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

⚖️ Compare🖨️ Print Report

NJ EYE AND EAR LLC

Ophthalmology·ENGLEWOOD, NJ·NPI: 1356860811Share
Active Billing Period:2018-02→2024-12(82 months)

Total Paid

$23.5M

$23,516,608

Total Claims

718K

Beneficiaries

574K

1.3 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+43%
2019
$2.2M
+7%
2020
$2.3M
+42%
2021
$3.3M
+29%
2022
$4.2M
+32%
2023
$5.6M
-22%
2024
$4.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (92014 (Ophthalmological exam, comprehensive, established patient)) accounts for 20% of total spending.

92014Normal range

Ophthalmological exam, comprehensive, established patient

$4.7M

88K claims · 19.8%

Your Cost: $52.92/claim|Median: $47.08
1.1× median
V5261Normal range

$3.6M

2,456 claims · 15.4%

Your Cost: $1,470.47/claim|Median: $848.60
1.7× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$2.6M

58K claims · 11.1%

Your Cost: $45.07/claim|Median: $38.23
1.2× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$2.6M

39K claims · 11.0%

Your Cost: $66.54/claim|Median: $59.72
1.1× median
99204Normal range

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

$1.6M

18K claims · 6.8%

Your Cost: $87.24/claim|Median: $84.03
1.0× median
99213Normal range

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

$1.5M

33K claims · 6.5%

Your Cost: $46.85/claim|Median: $37.81
1.2× median
99214Normal range

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

$884K

17K claims · 3.8%

Your Cost: $53.46/claim|Median: $53.41
1.0× median
92083Normal range

Visual field exam, extended testing, bilateral

$711K

23K claims · 3.0%

Your Cost: $30.88/claim|Median: $29.82
1.0× median
92015Normal range

Determination of refractive state

$702K

81K claims · 3.0%

Your Cost: $8.65/claim|Median: $10.36
0.8× median
95004Normal range

Percutaneous allergy skin tests, each

$700K

4,515 claims · 3.0%

Your Cost: $155.06/claim|Median: $134.97
1.1× median
31231Normal range

Nasal endoscopy, diagnostic

$447K

3,939 claims · 1.9%

Your Cost: $113.58/claim|Median: $98.77
1.1× median
92133Normal range

$415K

23K claims · 1.8%

Your Cost: $18.30/claim|Median: $19.09
1.0× median
92250Normal range

Fundus photography with interpretation and report

$349K

16K claims · 1.5%

Your Cost: $21.56/claim|Median: $27.95
0.8× median
V5160Normal range

$246K

1,886 claims · 1.0%

Your Cost: $130.52/claim|Median: $309.52
0.4× median
92134Normal range

$216K

14K claims · 0.9%

Your Cost: $15.44/claim|Median: $15.46
1.0× median
31575Normal range

$193K

2,614 claims · 0.8%

Your Cost: $73.73/claim|Median: $68.78
1.1× median
92273Normal range

$181K

3,195 claims · 0.8%

Your Cost: $56.65/claim|Median: $53.16
1.1× median
92202Normal range

$153K

22K claims · 0.7%

Your Cost: $7.06/claim|Median: $7.06
1.0× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$151K

9,453 claims · 0.6%

Your Cost: $16.02/claim|Median: $27.28
0.6× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$144K

663 claims · 0.6%

Your Cost: $217.26/claim|Median: $268.70
0.8× median
69210Normal range

$135K

6,463 claims · 0.6%

Your Cost: $20.92/claim|Median: $21.74
1.0× median
92340Normal range

Fitting of spectacles, except for aphakia

$112K

7,460 claims · 0.5%

Your Cost: $15.02/claim|Median: $19.46
0.8× median
92587Normal range

$92K

9,343 claims · 0.4%

Your Cost: $9.85/claim|Median: $19.24
0.5× median
0509TNormal range

$86K

2,151 claims · 0.4%

Your Cost: $40.09/claim|Median: $11.28
3.6× median
92020Normal range

$78K

5,636 claims · 0.3%

Your Cost: $13.76/claim|Median: $12.46
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$76K

