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

⚖️ Compare🖨️ Print Report

Provider 1376574707

NPI: 1376574707Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,845,367

Total Claims

164K

Beneficiaries

150K

1.1 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$846K
+14%
2019
$963K
+14%
2020
$1.1M
+21%
2021
$1.3M
+32%
2022
$1.8M
+32%
2023
$2.3M
+10%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (92004 (Ophthalmological exam, comprehensive, new patient)) accounts for 21% of total spending.

92004Top 25%

Ophthalmological exam, comprehensive, new patient

$2.3M

21K claims · 20.7%

Your Cost: $109.75/claim|Median: $59.72
1.8× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$1.9M

26K claims · 17.7%

Your Cost: $74.33/claim|Median: $47.08
1.6× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$1.5M

5,605 claims · 14.1%

Your Cost: $273.17/claim|Median: $268.70
1.0× median
92134Top 25%

$787K

33K claims · 7.3%

Your Cost: $23.84/claim|Median: $15.46
1.5× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$725K

9,760 claims · 6.7%

Your Cost: $74.29/claim|Median: $58.82
1.3× median
J2777Top 5%

$678K

323 claims · 6.3%

Your Cost: $2,099.51/claim|Median: $858.80
2.4× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$419K

8,243 claims · 3.9%

Your Cost: $50.84/claim|Median: $38.23
1.3× median
J0178Top 10%

Injection, aflibercept, 1 mg

$382K

242 claims · 3.5%

Your Cost: $1,576.74/claim|Median: $730.09
2.2× median
99213Normal range

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

$247K

8,463 claims · 2.3%

Your Cost: $29.17/claim|Median: $37.81
0.8× median
92235Normal range

$207K

3,179 claims · 1.9%

Your Cost: $65.21/claim|Median: $42.71
1.5× median
99214Normal range

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

$196K

6,165 claims · 1.8%

Your Cost: $31.81/claim|Median: $53.41
0.6× median
J9035Top 25%

Injection, bevacizumab, 10 mg

$175K

1,848 claims · 1.6%

Your Cost: $94.58/claim|Median: $43.71
2.2× median
99204Normal range

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

$162K

2,838 claims · 1.5%

Your Cost: $57.20/claim|Median: $84.03
0.7× median
92136Normal range

$162K

9,766 claims · 1.5%

Your Cost: $16.54/claim|Median: $18.31
0.9× median
67210Top 25%

$148K

416 claims · 1.4%

Your Cost: $355.31/claim|Median: $249.34
1.4× median
92250Normal range

Fundus photography with interpretation and report

$144K

5,328 claims · 1.3%

Your Cost: $26.97/claim|Median: $27.95
1.0× median
J7999Top 10%

$123K

2,176 claims · 1.1%

Your Cost: $56.54/claim|Median: $6.94
8.1× median
92083Normal range

Visual field exam, extended testing, bilateral

$98K

2,844 claims · 0.9%

Your Cost: $34.63/claim|Median: $29.82
1.2× median
99203Normal range

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

$96K

2,467 claims · 0.9%

Your Cost: $38.82/claim|Median: $57.85
0.7× median
92133Normal range

$61K

2,665 claims · 0.6%

Your Cost: $22.85/claim|Median: $19.09
1.2× median
66821Top 25%

$59K

408 claims · 0.5%

Your Cost: $144.85/claim|Median: $83.06
1.7× median
V2020Top 5%

Frames, purchases

$48K

642 claims · 0.4%

Your Cost: $75.12/claim|Median: $19.33
3.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$39K

1,392 claims · 0.4%

Your Cost: $28.21/claim|Median: $40.11
0.7× median
92285Normal range

$31K

2,515 claims · 0.3%

Your Cost: $12.38/claim|Median: $16.47
0.8× median
92025Top 25%

$27K

982 claims · 0.2%

Your Cost: $27.03/claim|Median: $17.08
1.6× median
92015Top 25%

Determination of refractive state

$26K

1,539 claims · 0.2%

Your Cost: $17.04/claim|Median: $10.36
1.6× median
92242Top 25%

$23K

189 claims · 0.2%

Your Cost: $121.00/claim|Median: $73.42
1.6× median
68841Normal range

$17K

1,834 claims · 0.2%

Your Cost: $9.23/claim|Median: $8.75
1.1× median
92020Top 25%

$15K

896 claims · 0.1%

Your Cost: $17.00/claim|Median: $12.46
1.4× median
66982Normal range

$15K

50 claims · 0.1%

Your Cost: $293.53/claim|Median: $375.52
0.8× median
← All providersHow we detect fraud →