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Provider 1376593863

NPI: 1376593863Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.0M

$8,977,141

Total Claims

289K

Beneficiaries

260K

1.1 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-7%
2019
$1.4M
-37%
2020
$881K
+57%
2021
$1.4M
+4%
2022
$1.4M
-4%
2023
$1.4M
-28%
2024
$990K

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 19% of total spending.

66984Normal range

Extracapsular cataract removal with IOL insertion

$1.7M

8,054 claims · 18.5%

Your Cost: $206.70/claim|Median: $268.70
0.8× median
99214Normal range

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

$1.0M

37K claims · 11.6%

Your Cost: $28.39/claim|Median: $53.41
0.5× median
99204Normal range

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

$858K

15K claims · 9.6%

Your Cost: $55.59/claim|Median: $84.03
0.7× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$552K

21K claims · 6.2%

Your Cost: $26.91/claim|Median: $47.08
0.6× median
92250Normal range

Fundus photography with interpretation and report

$519K

27K claims · 5.8%

Your Cost: $18.93/claim|Median: $27.95
0.7× median
66982Normal range

$383K

1,617 claims · 4.3%

Your Cost: $237.14/claim|Median: $375.52
0.6× median
99213Normal range

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

$346K

8,663 claims · 3.9%

Your Cost: $39.90/claim|Median: $37.81
1.1× median
92060Normal range

$319K

11K claims · 3.5%

Your Cost: $27.77/claim|Median: $35.83
0.8× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$255K

7,812 claims · 2.8%

Your Cost: $32.68/claim|Median: $58.82
0.6× median
92015Top 10%

Determination of refractive state

$220K

10K claims · 2.4%

Your Cost: $20.93/claim|Median: $10.36
2.0× median
J9035Normal range

Injection, bevacizumab, 10 mg

$212K

5,557 claims · 2.4%

Your Cost: $38.18/claim|Median: $43.71
0.9× median
67210Normal range

$203K

1,083 claims · 2.3%

Your Cost: $187.48/claim|Median: $249.34
0.8× median
92083Normal range

Visual field exam, extended testing, bilateral

$197K

14K claims · 2.2%

Your Cost: $14.38/claim|Median: $29.82
0.5× median
66761Normal range

$196K

1,549 claims · 2.2%

Your Cost: $126.25/claim|Median: $159.16
0.8× median
92235Normal range

$176K

5,449 claims · 2.0%

Your Cost: $32.38/claim|Median: $42.71
0.8× median
92020Normal range

$175K

19K claims · 1.9%

Your Cost: $9.24/claim|Median: $12.46
0.7× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$153K

8,271 claims · 1.7%

Your Cost: $18.51/claim|Median: $38.23
0.5× median
92134Normal range

$145K

15K claims · 1.6%

Your Cost: $9.49/claim|Median: $15.46
0.6× median
92133Normal range

$144K

16K claims · 1.6%

Your Cost: $9.27/claim|Median: $19.09
0.5× median
92136Normal range

$123K

10K claims · 1.4%

Your Cost: $12.01/claim|Median: $18.31
0.7× median
76512Normal range

$117K

4,038 claims · 1.3%

Your Cost: $29.08/claim|Median: $43.41
0.7× median
J0178Normal range

Injection, aflibercept, 1 mg

$97K

215 claims · 1.1%

Your Cost: $452.05/claim|Median: $730.09
0.6× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$91K

2,035 claims · 1.0%

Your Cost: $44.72/claim|Median: $59.72
0.7× median
92226Normal range

$89K

7,579 claims · 1.0%

Your Cost: $11.72/claim|Median: $12.45
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$82K

815 claims · 0.9%

Your Cost: $101.17/claim|Median: $121.58
0.8× median
99203Normal range

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

$79K

1,116 claims · 0.9%

Your Cost: $70.99/claim|Median: $57.85
1.2× median
92225Normal range

$72K

3,673 claims · 0.8%

Your Cost: $19.71/claim|Median: $17.59
1.1× median
67228Normal range

$72K

268 claims · 0.8%

Your Cost: $269.25/claim|Median: $256.67
1.0× median
76514Normal range

$39K

6,584 claims · 0.4%

Your Cost: $5.91/claim|Median: $6.67
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$38K

379 claims · 0.4%

Your Cost: $101.41/claim|Median: $111.09
0.9× median
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