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Provider 1386077832

NPI: 1386077832Share
Active Billing Period:2018-02→2024-12(78 months)

Total Paid

$15.1M

$15,108,983

Total Claims

1.0M

Beneficiaries

988K

1.0 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$630K
+266%
2019
$2.3M
-9%
2020
$2.1M
+30%
2021
$2.7M
-1%
2022
$2.7M
-7%
2023
$2.5M
-16%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (V2784 (Lens, polycarbonate or equal)) accounts for 31% of total spending.

V2784Normal range

Lens, polycarbonate or equal

$4.7M

270K claims · 31.3%

Your Cost: $17.52/claim|Median: $9.50
1.8× median
V2103Normal range

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

$3.6M

176K claims · 24.1%

Your Cost: $20.61/claim|Median: $18.82
1.1× median
V2020Normal range

Frames, purchases

$2.5M

288K claims · 16.4%

Your Cost: $8.60/claim|Median: $19.33
0.4× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$1.1M

69K claims · 7.5%

Your Cost: $16.43/claim|Median: $20.68
0.8× median
V2104Normal range

$878K

49K claims · 5.8%

Your Cost: $18.07/claim|Median: $16.70
1.1× median
V2780Top 25%

$341K

19K claims · 2.3%

Your Cost: $18.20/claim|Median: $10.22
1.8× median
V2799Normal range

$285K

37K claims · 1.9%

Your Cost: $7.73/claim|Median: $8.94
0.9× median
V2203Normal range

$283K

12K claims · 1.9%

Your Cost: $23.24/claim|Median: $29.84
0.8× median
V2105Normal range

$228K

13K claims · 1.5%

Your Cost: $18.24/claim|Median: $23.98
0.8× median
V2107Normal range

$182K

19K claims · 1.2%

Your Cost: $9.48/claim|Median: $17.55
0.5× median
V2782Normal range

$142K

2,894 claims · 0.9%

Your Cost: $48.91/claim|Median: $48.93
1.0× median
V2025Normal range

$127K

3,653 claims · 0.8%

Your Cost: $34.70/claim|Median: $34.45
1.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$122K

3,294 claims · 0.8%

Your Cost: $37.04/claim|Median: $47.08
0.8× median
V2200Normal range

$97K

5,223 claims · 0.6%

Your Cost: $18.59/claim|Median: $28.94
0.6× median
V2108Normal range

$94K

7,892 claims · 0.6%

Your Cost: $11.90/claim|Median: $16.84
0.7× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$61K

1,652 claims · 0.4%

Your Cost: $37.02/claim|Median: $59.72
0.6× median
V2101Normal range

$38K

4,141 claims · 0.2%

Your Cost: $9.12/claim|Median: $17.09
0.5× median
V2750Normal range

$35K

2,600 claims · 0.2%

Your Cost: $13.33/claim|Median: $10.42
1.3× median
V2111Normal range

$32K

2,551 claims · 0.2%

Your Cost: $12.64/claim|Median: $14.17
0.9× median
V2109Normal range

$28K

2,472 claims · 0.2%

Your Cost: $11.22/claim|Median: $12.24
0.9× median
V2207Normal range

$22K

1,205 claims · 0.1%

Your Cost: $18.05/claim|Median: $15.90
1.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$21K

2,130 claims · 0.1%

Your Cost: $9.92/claim|Median: $19.46
0.5× median
V2204Normal range

$19K

1,109 claims · 0.1%

Your Cost: $16.92/claim|Median: $18.98
0.9× median
V2112Normal range

$18K

1,554 claims · 0.1%

Your Cost: $11.64/claim|Median: $11.37
1.0× median
V2715Normal range

$18K

3,147 claims · 0.1%

Your Cost: $5.74/claim|Median: $7.16
0.8× median
92002Normal range

Intermediate eye exam, new patient

$17K

463 claims · 0.1%

Your Cost: $37.59/claim|Median: $41.61
0.9× median
V2520Top 25%

$13K

129 claims · 0.1%

Your Cost: $103.21/claim|Median: $68.48
1.5× median
S0500Top 25%

$10K

106 claims · 0.1%

Your Cost: $90.14/claim|Median: $74.66
1.2× median
92310Normal range

$9K

473 claims · 0.1%

Your Cost: $19.86/claim|Median: $35.49
0.6× median
V2744Normal range

$7K

353 claims · 0.0%

Your Cost: $20.17/claim|Median: $10.12
2.0× median
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