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Provider 1407916992

NPI: 1407916992Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,643,230

Total Claims

131K

Beneficiaries

123K

1.1 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2018
$573K
+13%
2019
$650K
-6%
2020
$609K
+217%
2021
$1.9M
+38%
2022
$2.7M
+3%
2023
$2.7M
-10%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 51% of total spending.

J0178Top 25%

Injection, aflibercept, 1 mg

$6.0M

5,206 claims · 51.4%

Your Cost: $1,150.06/claim|Median: $730.09
1.6× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$1.6M

23K claims · 13.6%

Your Cost: $70.05/claim|Median: $58.82
1.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1.1M

16K claims · 9.1%

Your Cost: $64.40/claim|Median: $47.08
1.4× median
J9035Top 25%

Injection, bevacizumab, 10 mg

$864K

13K claims · 7.4%

Your Cost: $65.22/claim|Median: $43.71
1.5× median
92134Normal range

$833K

38K claims · 7.2%

Your Cost: $22.03/claim|Median: $15.46
1.4× median
99214Normal range

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

$691K

16K claims · 5.9%

Your Cost: $42.08/claim|Median: $53.41
0.8× median
92235Top 25%

$202K

2,888 claims · 1.7%

Your Cost: $69.88/claim|Median: $42.71
1.6× median
99204Normal range

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

$141K

1,950 claims · 1.2%

Your Cost: $72.13/claim|Median: $84.03
0.9× median
92250Normal range

Fundus photography with interpretation and report

$124K

4,266 claims · 1.1%

Your Cost: $29.09/claim|Median: $27.95
1.0× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$42K

419 claims · 0.4%

Your Cost: $100.07/claim|Median: $59.72
1.7× median
92202Normal range

$34K

4,025 claims · 0.3%

Your Cost: $8.55/claim|Median: $7.06
1.2× median
92226Normal range

$27K

2,183 claims · 0.2%

Your Cost: $12.45/claim|Median: $12.45
1.0× median
92201Normal range

$24K

1,495 claims · 0.2%

Your Cost: $16.03/claim|Median: $12.88
1.2× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$22K

956 claims · 0.2%

Your Cost: $23.45/claim|Median: $38.23
0.6× median
92225Normal range

$11K

747 claims · 0.1%

Your Cost: $14.39/claim|Median: $17.59
0.8× median
67228Top 25%

$4K

13 claims · 0.0%

Your Cost: $339.98/claim|Median: $256.67
1.3× median
99213Normal range

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

$566

12 claims · 0.0%

Your Cost: $47.20/claim|Median: $37.81
1.2× median
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