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Provider 1417261215

NPI: 1417261215Share
Active Billing Period:2018-01→2024-12(71 months)

Total Paid

$10.4M

$10,430,839

Total Claims

231K

Beneficiaries

218K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$3.0M
-21%
2019
$2.4M
-75%
2020
$598K
-51%
2021
$293K
+356%
2022
$1.3M
+5%
2023
$1.4M
-4%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (92004 (Ophthalmological exam, comprehensive, new patient)) accounts for 37% of total spending.

92004Top 25%

Ophthalmological exam, comprehensive, new patient

$3.9M

44K claims · 37.4%

Your Cost: $89.04/claim|Median: $59.72
1.5× median
92015Top 1%

Determination of refractive state

$3.1M

72K claims · 29.7%

Your Cost: $42.78/claim|Median: $10.36
4.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1.9M

29K claims · 18.1%

Your Cost: $66.11/claim|Median: $47.08
1.4× median
92340Top 25%

Fitting of spectacles, except for aphakia

$794K

29K claims · 7.6%

Your Cost: $27.39/claim|Median: $19.46
1.4× median
V2020Normal range

Frames, purchases

$258K

19K claims · 2.5%

Your Cost: $13.76/claim|Median: $19.33
0.7× median
V2103Normal range

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

$195K

12K claims · 1.9%

Your Cost: $15.93/claim|Median: $18.82
0.8× median
D1206Normal range

Topical application of fluoride varnish

$127K

6,537 claims · 1.2%

Your Cost: $19.42/claim|Median: $18.12
1.1× median
D0190Normal range

$74K

6,536 claims · 0.7%

Your Cost: $11.29/claim|Median: $12.78
0.9× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$62K

4,093 claims · 0.6%

Your Cost: $15.04/claim|Median: $20.68
0.7× median
V2104Normal range

$17K

1,310 claims · 0.2%

Your Cost: $13.15/claim|Median: $16.70
0.8× median
92507Normal range

Speech/hearing/language treatment

$10K

280 claims · 0.1%

Your Cost: $35.62/claim|Median: $49.45
0.7× median
V2784Normal range

Lens, polycarbonate or equal

$3K

285 claims · 0.0%

Your Cost: $9.09/claim|Median: $9.50
1.0× median
V2101Normal range

$396

24 claims · 0.0%

Your Cost: $16.50/claim|Median: $17.09
1.0× median
V2756Normal range

$0

7,359 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.03
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