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Provider 1386737617

NPI: 1386737617Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.8M

$11,806,048

Total Claims

79K

Beneficiaries

69K

1.1 claims/patient

Avg Cost/Claim

$149

Monthly Spending Trend

Yearly Spending

2018
$460K
+86%
2019
$854K
+29%
2020
$1.1M
+61%
2021
$1.8M
+34%
2022
$2.4M
+31%
2023
$3.1M
-33%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (67028 (Intravitreal injection of a pharmacologic agent)) accounts for 33% of total spending.

67028Top 10%

Intravitreal injection of a pharmacologic agent

$3.9M

19K claims · 33.1%

Your Cost: $206.70/claim|Median: $58.82
3.5× median
J0178Top 25%

Injection, aflibercept, 1 mg

$2.5M

1,961 claims · 21.2%

Your Cost: $1,278.42/claim|Median: $730.09
1.8× median
J2778Top 25%

$2.3M

3,398 claims · 19.5%

Your Cost: $677.46/claim|Median: $403.28
1.7× median
Q5128Normal range

$1.3M

1,871 claims · 10.8%

Your Cost: $683.40/claim|Median: $502.53
1.4× median
92134Top 25%

$551K

23K claims · 4.7%

Your Cost: $23.82/claim|Median: $15.46
1.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$397K

8,450 claims · 3.4%

Your Cost: $46.94/claim|Median: $47.08
1.0× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$363K

8,314 claims · 3.1%

Your Cost: $43.61/claim|Median: $38.23
1.1× median
J9035Top 25%

Injection, bevacizumab, 10 mg

$145K

2,048 claims · 1.2%

Your Cost: $70.99/claim|Median: $43.71
1.6× median
92226Top 25%

$112K

5,142 claims · 0.9%

Your Cost: $21.77/claim|Median: $12.45
1.7× median
92250Normal range

Fundus photography with interpretation and report

$97K

2,718 claims · 0.8%

Your Cost: $35.68/claim|Median: $27.95
1.3× median
92235Top 25%

$62K

731 claims · 0.5%

Your Cost: $85.18/claim|Median: $42.71
2.0× median
J3490Top 1%

Unclassified drugs

$21K

25 claims · 0.2%

Your Cost: $821.78/claim|Median: $5.70
144.2× median
92202Normal range

$16K

1,456 claims · 0.1%

Your Cost: $11.29/claim|Median: $7.06
1.6× median
99214Normal range

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

$11K

241 claims · 0.1%

Your Cost: $45.17/claim|Median: $53.41
0.8× median
99213Top 25%

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

$8K

141 claims · 0.1%

Your Cost: $58.31/claim|Median: $37.81
1.5× median
99204Normal range

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

$7K

95 claims · 0.1%

Your Cost: $78.44/claim|Median: $84.03
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$7K

163 claims · 0.1%

Your Cost: $45.20/claim|Median: $25.06
1.8× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$6K

117 claims · 0.0%

Your Cost: $49.33/claim|Median: $59.72
0.8× median
92201Normal range

$5K

452 claims · 0.0%

Your Cost: $11.00/claim|Median: $12.88
0.9× median
92225Top 10%

$1K

24 claims · 0.0%

Your Cost: $45.67/claim|Median: $17.59
2.6× median
76512Top 25%

$947

15 claims · 0.0%

Your Cost: $63.12/claim|Median: $43.41
1.5× median
J7999Normal range

$0

70 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.94
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