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Provider 1457323545

NPI: 1457323545Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.4M

$11,395,634

Total Claims

130K

Beneficiaries

118K

1.1 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$290K
+371%
2019
$1.4M
-2%
2020
$1.3M
+17%
2021
$1.6M
+54%
2022
$2.4M
+16%
2023
$2.8M
-41%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 37% of total spending.

J0178Top 25%

Injection, aflibercept, 1 mg

$4.2M

3,301 claims · 37.0%

Your Cost: $1,277.11/claim|Median: $730.09
1.7× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1.7M

25K claims · 14.8%

Your Cost: $66.87/claim|Median: $47.08
1.4× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$677K

6,592 claims · 5.9%

Your Cost: $102.71/claim|Median: $59.72
1.7× median
J2778Normal range

$621K

1,107 claims · 5.4%

Your Cost: $560.77/claim|Median: $403.28
1.4× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$602K

12K claims · 5.3%

Your Cost: $52.32/claim|Median: $58.82
0.9× median
J2777Top 25%

$503K

355 claims · 4.4%

Your Cost: $1,417.13/claim|Median: $858.80
1.7× median
92060Top 25%

$457K

9,172 claims · 4.0%

Your Cost: $49.79/claim|Median: $35.83
1.4× median
99214Normal range

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

$378K

5,981 claims · 3.3%

Your Cost: $63.27/claim|Median: $53.41
1.2× median
92134Normal range

$378K

19K claims · 3.3%

Your Cost: $19.89/claim|Median: $15.46
1.3× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$347K

6,073 claims · 3.0%

Your Cost: $57.12/claim|Median: $38.23
1.5× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$252K

1,537 claims · 2.2%

Your Cost: $163.71/claim|Median: $268.70
0.6× median
99213Top 25%

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

$240K

4,317 claims · 2.1%

Your Cost: $55.66/claim|Median: $37.81
1.5× median
92015Normal range

Determination of refractive state

$217K

14K claims · 1.9%

Your Cost: $15.02/claim|Median: $10.36
1.5× median
V2025Top 25%

$186K

3,002 claims · 1.6%

Your Cost: $61.84/claim|Median: $34.45
1.8× median
V2410Normal range

$151K

1,830 claims · 1.3%

Your Cost: $82.55/claim|Median: $86.18
1.0× median
92083Normal range

Visual field exam, extended testing, bilateral

$118K

4,051 claims · 1.0%

Your Cost: $29.02/claim|Median: $29.82
1.0× median
V2784Top 25%

Lens, polycarbonate or equal

$85K

2,471 claims · 0.7%

Your Cost: $34.57/claim|Median: $9.50
3.6× median
99204Normal range

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

$58K

679 claims · 0.5%

Your Cost: $85.95/claim|Median: $84.03
1.0× median
92136Normal range

$57K

2,678 claims · 0.5%

Your Cost: $21.10/claim|Median: $18.31
1.2× median
92133Normal range

$43K

2,125 claims · 0.4%

Your Cost: $20.03/claim|Median: $19.09
1.0× median
V2103Top 10%

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

$22K

434 claims · 0.2%

Your Cost: $50.23/claim|Median: $18.82
2.7× median
J9035Top 25%

Injection, bevacizumab, 10 mg

$19K

268 claims · 0.2%

Your Cost: $71.08/claim|Median: $43.71
1.6× median
92250Normal range

Fundus photography with interpretation and report

$19K

662 claims · 0.2%

Your Cost: $28.27/claim|Median: $27.95
1.0× median
92226Normal range

$15K

988 claims · 0.1%

Your Cost: $15.46/claim|Median: $12.45
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$13K

366 claims · 0.1%

Your Cost: $34.20/claim|Median: $25.06
1.4× median
92235Normal range

$12K

251 claims · 0.1%

Your Cost: $46.88/claim|Median: $42.71
1.1× median
92285Normal range

$12K

895 claims · 0.1%

Your Cost: $13.14/claim|Median: $16.47
0.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$10K

229 claims · 0.1%

Your Cost: $45.07/claim|Median: $23.99
1.9× median
99203Normal range

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

$3K

36 claims · 0.0%

Your Cost: $69.77/claim|Median: $57.85
1.2× median
99221Normal range

Initial hospital care, straightforward/low

$2K

47 claims · 0.0%

Your Cost: $49.89/claim|Median: $39.96
1.2× median
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