/claim|Median: $5.97
2.1× median
65855Top 25%

$39K

174 claims · 0.3%

Your Cost: $225.98/claim|Median: $104.20
2.2× median
92025Top 10%

$35K

1,121 claims · 0.3%

Your Cost: $31.55/claim|Median: $17.08
1.8× median
76514Top 25%

$35K

3,597 claims · 0.3%

Your Cost: $9.66/claim|Median: $6.67
1.4× median
92285Normal range

$34K

1,891 claims · 0.3%

Your Cost: $18.24/claim|Median: $16.47
1.1× median
92242Top 10%

$31K

151 claims · 0.3%

Your Cost: $202.95/claim|Median: $73.42
2.8× median
92015Normal range

Determination of refractive state

$28K

1,937 claims · 0.2%

Your Cost: $14.45/claim|Median: $10.36
1.4× median
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