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Provider 1437579000

NPI: 1437579000Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.4M

$8,447,458

Total Claims

45K

Beneficiaries

37K

1.2 claims/patient

Avg Cost/Claim

$186

Monthly Spending Trend

Yearly Spending

2018
$314K
+41%
2019
$444K
+76%
2020
$781K
+50%
2021
$1.2M
+24%
2022
$1.5M
+34%
2023
$1.9M
+20%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (65778) accounts for 74% of total spending.

65778Top 25%

$6.2M

7,373 claims · 73.7%

Your Cost: $844.62/claim|Median: $282.76
3.0× median
68761Top 5%

$1.1M

5,899 claims · 12.9%

Your Cost: $184.17/claim|Median: $60.32
3.1× median
99214Normal range

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

$265K

4,154 claims · 3.1%

Your Cost: $63.78/claim|Median: $53.41
1.2× median
92250Top 25%

Fundus photography with interpretation and report

$227K

5,574 claims · 2.7%

Your Cost: $40.77/claim|Median: $27.95
1.5× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$173K

2,183 claims · 2.0%

Your Cost: $79.26/claim|Median: $59.72
1.3× median
92083Normal range

Visual field exam, extended testing, bilateral

$162K

4,062 claims · 1.9%

Your Cost: $39.89/claim|Median: $29.82
1.3× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$103K

1,517 claims · 1.2%

Your Cost: $67.75/claim|Median: $47.08
1.4× median
92020Top 25%

$102K

5,595 claims · 1.2%

Your Cost: $18.24/claim|Median: $12.46
1.5× median
92340Normal range

Fitting of spectacles, except for aphakia

$64K

4,098 claims · 0.8%

Your Cost: $15.65/claim|Median: $19.46
0.8× median
92015Normal range

Determination of refractive state

$37K

4,853 claims · 0.4%

Your Cost: $7.68/claim|Median: $10.36
0.7× median
92341Normal range

$162

15 claims · 0.0%

Your Cost: $10.80/claim|Median: $22.77
0.5× median