2,452 claims · 0.3%

Your Cost: $31.12/claim|Median: $25.06
1.2× median
92002Normal range

Intermediate eye exam, new patient

$69K

1,458 claims · 0.3%

Your Cost: $47.03/claim|Median: $41.61
1.1× median
V5011Normal range

$67K

2,032 claims · 0.3%

Your Cost: $33.09/claim|Median: $36.19
0.9× median
92225Normal range

$59K

3,128 claims · 0.2%

Your Cost: $18.72/claim|Median: $17.59
1.1× median
92025Normal range

$55K

3,414 claims · 0.2%

Your Cost: $16.23/claim|Median: $17.08
1.0× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$54K

1,489 claims · 0.2%

Your Cost: $36.21/claim|Median: $58.82
0.6× median
92226Normal range

$53K

4,188 claims · 0.2%

Your Cost: $12.63/claim|Median: $12.45
1.0× median
68761Normal range

$49K

1,161 claims · 0.2%

Your Cost: $42.50/claim|Median: $60.32
0.7× median
76514Normal range

$44K

6,583 claims · 0.2%

Your Cost: $6.71/claim|Median: $6.67
1.0× median
J9035Normal range

Injection, bevacizumab, 10 mg

$40K

1,218 claims · 0.2%

Your Cost: $32.44/claim|Median: $43.71
0.7× median
92570Normal range

$39K

2,602 claims · 0.2%

Your Cost: $14.83/claim|Median: $19.67
0.8× median
92275Normal range

$36K

461 claims · 0.2%

Your Cost: $77.49/claim|Median: $45.77
1.7× median
92567Normal range

$35K

5,653 claims · 0.1%

Your Cost: $6.19/claim|Median: $11.50
0.5× median
92136Normal range

$33K

2,114 claims · 0.1%

Your Cost: $15.43/claim|Median: $18.31
0.8× median
99203Normal range

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

$31K

669 claims · 0.1%

Your Cost: $46.36/claim|Median: $57.85
0.8× median
92285Normal range

$30K

7,263 claims · 0.1%

Your Cost: $4.10/claim|Median: $16.47
0.2× median
92201Normal range

$17K

1,584 claims · 0.1%

Your Cost: $10.91/claim|Median: $12.88
0.8× median
V5020Normal range

$14K

488 claims · 0.1%

Your Cost: $28.58/claim|Median: $34.66
0.8× median
92550Normal range

$14K

1,289 claims · 0.1%

Your Cost: $10.74/claim|Median: $14.15
0.8× median
95117Normal range

$11K

1,234 claims · 0.0%

Your Cost: $8.61/claim|Median: $8.34
1.0× median
V2020Normal range

Frames, purchases

$10K

33K claims · 0.0%

Your Cost: $0.30/claim|Median: $19.33
0.0× median
92593Normal range

$10K

344 claims · 0.0%

Your Cost: $28.69/claim|Median: $24.63
1.2× median
65778Normal range

$9K

20 claims · 0.0%

Your Cost: $461.46/claim|Median: $282.76
1.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$9K

193 claims · 0.0%

Your Cost: $47.79/claim|Median: $40.11
1.2× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$9K

17K claims · 0.0%

Your Cost: $0.52/claim|Median: $20.68
0.0× median

Other Top Providers in New Jersey

View all →

Department of Health and Senior Services

Specialist

$1.07B

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$717.5M

Care Finders Total Care LLC

Home Health

$708.7M

Quest Diagnostics Incorporated

Clinical Medical Laboratory

$637.7M

Bioreference Health LLC

Clinical Medical Laboratory

$620.1M

← All providersAll providers in New Jersey →How we detect fraud →